颈动脉鞘区节细胞神经瘤1例报告并文献复习  

Ganglioneuromas of cervical region near carotid sheath(report of one case and review of literature)

作　　者：费喜峰[1] 沈李奎[1] 陈寒春[1] 蒋栋毅[1] 王之敏[1] FEI Xifeng;SHEN Li-kui;CHEN Han-chun(Department of Neurosurgery,Kowloon Hospital,Shanghai Jiaotong University School of Medicine,Suzhou 215000,China)

机构地区：[1]上海交通大学医学院附属苏州九龙医院神经外科,苏州215000

出　　处：《临床神经外科杂志》2021年第3期347-349,共3页Journal of Clinical Neurosurgery

基　　金：江苏青年医学人才项目(QNRC2016217)。

摘　　要：目的探讨颈部节细胞神经瘤的临床特征、治疗方式及其术后相关并发症。方法回顾分析1例成人颈动脉鞘区节细胞神经瘤患者的临床资料,并对相关文献进行复习。结果患者女性,23岁,无异常表现,体检时行颈椎MRI检查发现左侧颈动脉鞘区肿瘤。在全身麻醉下,行经颈入路显微镜下肿瘤切除术,手术过程顺利;但患者术后出现霍纳综合征。术后病理检查示颈部节细胞神经瘤。结合相关文献复习,节细胞神经瘤为少见病例,发生于颈部及成人者罕见,多见于儿童,绝大部分为良性肿瘤;由于其生长缓慢,常无临床症状。结论成人颈部节细胞神经瘤罕见,常无临床症状,肿瘤长大可出现相应的症状,同时其为良性病变,应行手术治疗,但术后易出现霍纳综合征。Objective To investigate the clinical features,treatment and postoperative complications of cervical ganglioneuroma.Methods The clinical data of a case of neuroma in the sheath of the carotid artery were analyzed retrospectively and the related literature was reviewed.Results A 23-year-old female presented with no abnormal findings.MRI examination of cervical spine revealed left carotid sheath tumor.Under general anesthesia,transcervical microsurgery was performed successfully;But the patient developed Horner’s syndrome after operation.Postoperative pathological examination showed ganglioneuroma in neck.Combined with the review of related literature,ganglioneuroma was a rare case,which occurred in the neck and adults rarely,mostly in children,most of them were benign tumors.Because of its slow growth,it often had no clinical symptoms.Conclusions Adult cervical ganglioneuroma is rare,often without clinical symptoms.When the tumor grows up,corresponding symptoms may appear.At the same time,it is a benign lesion,which should be treated by surgery,but Horner’s syndrome is easy to appear after surgery.

关 键 词：颈动脉鞘区 节细胞神经瘤 霍纳综合征 

分 类 号：R739.41[医药卫生—肿瘤]