Please wait a minute...

中国现代手术学杂志  2018, Vol. 22 Issue (4): 301-305    DOI: 10.16260/j.cnki.1009-2188.2018.04.016
  临床论著 |
颈部迷走神经副神经节瘤1例报告并文献复习#br#
胡丽敏,阎志毓
陆军总医院耳鼻咽喉头颈外科,北京 100700
Cervical Vagal Paraganglioma: A Case Report and Literature Review#br#
HU Limin, YAN Zhiyu#br#
Department of Otolaryngology & Head and Neck Surgery, PLA Army General Hospital, Beijing 100700, China

下载:  PDF (0KB) 
输出:  BibTeX | EndNote (RIS)      
摘要 [摘要]目的探讨颈部迷走神经副神经节瘤的临床病理、影像学特征及治疗方法。方法回顾性分析1例颈部迷走神经副神经节瘤患者的临床资料,并结合相关文献复习。患者女性,59岁,左上颈部肿块约4.5 cm×4.0 cm×4.0 cm大小,行手术治疗,术中充分显露肿瘤后见肿瘤血供丰富,切断肿瘤供血血管,探查并发现肿瘤与迷走神经关系密切,予以保留部分迷走神经并将肿瘤切除。结果术后病理证实为副神经节瘤,术后出现轻微声音嘶哑及进食呛咳。复习相关文献及总结本病例特点,提示迷走神经副神经节瘤有其特定的发病部位和MRI特征,治疗以手术为主。结论迷走神经副节瘤临床表现无特异性,术前诊断较为困难,可依据临床症状的严重程度选择手术或放疗,预后较好。

服务
把本文推荐给朋友
加入引用管理器
E-mail Alert
RSS
作者相关文章
胡丽敏
阎志毓
关键词:  副神经节瘤  迷走神经  头颈部肿瘤
    
Abstract: Abstract:ObjectiveTo explore the clinical pathological, imaging features indications and treatment of cervical vagal paraganglioma(VP).MethodsThe clinical data of one patient with cervical VP was retrospectively analyzed. And the associated literatures were reviewed. The patient was female, aged 59, and was found the tumor located in upper left neck with size of 4.5 cm×4.0 cm×4.0 cm. The surgical intervention was performed. After fully exposing the tumor during the operation, the tumor blood supply showed abundantly, and the blood vessel was cut off. The tumor was closely related to the vagus nerve, so the partial vagus nerve was retained and the tumor was removed.ResultsPostoperative pathology confirmed the VP in the case. The mild postoperative hoarseness and eating choke to cough appeared after the surgery. Reviewed the relevant literatures and summarize the characteristics of the case, it is suggested that VP has its specific location and MRI features, and surgical treatment is the most important.ConclusionsThe clinical manifestation of the VP is nonspecific and difficult to be diagnosed before operation. The surgery or radiotherapy can be selected according to the severity of clinical symptoms, and the prognosis is reliable.

Key words:  paraganglioma    vagus nerve    head and neck neoplasms

               出版日期:  2018-08-26      发布日期:  2018-10-23      期的出版日期:  2018-08-26
ZTFLH:     
  R739.91  
  R739.4  
通讯作者:  阎志毓,男,52岁,陆军总医院耳鼻咽喉头颈外科副主任医师,副教授。    
引用本文:    
胡丽敏, 阎志毓. 颈部迷走神经副神经节瘤1例报告并文献复习#br#[J]. 中国现代手术学杂志, 2018, 22(4): 301-305.
HU Limin, YAN Zhiyu. Cervical Vagal Paraganglioma: A Case Report and Literature Review#br#. Chinese Journal of Modern Operative Surgery, 2018, 22(4): 301-305.
链接本文:  
http://www.surgerychina.com/CN/10.16260/j.cnki.1009-2188.2018.04.016  或          http://www.surgerychina.com/CN/Y2018/V22/I4/301
[1] 杨寅熙, 吴一峰, 吴铁. TEP与TAPP术治疗腹股沟疝临床疗效比较#br#[J]. 中国现代手术学杂志, 2018, 22(4): 241-243.
[2] 曾广军, 郭孝军, 文汉林. 小关节、椎间孔形态变化与棘突撑开的相关性研究#br#[J]. 中国现代手术学杂志, 2018, 22(4): 263-265.
[3] 丁科, 唐腾龙, 左仲坤, 彭伟辉, 张磊屹, 黄江生, 段伦喜. 腹腔镜下结肠癌手术患者术后肺部并发症的危险因素分析#br#[J]. 中国现代手术学杂志, 2018, 22(4): 244-247.
[4] 文磊, 杜军, 刘宏滨. “AO”张力带治疗RockwoodⅡ、Ⅲ型髌骨骨折的临床疗效对比#br#[J]. 中国现代手术学杂志, 2018, 22(4): 254-257.
[5] 岑毕文, 吴亚鹏, 王达义, 尚晖, 杨棋. 微创可扩张通道辅助下OLIF入路治疗单节段腰椎不稳疗效分析#br#[J]. 中国现代手术学杂志, 2018, 22(4): 258-263.
[6] 王富勇, 叶作舟. 两种粘度骨水泥对重度骨质疏松胸腰椎体骨折老年患者PVP手术效果的影响#br#[J]. 中国现代手术学杂志, 2018, 22(4): 266-269.
[7] 张杰荣. 微创锁定加压钢板内固定术对老年肱骨近端骨折的疗效#br#[J]. 中国现代手术学杂志, 2018, 22(4): 270-273.
[8] 王振, 刘青, 郑福增, 李西要, 曲波, 董黎明. T型钢板在胫骨后pilon骨折中的应用#br#[J]. 中国现代手术学杂志, 2018, 22(4): 281-284.
[9] 周林, 李芳芳. 曲安奈德辅助23G微创玻璃体切割治疗增生性糖尿病视网膜病变#br#[J]. 中国现代手术学杂志, 2018, 22(4): 306-310.
[10] 姜兵, 张伟, 黎芳丽, 陈晓. 腹腔无金属标记纱布瘤CT诊断、误诊分析及文献复习#br#[J]. 中国现代手术学杂志, 2018, 22(4): 316-320.
[1] . [J]. Chinese journal of modern operative surgery, 2017, 21(3): 168 -173 .
[2] . [J]. Chinese journal of modern operative surgery, 2017, 21(3): 174 -177 .
[3] . [J]. Chinese journal of modern operative surgery, 2017, 21(3): 178 -181 .
[4] . [J]. Chinese journal of modern operative surgery, 2017, 21(3): 182 -186 .
[5] . [J]. Chinese journal of modern operative surgery, 2017, 21(3): 187 -190 .
[6] . [J]. Chinese journal of modern operative surgery, 2017, 21(3): 191 -193 .
[7] . [J]. Chinese journal of modern operative surgery, 2017, 21(3): 194 -196 .
[8] . [J]. Chinese journal of modern operative surgery, 2017, 21(3): 197 -200 .
[9] . [J]. Chinese journal of modern operative surgery, 2017, 21(3): 201 -205 .
[10] . [J]. Chinese journal of modern operative surgery, 2017, 21(3): 206 -210 .
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed