Advanced Ultrasound in Diagnosis and Therapy ›› 2023, Vol. 7 ›› Issue (1): 53-56.doi: 10.37015/AUDT.2023.220020
• Case Reports • Previous Articles Next Articles
Ping Wang, MMa,1, Yuqun Luo, MMa,1, Yunkai Li, MMb, Wensheng Yue, MDa, Duo Huang, MDa, Xuemei Lin, MMc, Shaoli Xie, MMd, Bin Xiong, MMd,*()
Received:
2022-05-14
Accepted:
2022-07-02
Online:
2023-03-30
Published:
2023-03-30
Contact:
Bin Xiong, MM,
E-mail:304035656@qq.com
About author:
First author contact:1Ping Wang and Yuqun Luo contributed equally to this study.
Ping Wang, MM, Yuqun Luo, MM, Yunkai Li, MM, Wensheng Yue, MD, Duo Huang, MD, Xuemei Lin, MM, Shaoli Xie, MM, Bin Xiong, MM. A Misdiagnosed Cervical Vagal Schwannoma: A Case Report and Review of Its Imaging Features and Differential Diagnosis. Advanced Ultrasound in Diagnosis and Therapy, 2023, 7(1): 53-56.
Figure 1
The gray-scale US showed a solid nodule with punctate calcification at the upper level of the left lobe of the thyroid gland (A) and a cystic solidnodule with multiple septums in level 4 of the left neck (C). CDFI showed abundant and disordered blood flow signals around the nodule and punctateblood flow signals inside (B). Short strip blood flow signals were detected in the predominantly cystic nodule (D)."
Figure 6
Longitudinal US of a schwannoma from left ulnar nerve (as shown by the thick arrow) with characteristic appearances. Continuity with thickened parent nerve is called rat tail sign (as shown by the thin arrow) and moderate posterior enhancement was present (A, B). Transverse color Doppler US in the same patient showed a few bloods flow signals around the tumor (C)."
Figure 7
The gray-scale US showed one patient presented with target sign of shank subcutaneous schwannoma (A).Microscopy manifested schwannoma is composed of Antoni A and Antoni B. The cells in area A are dense and grid like (upper left); However, there are few cells and loose arrangement (lower right) in area B (B). Nuclear palisading around fibrillary process (Verocay bodies) is seen in cellular area A (C)."
Figure 9
Cystic transformation into schwannoma is a relatively common ultrasonic feature(A). Microscopy manifested there is a hemorrhage area(right) in the schwannoma (B). The fat around the schwannoma is pushed to both ends and accumulated to form a triangular hyperechoic area (as shown by the thin arrow), which is called split fat sign (A, B)."
[1] | Pankratjevaite L, Dreyer NS, Dauksa A, Sarauskas V. Challenging diagnosis of cervical vagal nerve schwannoma. J Surg Case Rep 2022;2022,rjac084. |
[2] |
Lahoti BK, Kaushal M, Garge S, Aggarwal G. Extra vestibular schwannoma: a two-year experience. Indian J Otolaryngol Head Neck Surg 2011; 63:305-309.
doi: 10.1007/s12070-011-0154-5 |
[3] |
Shrikrishna BH, Jyothi AC, Kulkarni NH, Mazhar MS. Extracranial head and neck schwannomas: our experience. Indian J Otolaryngol Head Neck Surg 2016; 68:241-247.
doi: 10.1007/s12070-015-0925-5 |
[4] | Chiun KC, Tang IP, Prepageran N, Jayalakshmi P. An extensive cervical vagal nerve schwannoma: a case report. Med J Malaysia 2012; 67:342-344. |
[5] |
Sreevatsa MR, Srinivasarao RV. Three cases of vagal nerve schwannoma and review of literature. Indian J Otolaryngol Head Neck Surg 2011; 63:310-312.
doi: 10.1007/s12070-011-0220-z |
[6] |
Langner E, Del Negro A, Akashi HK, Araújo PP, Tincani AJ, Martins AS. Schwannomas in the head and neck: retrospectives analysis of 21 patients and review of the literature. Sao Paulo Med J 2007; 125:220-222.
doi: 10.1590/s1516-31802007000400005 pmid: 17992392 |
[7] | Keshelava G, Robakidze Z. Cervical vagal schwannoma causing asymptomatic internal carotid artery compression. Ann Vasc Surg 2020; 63:460.e9-460.e11. |
[8] |
Imperatori A, Dionigi G, De Monte L, Conti V, Rotolo N. Cervico-mediastinal schwannoma of the vagus nerve: resection with intraoperative nerve monitoring. Updates Surg 2011; 63:59-61.
doi: 10.1007/s13304-010-0040-9 pmid: 21210273 |
[9] |
Sandler ML, Sims JR, Sinclair C, Sharif KF, Ho R, Yue LE. Vagal schwannomas of the head and neck: a comprehensive review and a novel approach to preserving vocal cord innervation and function. Head Neck 2019; 41:2450-2466.
doi: 10.1002/hed.v41.7 |
[10] |
Lahoti BK, Kaushal M, Garge S, Aggarwal G. Extra vestibular schwannoma: a two-year experience. Indian J Otolaryngol Head Neck Surg 2011; 63:305-309.
doi: 10.1007/s12070-011-0154-5 |
[11] |
Zhu J, Yang Z, Tang R, Tang G. Comparison of pathological, radiological, and prognostic features between cellular schwannoma and non-cellular schwannoma. Eur J Radiol 2021; 141:109783.
doi: 10.1016/j.ejrad.2021.109783 |
[1] | Osama Mahmoud, BS, Ajay Makkena, BS, Corinne E. Wessner, MS, MBA, RDMS, Ji-Bin Liu, MD, John R. Eisenbrey, PhD, Andrej Lyshchik, MD, PhD. Contrast-Enhanced Ultrasound LI-RADS: A Pictorial Review [J]. Advanced Ultrasound in Diagnosis and Therapy, 2023, 7(4): 321-332. |
[2] | Sebastián Eustaquio Martín Pérez, MSc, Raúl Hernández García, PT, Alberto Brito Lorenzo, PT, Carlos Daniel Sabater Cruz, PT, Mario Herrera Pérez, PhD, Fidel Rodríguez Hernández, PhD, Kristin Briem, PhD, Isidro Miguel Martín Pérez, MD. Ultrasonographic Identification of Muscle Atrophy in Hamstring Muscles after Anterior Cruciate Ligament Repair among Soccer Players: A Case-control Study [J]. Advanced Ultrasound in Diagnosis and Therapy, 2023, 7(4): 381-389. |
[3] | Lujing Li, MD, Zuofeng Xu, MD. The Value of VTTQ Combined with B-mode US for Distinguishing Benign from Malignant Breast Masses by Comparing with SE: A Clinical Research [J]. Advanced Ultrasound in Diagnosis and Therapy, 2023, 7(4): 394-400. |
[4] | Rodanthi Sfakiotaki, MS, Sergia Liasi, BM, Eleni Papaiakovou, BM, Irene Vraka, PhD, Marina Vakaki, PhD, Chrysoula Koumanidou, PhD. Juvenile Granulosa Cell Tumor of the Testis: A Preoperative Approach of the Diagnosis with Ultrasound [J]. Advanced Ultrasound in Diagnosis and Therapy, 2023, 7(4): 409-411. |
[5] | Yiming Li, BM, Jing Xiao, MD, Fang Xie, MD, Yu Lin, BM, Mingbo Zhang, MD, Yukun Luo, MD. The Value of CEUS in the Diagnosis and Treatment of Thyroid Primary Squamous Cell Carcinoma: A Case Report [J]. Advanced Ultrasound in Diagnosis and Therapy, 2023, 7(4): 412-415. |
[6] | Nianyu Xue, MM, Shengmin Zhang, BS. Appendiceal Mucinous Neoplasms Involving the Testis: A Case Report [J]. Advanced Ultrasound in Diagnosis and Therapy, 2023, 7(4): 420-422. |
[7] | Shuangyu Wu, MM , Xinling Zhang, MD . Advances and Applications of Transperineal Ultrasound Imaging in Female Pelvic Floor Dysfunction [J]. Advanced Ultrasound in Diagnosis and Therapy, 2023, 7(3): 235-247. |
[8] | Bo Jiang, MD, Yiman Du, MD, Xiang Fei, MD, Jianing Zhu, MD, Lianhua Zhu, MD, Qiuyang Li, MD, Yukun Luo, MD, PhD. Ultrasound-Guided Attenuation Parameter May Replace B-mode Ultrasound in Diagnosing Nonalcoholic Fatty Liver Disease [J]. Advanced Ultrasound in Diagnosis and Therapy, 2023, 7(3): 260-266. |
[9] | Tianxiang Li, BS, Fei Ji, BS, Ruina Zhao, MD, Huazhen Liu, MD, Meng Yang, MD. Advances in the Research of Ultrasound and Artificial Intelligence in Neuromuscular Disease [J]. Advanced Ultrasound in Diagnosis and Therapy, 2023, 7(2): 122-129. |
[10] | Zheng Zhang, MS, Li Liu, MD, Desheng Sun, MD, Dirong Zhang, MD, Fengbei Kong, MS, Yalin Wu, PhD, Yu Shi, MD. Application of the Virtual Reality in the Teaching of Ultrasonography [J]. Advanced Ultrasound in Diagnosis and Therapy, 2023, 7(2): 193-196. |
[11] | Priscilla Machado, MD, Ji-Bin Liu, MD, Flemming Forsberg, PhD. Sentinel Lymph Node Identification Using Contrast Lymphosonography: A Systematic Review [J]. Advanced Ultrasound in Diagnosis and Therapy, 2023, 7(1): 1-7. |
[12] | Cuiwei Wang, MD, Xin-Hua Ye, MD. Sarcomatoid Intrahepatic Cholangiocarcinoma: A Case Report [J]. Advanced Ultrasound in Diagnosis and Therapy, 2023, 7(1): 38-41. |
[13] | Yixin Zhang, MS, Yuli Zhao, MS, Yuwen Su, MS, Sen Wang, MS, Li Feng, MD. Prenatal Ultrasound Diagnosis of Giant Cystic Meconium Peritonitis in Fetus Following in Vitro Fertilization: A Case Report [J]. Advanced Ultrasound in Diagnosis and Therapy, 2023, 7(1): 42-46. |
[14] | Shi Qiao, MM, Shaote Wang, MD, Yao Deng, MD, Feixiang Xiang, MD, Xiaojuan Qin, MD. Characterization of Pseudomyxoma Peritonei Originating from Ovarian Borderline Mucinous Tumor Using Ultrasonography: A Case Report [J]. Advanced Ultrasound in Diagnosis and Therapy, 2023, 7(1): 57-59. |
[15] | Qiaoer Gong, BS, Nianyu Xue, MS. Application and Progress of Ultrasound Technology in Atherosclerosis [J]. Advanced Ultrasound in Diagnosis and Therapy, 2023, 7(1): 8-15. |
Viewed | ||||||
Full text |
|
|||||
Abstract |
|
|||||
Share: WeChat
Copyright ©2018 Advanced Ultrasound in Diagnosis and Therapy
|
Advanced Ultrasound in Diagnosis and Therapy (AUDT) a>
is licensed under a Creative Commons Attribution 4.0 International License a>.