Intracapsular dissection in cervical sympathetic chain schwannoma: a case report
Journal Title: JOURNAL OF MEDICAL COLLEGE CHANDIGARH - Year 2016, Vol 6, Issue 2
Abstract
Cervical sympathetic chain schwannoma often presents as an asymptomatic single neck mass, which generally grows slowly and rarely undergoes malignant change. Definitive pre-operative diagnosis at times may become difficult and investigations are not usually helpful. CT may show displaced major vessels anterolaterally. Diagnosis mainly relies on clinical suspicion and is confirmed by histopathological examination after surgical excision which is also the treatment of choice. Recurrence rate is low for this tumor. Horner's syndrome is a common post-operative neurological consequence and may be asymptomatic. The case described here is of a 45-year-old female who presented with an asymptomatic right neck mass. Diagnostic studies included computed tomography and ultrasound which confirmed a circumscribed mass in the upper right portion of the neck next to the thyroid gland. The mass was excised through a horizontal right cervical skin incision. Post-operatively the patient showed no clinical signs of Horner's syndrome. The detailed assessment with regard to histopathology, radiology presentation, treatment options and post-operative complications of this neoplasm is being discussed.
Authors and Affiliations
Naiya Rao, Manish Gupta
Keywords
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