Oral surgery, oral medicine, oral pathology and oral radiology · 2012
A bilateral cervical swelling and it is not a malignancy.
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Böckmann Roland A, Lethaus Bernd, Schön Patrick, Mielke Eckhard, Kessler Peter, Stricker Ingo
Аннотация
BACKGROUND: This case report is about a patient with 2 synchronous bilateral cervical schwannomas.
PATIENTS AND METHODS: A 59-year-old white man presented a 6-month history of painless bilateral cervical swelling. Magnetic resonance imaging revealed 2 tumors in the carotid sheath. Both tumors, which derived from the cervical sympathetic chain, were surgically removed.
RESULTS: Histopathologically, both tumors were diagnosed as schwannomas.
CONCLUSIONS: Commonly, a bilateral cervical swelling is not caused by 2 schwannomas. It is unusual for 2 schwannomas to appear in a patient synchronously without any evidence of neurofibromatosis or schwannomatosis. Differential diagnosis of a bilateral cervical swelling includes malignancy, carotid body tumor, and chronic infection.
PATIENTS AND METHODS: A 59-year-old white man presented a 6-month history of painless bilateral cervical swelling. Magnetic resonance imaging revealed 2 tumors in the carotid sheath. Both tumors, which derived from the cervical sympathetic chain, were surgically removed.
RESULTS: Histopathologically, both tumors were diagnosed as schwannomas.
CONCLUSIONS: Commonly, a bilateral cervical swelling is not caused by 2 schwannomas. It is unusual for 2 schwannomas to appear in a patient synchronously without any evidence of neurofibromatosis or schwannomatosis. Differential diagnosis of a bilateral cervical swelling includes malignancy, carotid body tumor, and chronic infection.