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Cervical Vagal Schwannom: Case Report

Year 2020, Volume: 4 Issue: 2, 23 - 28, 23.06.2020
https://doi.org/10.33716/bmedj.724398

Abstract

Schwannomas are benign, encapsulated, solitary and slow growing masses which surround peripheral, cranial and autonomic nerves. Twenty-five to forty-five percent of these tumors are seen at the head and neck. Cystic vagal schwannomas are very rare. Fifty-seven-year-old man presented to our clinic with a painless right neck mass which had grown during 6 years. Neck Magnetic Resonance Imaging reported a mass of approximately 6x8 cm with salt and pepper pattern. The mass was originated from vagal nerve.
Head and neck cystic vagal schwannomas are rare and should be considered in the differential diagnosis of neck masses.

References

  • 1. Myers E, Johnson J. Neoplasms. In: Cummings CW, ed. Otolaryngology Head and Neck Surgery. 4th ed. Philadelphia: ElsevierMosby; 1998;25(8):1727-1728.
  • 2. Mevio E, Gorini E, Sbrocca M, Artesi L, Mullace M, Castelli A, Migliorini L. Unusual cases of cervical nerves schwannomas: phrenic and vagus nerve involvement. Auris Nasus Larynx 2003;30(2):209-213.
  • 3. Colreavy MP, Lacy PD, Hughes J, Bouchier-Hayes D, Brennan P, O’Dwyer AJ, Donnelly MJ, Gaffney R, Maguire A, O'Dwyer TP, Timon CV, Walsh MA. Head and neck schwannomas – a10-year review. J LaryngolOtol 2000;114:119-124.( PMID:10748827)
  • 4. Sarıoğlu S, Özkal S, Güneri A, Ada E, Sis B, Erdağ TK, Pabuççuoğlu HU. Cystic schwannoma of the maxillary sinus. AurisNasus Larynx 2002;29:297-300.
  • 5. Mierzwiński J, Wrukowska I, Tyra J, Paczkowski D, Szcześniak T, Haber K. Diagnosis and management of pediatric cervical vagal schwannoma. Int J Pediatr Otorhinolaryngol. 2018 Nov;114:9-14.
  • 6. Cunningham LL, Warner MR. Schwannoma of thevagus nevre first diagnosed as a parotid tumor. J Oral Maxillofac Surg 2003; 61:141-144.
  • 7. Beggs I. Sonographic appearances of nerve tumors. JClinUltrasound 1999;27:363.
  • 8. 8-)Anil G, Tan TY. Imaging characteristics of schwannoma of the cervical sympathetic chain: a review of 12 cases. Am J Neuroradiol 2010;31(8):1408-1412.( PMID:20616174)
  • 9. Furukawa M, Furukawa MK, Katoh K, Tsukuda M. Differentiation between schwannoma of the vagus nerve and schwannoma of the cervical sympathetic chain by imaging diagnosis. Laryngoscope 1996;106:1548-1552. (PMID:8948621)
  • 10. Zhang H, Cai C, Wang S, Liu H, Ye Y, Chen X. Extra cranial head and neck schwannomas: A clinical analysis of 33 patients. Laryngoscope 2007;117:278-281.
  • 11. Liu HL, Yu SY, Li GK, Wei WI. Extracranial head and neck Schwannomas: a study o the nerve of origin. Eur Arch Otorhinolaryngol 2011; 268:1343-1347
  • 12. Elsharkawy M, Xu Z, Schlesinger D, Sheehan JP. Gamma Knife surgery for nonvestibular schwannomas: radiological and clinical outcomes.J Neurosurg 2012;116:66-72.
  • 13. Sandler ML, Sims JR, Sinclair C, Sharif KF, Ho R, Yue LE, Téllez MJ, Ulkatan S, Khorsandi AS, Brandwein-Weber M, Urken ML. Vagal schwannomas of the head and neck: A comprehensive review and a novel approach to preserving vocal cord innervation and function. Head Neck. 2019 Jul;41(7):2450-2466.
  • 14. Balci MK, Ciger E, Işlek A, Arslanoglu S, Onal HK, Eren E. Baş Boyun Schwannomlarında Klinik Tanı ve Total Cerrahi Rezeksiyon ile Tedavi Sonuçları. KBB-Forum 2020;19(1):039-046
  • 15. Schwam ZG, Kaul VZ, Shrivastava R, Wanna GB. Purely intracranial vagal schwannoma: A case report of a rare lesion. Am J Otolaryngol. 2019 May – Jun;40(3):443-444.
  • 16. Morrissey MSC, Sellars SL. Vagal nerve schwannoma - a new diagnostic sign. Postgrad Med J 1990;66(771):42-43.
  • 17. Corroller TL, Sebag F, Vidal V, Jacquier A, Champsaur P, Bartoli JM, Moulin G. Sonographic diagnosis of a cervical vagal schwannoma. J Clin Ultrasound 2009;37(1):57-60.( PMID:18386823)
  • 18. Cavallaro G, Pattaro G, Iorio O, et al. A literature review on surgery for cervical vagal schwannomas. World J Surg Oncol. 2015;13:130.
  • 19. Cakmak O, Yavuz H, Yucel T. Nasal and paranasal sinus schwannomas. Eur Arch Otorhinolaryngol 2003;260:195-197. (PMID:12709802)

Servikal Vagal Schwannom: Olgu Sunumu

Year 2020, Volume: 4 Issue: 2, 23 - 28, 23.06.2020
https://doi.org/10.33716/bmedj.724398

Abstract

Schwannomlar (nörilemmoma) periferik, kranial ve otonomik sinirleri saran schwann hücrelerinden köken alan benign, kapsüllü, soliter ve yavaş büyüyen kitlelerdir. Bu tümörlerin %25-45’i baş boyun bölgesinde gözlenir. Vagal sinir kaynaklı schwannomlar ise nadir görülen neoplazmlardandır. Elli yedi yaşında erkek hasta, 6 yıldan beri boyunda şişlik şikâyeti nedeni ile kliniğimize başvurdu. Boyun Manyetik Rezonans görüntülemesinde (MRG), tuz biber görünümü olan yaklaşık 6x8cm boyutlarında kistik kitle olduğu görüldü. İntraoperatif olarak kitlenin vagal sinirden köken aldığı izlendi. Baş boyun schwannomları, özellikle de kistik vagal schwannomlar nadir görülmekle birlikte boyun kitlelerinin ayırıcı tanısında düşünülmelidir.

References

  • 1. Myers E, Johnson J. Neoplasms. In: Cummings CW, ed. Otolaryngology Head and Neck Surgery. 4th ed. Philadelphia: ElsevierMosby; 1998;25(8):1727-1728.
  • 2. Mevio E, Gorini E, Sbrocca M, Artesi L, Mullace M, Castelli A, Migliorini L. Unusual cases of cervical nerves schwannomas: phrenic and vagus nerve involvement. Auris Nasus Larynx 2003;30(2):209-213.
  • 3. Colreavy MP, Lacy PD, Hughes J, Bouchier-Hayes D, Brennan P, O’Dwyer AJ, Donnelly MJ, Gaffney R, Maguire A, O'Dwyer TP, Timon CV, Walsh MA. Head and neck schwannomas – a10-year review. J LaryngolOtol 2000;114:119-124.( PMID:10748827)
  • 4. Sarıoğlu S, Özkal S, Güneri A, Ada E, Sis B, Erdağ TK, Pabuççuoğlu HU. Cystic schwannoma of the maxillary sinus. AurisNasus Larynx 2002;29:297-300.
  • 5. Mierzwiński J, Wrukowska I, Tyra J, Paczkowski D, Szcześniak T, Haber K. Diagnosis and management of pediatric cervical vagal schwannoma. Int J Pediatr Otorhinolaryngol. 2018 Nov;114:9-14.
  • 6. Cunningham LL, Warner MR. Schwannoma of thevagus nevre first diagnosed as a parotid tumor. J Oral Maxillofac Surg 2003; 61:141-144.
  • 7. Beggs I. Sonographic appearances of nerve tumors. JClinUltrasound 1999;27:363.
  • 8. 8-)Anil G, Tan TY. Imaging characteristics of schwannoma of the cervical sympathetic chain: a review of 12 cases. Am J Neuroradiol 2010;31(8):1408-1412.( PMID:20616174)
  • 9. Furukawa M, Furukawa MK, Katoh K, Tsukuda M. Differentiation between schwannoma of the vagus nerve and schwannoma of the cervical sympathetic chain by imaging diagnosis. Laryngoscope 1996;106:1548-1552. (PMID:8948621)
  • 10. Zhang H, Cai C, Wang S, Liu H, Ye Y, Chen X. Extra cranial head and neck schwannomas: A clinical analysis of 33 patients. Laryngoscope 2007;117:278-281.
  • 11. Liu HL, Yu SY, Li GK, Wei WI. Extracranial head and neck Schwannomas: a study o the nerve of origin. Eur Arch Otorhinolaryngol 2011; 268:1343-1347
  • 12. Elsharkawy M, Xu Z, Schlesinger D, Sheehan JP. Gamma Knife surgery for nonvestibular schwannomas: radiological and clinical outcomes.J Neurosurg 2012;116:66-72.
  • 13. Sandler ML, Sims JR, Sinclair C, Sharif KF, Ho R, Yue LE, Téllez MJ, Ulkatan S, Khorsandi AS, Brandwein-Weber M, Urken ML. Vagal schwannomas of the head and neck: A comprehensive review and a novel approach to preserving vocal cord innervation and function. Head Neck. 2019 Jul;41(7):2450-2466.
  • 14. Balci MK, Ciger E, Işlek A, Arslanoglu S, Onal HK, Eren E. Baş Boyun Schwannomlarında Klinik Tanı ve Total Cerrahi Rezeksiyon ile Tedavi Sonuçları. KBB-Forum 2020;19(1):039-046
  • 15. Schwam ZG, Kaul VZ, Shrivastava R, Wanna GB. Purely intracranial vagal schwannoma: A case report of a rare lesion. Am J Otolaryngol. 2019 May – Jun;40(3):443-444.
  • 16. Morrissey MSC, Sellars SL. Vagal nerve schwannoma - a new diagnostic sign. Postgrad Med J 1990;66(771):42-43.
  • 17. Corroller TL, Sebag F, Vidal V, Jacquier A, Champsaur P, Bartoli JM, Moulin G. Sonographic diagnosis of a cervical vagal schwannoma. J Clin Ultrasound 2009;37(1):57-60.( PMID:18386823)
  • 18. Cavallaro G, Pattaro G, Iorio O, et al. A literature review on surgery for cervical vagal schwannomas. World J Surg Oncol. 2015;13:130.
  • 19. Cakmak O, Yavuz H, Yucel T. Nasal and paranasal sinus schwannomas. Eur Arch Otorhinolaryngol 2003;260:195-197. (PMID:12709802)
There are 19 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section OLGU SUNUMLARI
Authors

Muhammed Gazi Yıldız 0000-0002-1880-0685

İsrafil Orhan 0000-0002-9557-7050

İrfan Kara This is me 0000-0003-3884-3014

Nagihan Bilal This is me 0000-0002-2850-3481

Publication Date June 23, 2020
Published in Issue Year 2020 Volume: 4 Issue: 2

Cite

APA Yıldız, M. G., Orhan, İ., Kara, İ., Bilal, N. (2020). Servikal Vagal Schwannom: Olgu Sunumu. Balıkesir Medical Journal, 4(2), 23-28. https://doi.org/10.33716/bmedj.724398