Surgical management of cervical ganglioneuromas in children
Surgical management of cervical ganglioneuromas in children
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DOI：
10.1016/j.ijporl.2005.06.020
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发表时间：
2006-02-01
影响因子：
1.5
通讯作者：
Koltai, PJ
中科院分区：
文献类型：
--
作者：
Cannady, SB;Chung, BJ;Koltai, PJ
目的：回顾儿童头颈部神经节细胞瘤的临床表现、诊断、治疗和预后。设计：病例系列。回顾性病历回顾。设置：三级医院。患者或其他参与者：回顾了每位作者实践中所有有颈部节细胞神经瘤病史的患者。所有病理证实的发生有资格列入，五名患者符合这些criteris.Results：五例患者进行了手术切除的头部和颈部神经节瘤在1988年和2004年之间。没有分泌性肿瘤的发生，因此所有患者都表现为肿块增大。在所有病例中，肿瘤均起源于颈交感神经链，因此，患者在切除术后随后出现同侧霍纳综合征。没有发现同步性肿瘤，也没有观察到复发性肿瘤。完全切除是可能的，在所有情况下，通过transceramic，或transoral的方法，没有mandibulotomy.Conclusions：颈部神经节细胞瘤是一种罕见的肿瘤，最常见的是作为一个扩大的颈部肿块。完全手术切除是治疗的首选，在这一系列的儿童是可能的经颅途径，并通过经口途径。这种肿瘤可能被怀疑在儿童谁是其他无症状，并提出了长期的历史扩大颈部肿块。(c)2005爱思唯尔爱尔兰有限公司保留所有权利。
Objective: To review the experience with ganglioneuromas in the head and neck of children including presentation, diagnostic testing, treatments, and outcomes.Design: Case series. Retrospective chart review.Setting: Tertiary care hospital.Patients or other participants: All patients with a history of ganglioneuroma of the neck in each authors practice were reviewed. All pathologically confirmed occurrences were eligible for inclusion, and five patients met these criteria.Results: Five patients underwent surgical excision of head and neck ganglioneuromas between 1988 and 2004. There were no occurrences of secretory tumors, therefore all of the patients presented with enlarging masses. In all cases, the tumor arose from the cervical sympathetic chain, and thus, patients had subsequent ipsilateral Horner's Syndrome following resection. No synchronous tumors were noted, nor has a recurrent tumor been observed to this point. Complete excision was possible in all cases via a transcervical, or transoral approach, without mandibulotomy.Conclusions: Ganglioneuroma of the neck is a rare tumor that most commonly presents as an enlarging neck mass. Complete surgical excision is the treatment of choice, and in this series of children was possible with transcervical approach, and once via transoral approach. This tumor may be suspected in children who are otherwise asymptomatic, and present with long history of enlarging neck masses. (c) 2005 Elsevier Ireland Ltd. All rights reserved.