Vagal Nerve Schwannoma: Presentation of Two Case Reports

2016 ◽  
Vol 8 (3) ◽  
pp. 116-118
Author(s):  
Atishkumar B Gujrathi ◽  
Vijayalaxmi Ambulgekar ◽  
Shrinivas Chavan
Keyword(s):  
Case Reports ◽  
Surgical Excision ◽  
Neck Mass ◽  
Vagal Nerve ◽  
Lateral Neck ◽  
Benign Lesions ◽  
Complete Surgical Excision ◽  
Lateral Neck Swelling ◽  
Slow Growing ◽  
Nose And Throat

ABSTRACT Vagal nerve schwannomas are rare neural sheath tumors. Although schwannomas are generally benign lesions, they are known to enlarge at a rate of 2.5 to 3 mm per year according to published reports. Vagal nerve schwannoma usually occurs between the 3rd and 5th decades of life, it does not show sex predilection, with both sexes being equally affected, and it most often presents as a painless, slow-growing, lateral neck mass. The treatment of choice is complete surgical excision with preservation of the neural pathway, when it is possible. These tumors, in fact, are almost always benign, and a conservative surgical approach is emphasized by most of the authors. Here, we are presenting two cases of cervical vagal schwannoma, both were middle aged females and presenting in the ear, nose, and throat (ENT) department as a painless lateral neck swelling and were operated by horizontal skin crease incision. Of the two cases, we succeeded to secure nerve functions in one case. The clinical features, diagnosis, management, and pathological findings of cervical vagal schwannoma are discussed. How to cite this article Gujrathi AB, Ambulgekar V, Chavan S. Vagal Nerve Schwannoma: Presentation of Two Case Reports. Int J Otorhinolaryngol Clin 2016;8(3):116-118.

scholarly journals Cervical thymic cyst in adult: a rare entity

2019 ◽  
Vol 5 (4) ◽  
pp. 1088
Author(s):  
Rohaizam Bin Japar Jaafar ◽  
Glen Johannes Franciscus Kemps ◽  
Ing Bing Tan ◽  
Alida Annechien Postma
Keyword(s):  
Surgical Excision ◽  
Neck Mass ◽  
Thymic Cyst ◽  
Rare Entity ◽  
Lateral Neck ◽  
Adult Onset ◽  
Branchial Cleft Cyst ◽  
Thymic Cysts ◽  
Branchial Cleft ◽  
Lateral Neck Swelling

<p>Cervical thymic cysts in adults are rare and seldom diagnosed preoperatively as it may mimic other cystic cervical swellings like a branchial cleft cyst. We present our first encounter with an adult-onset cervical thymic cyst presenting as a lateral neck mass as the sole symptom. Clinical, radiological and cytological evaluations are excellent tools to approach and assess cervical thymic cysts. Histopatholgical examination is the only mean to provide a definitive diagnosis. Adult-onset cervical thymic cyst is a rare entity but should be included in the differential diagnosis for lateral neck swelling. Surgical excision is both diagnostic and therapeutic, once malignancy has been exluded.</p>

scholarly journals Vagal nerve schwannoma: a rare case from Border Security Force Composite hospital

2018 ◽  
Vol 6 (1) ◽  
pp. 307
Author(s):  
Kaushik Bhattacharya ◽  
Somi Dey Sarkar ◽  
Tapan Biswas
Keyword(s):  
Vagus Nerve ◽  
Rare Case ◽  
Fine Needle Aspiration Biopsy ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Neck Mass ◽  
Vagal Nerve ◽  
Rare Entity ◽  
Resonance Imaging ◽  
Slow Growing

Cervical vagal schwannoma is an extremely rare entity, slow growing, solitary, asymptomatic benign neck mass associated with vagus nerve. Definitive pre-operative diagnosis may be difficult and investigations such as fine needle aspiration biopsy (FNAB) have low specificity. Surgical excision is the treatment of choice. We describe a 26-year-old female presenting as right neck mass who underwent surgery. Magnetic resonance imaging was done, and patient was operated under general anaesthesia. Intraoperatively, the tumour was found to be originating from the vagus nerve. Final histopathology confirmed our preoperative suspicion of vagal nerve schwannoma. Vagus nerve schwannomas should be distinguished from other tumours that arise in the neck before planning surgery, to minimize the risk of nerve injury. A careful surgical technique is mandatory for tumour clearance and to reduce postoperative complications.

scholarly journals Extensive parapharyngeal and skull base neuroglial ectopia; a challenge for differential diagnosis and treatment: case report

2010 ◽  
Vol 128 (5) ◽  
pp. 302-305 ◽  
Author(s):  
Giulianno Molina de Melo ◽  
Gabrielle do Nascimento Holanda Gonçalves ◽  
Ricardo Antenor de Souza e Souza ◽  
Danilo Anunciatto Sguillar
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Skull Base ◽  
Infratemporal Fossa ◽  
Newborn Infants ◽  
Surgical Excision ◽  
Neck Mass ◽  
Oral Feeding ◽  
Feeding Difficulties ◽  
Complete Surgical Excision

CONTEXT: Neuroglial ectopia has been defined as a mass composed of differentiated neuroectodermal tissue isolated from the spinal canal or cranial cavity and remains rare. This lesion has to be considered in the differential diagnosis among newborn infants with classical symptoms of respiratory distress, neck mass and feeding difficulties. We present a rare case of extensive parapharyngeal and skull base neuroglial ectopia in 6-month-old girl who presented respiratory and feeding obstruction at birth. CASE REPORT: A six-month-old girl who presented upper respiratory and feeding obstruction at birth and was using tracheostomy and gastrostomy tubes was referred to our institution. Complete surgical excision of the mass consisted of a transcervical-transparotid approach with extension to the infratemporal fossa by means of a lateral transzygomatic incision, allowing preservation of all vital neurovascular structures. The anatomopathological examination showed a solid mass with nests of neural tissue, with some neurons embedded in poorly encapsulated fibrovascular stroma, without mitotic areas, and with presence of functioning choroid plexus in the immunohistochemistry assay. Neurovascular function was preserved, thus allowing postoperative decannulation and oral feeding. Despite the large size of the mass, the child has completed one year and six months of follow-up without complications or recurrence. Neuroglial ectopia needs to be considered in diagnosing airway obstruction among newborns. Surgical treatment is the best choice and should be performed on clinically stable patients. An algorithm to guide the differential diagnosis and improve the treatment was proposed.

scholarly journals A rare clinical case: schwannoma of tongue

2019 ◽  
Vol 5 (3) ◽  
pp. 789
Author(s):  
Chandra Veer Singh ◽  
Sheetal Radia ◽  
Saalim Sheikh ◽  
Vijay Haribhakti
Keyword(s):  
Head And Neck ◽  
Rare Case ◽  
Neck Region ◽  
Surgical Excision ◽  
Imaging Studies ◽  
Head And Neck Tumours ◽  
Head And Neck Region ◽  
Complete Surgical Excision ◽  
Slow Growing ◽  
Rule Out

<p class="abstract">Schwannoma are slow growing tumours, which can arise from any peripheral nerve. 10% of schwannomas that occur in the head and neck region mostly originate from the vagus or sympathetic nervous system. Extracranial schwannomas in the head and neck region are rare neoplasm. Intraoral schwannoma are only 1% of the all head and neck tumours. Diagnosis is established by imaging studies such as magnetic resonance imaging or computed tomography, while FNAC is used to rule out other conditions. We report a rare case of lingual schwannomas generally present as a painless lump schwannoma of the tongue in a 27-year-old male complaining of asymptomatic swelling over a posterolateral surface of the tongue, treated by complete surgical excision. The diagnosis was established on the basis of clinical, histopathological, and immunohistochemical examination. We report a rare case of schwannoma over the posterolateral surface of tongue. Prognosis is good for the patient when this condition is correctly diagnosed as the condition rarely recurs after complete resection.</p>

Conjunctival Stromal Tumor: Report of 2 New Cases and Review of the Literature

2020 ◽  
pp. 106689692094578
Author(s):  
Jonathan Lam ◽  
Andrea Ang ◽  
Tersia Vermeulen ◽  
Nima Mesbah Ardakani
Keyword(s):  
Surgical Excision ◽  
Stromal Tumor ◽  
Biological Behavior ◽  
Bulbar Conjunctiva ◽  
Age Group ◽  
Normal Pattern ◽  
Complete Surgical Excision ◽  
Tender Mass ◽  
Collagenous Stroma ◽  
Slow Growing

Conjunctival stromal tumor (COST) is an emerging entity with only a limited number of cases reported in the literature. In this report, we describe 2 additional cases, review the accumulative clinical and histopathological features and expand on the immunophenotypic property of this entity. COST appears to have a sporadic presentation, affecting both sexes and patients of variable ethnicity and age group and predominantly occurring on the bulbar conjunctiva as a slow-growing asymptomatic or slightly tender mass-like lesion. Histopathologically, COST is characterized by singly dispersed spindle to round cells, often with some degree of degenerative nuclear atypia, within a myxomatous to collagenous stroma. Lesional cells are characteristically positive for CD34 and vimentin, negative for S100, SOX10 and STAT6 and show a normal pattern of staining with RB1 by immunohistochemistry. The reported cases to date have shown an indolent biological behavior, reliably treated by a complete surgical excision.

Bronchogenic cyst: an unusual cause of lump in the neck

1998 ◽  
Vol 112 (9) ◽  
pp. 893-894 ◽  
Author(s):  
F. Rapado ◽  
J. D. C. Bennett ◽  
J. M. Stringfellow
Keyword(s):  
Paediatric Patient ◽  
Adult Patient ◽  
Bronchogenic Cyst ◽  
Adult Population ◽  
Surgical Excision ◽  
Radiological Imaging ◽  
Benign Lesions ◽  
Complete Surgical Excision ◽  
Bronchogenic Cysts

AbstractBronchogenic cysts are rare congenital benign lesions that are usually detected in the paediatric patient with symptoms of infection or compression on vital structures. They are rarely diagnosed in the adult population. We present a case of bronchogenic cyst presenting as a lump in the neck in an adult patient. Radiological imaging helped to diagnose this lesion accurately before any form of intervention. Complete surgical excision is the treatment of choice.

scholarly journals Giant Benign Mammary Phyllodes Tumor: Report of a Case and Review of the Literature

2021 ◽  
pp. 123-133
Author(s):  
Ricardo Fernández-Ferreira ◽  
Andrés Arroyave-Ramírez ◽  
Daniel Motola-Kuba ◽  
Gabriela Alvarado-Luna ◽  
Ileana Mackinney-Novelo ◽  
...  
Keyword(s):  
Case Reports ◽  
Standard Of Care ◽  
Phyllodes Tumor ◽  
Surgical Excision ◽  
Axillary Lymph Node Metastasis ◽  
Adjuvant Radiation ◽  
Axillary Lymph ◽  
Phyllodes Tumors ◽  
Complete Surgical Excision ◽  
Mexican Woman

Phyllodes tumor of the breast is an infrequently encountered fibroepithelial neoplasm, which accounts for 0.3–1% of all tumors. Few case reports have described the occurrence of giant phyllodes tumor. To our knowledge, about 20% of phyllodes tumors would be considered giant benign. Complete surgical excision is the standard of care for giant benign phyllodes tumors; axillary lymph node metastasis is rare, and dissection should be limited to patients with pathologic evidence of tumor in the lymph nodes. We report the case of a 40-year-old Mexican woman with giant mammary tumor who underwent a right total mastectomy. The pathology results showed a benign phyllodes tumor 4,857 g in weight and 40.2 × 36.3 × 15 cm in size. We do not suggest adjuvant radiation therapy for patients with benign phyllodes tumors that are widely excised. A review of the pertinent literature was performed.

scholarly journals Cervical root schwannoma: a case series

2016 ◽  
Vol 2 (1) ◽  
pp. 43
Author(s):  
Harshad Nikte ◽  
Nitish Virmani ◽  
Jyoti Dabholkar
Keyword(s):  
Case Series ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Neck Mass ◽  
Malignant Degeneration ◽  
Spinal Root ◽  
Nerve Tumor ◽  
Complete Surgical Excision ◽  
Operative Findings ◽  
Cervical Root

Cervical root schwannoma is an infrequent benign peripheral nerve tumor though those arising from high cervical spinal root are common amongst the spinal schwannomas. This mass commonly presents as a slow growing, asymptomatic, solitary neck mass with rare potential of   malignant degeneration. Displacement of Internal jugular vein and carotids anteriorly is frequently seen though abutment of esophagus is uncommon. Pre operative diagnosis can be established with imaging and Fine needle aspiration cytology (FNAC). Complete Surgical excision is the treatment of choice. Horner’s syndrome is the most common post operative neurological manifestation. Here we have recorded clinical features intra-operative findings and surgical histopathology. We have described a case of 19 year old male with cellular schwannoma of cervical sympathetic chain with intraspinal extension and arising from C5-C8 level. Another case of cervical root schwannoma is described in a 5 year old girl arising at C4-C5 level. Complete surgical excision was done for both patients with no postoperative neurological affection. The clinico-pathological evaluation and management are described

scholarly journals Vagal nerve Schwannoma- An interesting case presenting as lateral neck swelling

2019 ◽  
Vol 6 (4) ◽  
pp. 711-713
Author(s):  
Mohammad Jaseem Hassan ◽  
◽  
Ajay Kumar Thakral ◽  
Divya Prasad ◽  
◽  
...  
Keyword(s):  
Interesting Case ◽  
Vagal Nerve ◽  
Lateral Neck ◽  
Neck Swelling ◽  
Lateral Neck Swelling

scholarly journals Schwannomatosis of Cervical Vagus Nerve

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Faheem Ahmed Abdulla ◽  
M. P. Sasi
Keyword(s):  
Vagus Nerve ◽  
Neck Mass ◽  
Imaging Features ◽  
Rare Entity ◽  
Benign Lesions ◽  
The Right ◽  
Slow Growing ◽  
Multiple Schwannomas

Cervical vagal schwannoma is a rare entity among lesions presenting as a neck mass. They are usually slow-growing benign lesions closely associated with the vagus nerve. They are usually solitary and asymptomatic. Multiple schwannomas occurring in patients without neurofibromatosis (NF) are rare and have recently been referred to as schwannomatosis. Here, we present a case of a neck mass that had imaging features suggestive of vagal schwannoma and was operated upon. Intraoperatively, it was discovered to be a case of multiple vagal cervical schwannoma, all directly related to the right vagus nerve, and could be resected from the nerve in toto preserving the function of the vagus nerve. Final HPR confirmed our pre-op suspicion of vagal schwannomatosis.

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