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 solid nodule with multiple septums in level 4 of the left neck (C). CDFI showed abundant and disordered blood flow signals around the nodule and punctate blood 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 |
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