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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Cervical sympathetic chain schwannoma.
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Cervical sympathetic chain schwannoma.

机译：子宫颈交感神经鞘瘤。

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摘要

OBJECTIVES: Schwannomas are benign, slow-growing tumors that arise from nerves. Those originating from the sympathetic cervical chain are rare. We describe our experience with the clinical presentation, surgical management, and outcomes of patients with this pathology. STUDY DESIGN: Retrospective chart review of a case series in a tertiary referral center. METHODS: Four cases of cervical sympathetic chain schwannomas were reviewed. Patients presented with either an asymptomatic neck mass discovered on routine physical examination (1 patient), an enlarging neck mass (2), or an acute onset of a Horner's syndrome (1). All patients underwent preoperative imaging (magnetic resonance imaging, computed tomography, or both). RESULTS: The location and soft-tissue characteristics of the mass, along with displacement of the carotid sheath vessels, were typical of a cervical sympathetic chain schwannoma. All patients underwent surgical excision of the mass. Postoperative Horner's syndrome was encountered in all patients. First bite syndrome was encountered in two patients. CONCLUSIONS: Cervical sympathetic chain schwannomas are rare tumors. Preoperative imaging characteristics facilitate the diagnosis. First bite syndrome can occur and may be debilitating postoperatively. Long-term prognosis is excellent.
机译：目的：神经鞘瘤是由神经引起的良性，生长缓慢的肿瘤。那些源于交感性颈链的罕见。我们描述了我们在这种疾病的临床表现，手术管理和患者预后方面的经验。研究设计：第三级转诊中心对病例系列的回顾性图表审查。方法：回顾性分析4例颈交感神经鞘神经瘤。常规体格检查发现无症状颈部肿块的患者（1例），颈部肿块增大（2）或霍纳氏综合征的急性发作（1）。所有患者均接受术前成像（磁共振成像，计算机断层扫描或两者）。结果：肿块的位置和软组织特征以及颈动脉鞘管的移位是典型的颈交感神经鞘瘤。所有患者均行手术切除肿块。所有患者均发生术后霍纳综合征。两名患者遇到了第一口综合症。结论：颈交感神经鞘瘤是罕见的肿瘤。术前影像学特征有助于诊断。第一口综合症可能会发生，并且可能使术后衰弱。长期预后良好。

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