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Li F, Feng H, Liao J, Bao Y, Xu S, Qin G. Parapharyngeal Space Ganglioneuroma: Clinical Experience and Review of the Literature. EAR, NOSE & THROAT JOURNAL 2023; 102:765-771. [PMID: 36450599 DOI: 10.1177/01455613221142658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2023] Open
Abstract
Ganglioneuroma is a rare benign tumor originating in the sympathetic ganglia, composed of differentiated ganglion cells, nerve sheath cells, and nerve fibers, which tend to occur in the posterior mediastinum, adrenal gland, retroperitoneal, and other locations, occurring in the head and neck is relatively rare, and parapharyngeal space involvement is extremely rare. In our report, we present 2 adult male patients whose preoperative imaging and fine needle cytology did not confirm the diagnosis of a parapharyngeal space mass and who completely resected the tumor through a combined cervical and oral approach. Finally, pathology confirmed ganglioneuroma; we also reviewed the English articles on parapharyngeal ganglioneuroma over the past 40 years, and summarized the diagnostic and treatment characteristics of parapharyngeal ganglioneuroma in combination with our cases to improve understanding of the disease.
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Affiliation(s)
- Fei Li
- Department of Otolaryngology-Head and Neck Surger,The Affiliated Hospital of Southwest Medical University, Luzhou, China
| | - Huajun Feng
- Department of Otolaryngology-Head and Neck Surger,The Affiliated Hospital of Southwest Medical University, Luzhou, China
| | - Jiangxue Liao
- Department of Otolaryngology-Head and Neck Surger,The Affiliated Hospital of Southwest Medical University, Luzhou, China
| | - Yilin Bao
- Department of Otolaryngology-Head and Neck Surger,The Affiliated Hospital of Southwest Medical University, Luzhou, China
| | - Shengen Xu
- Department of Otolaryngology-Head and Neck Surger,The Affiliated Hospital of Southwest Medical University, Luzhou, China
| | - Gang Qin
- Department of Otolaryngology-Head and Neck Surger,The Affiliated Hospital of Southwest Medical University, Luzhou, China
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Tanaka J, Sasaguri M, Yada N, Tanaka M, Habu M, Yoshiga D, Matsuo K, Tominaga K, Yoshioka I. A case of cervical ganglioneuroma incidentally detected during surgery for oral cancer. JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, MEDICINE, AND PATHOLOGY 2023. [DOI: 10.1016/j.ajoms.2022.12.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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Aslan M, Dogukan FM. A Rare Cause of Dysphagia: A Giant Ganglioneuroma in Parapharyngeal Space. J Maxillofac Oral Surg 2022; 21:99-101. [PMID: 35400909 PMCID: PMC8934885 DOI: 10.1007/s12663-021-01549-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2020] [Accepted: 03/13/2021] [Indexed: 11/28/2022] Open
Abstract
Parafarengeal ganglioneuroma is a very rare benign tumor originating from the sympathetic nervous system that produces mass and functional effects. Ganglioneuroma is most commonly caused by the posterior mediastinal, retroperitoneal area and adrenal glands. Generally, they do not present any additional signs or symptoms other than mass. Horner's syndrome may sometimes occur due to the compression of the sympathetic chain. A 41-year-old male patient with a long-standing mass in the lateral compartment of the left neck was admitted to our clinic. The patient was operated, and the pathological result of the mass was reported as ganglioneuroma. We present a rare case of ganglioneuroma in paraphryngeal space by reviewing the current literature.
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Affiliation(s)
- Mehmet Aslan
- Department of Otorhinolaryngology Head and Neck Surgery, Inonu University Faculty of Medicine, Malatya, 44000 Turkey
| | - Fatih Mert Dogukan
- Mardin State Hospital, Department of Pathology, Vali Ozan cad., Artuklu, Mardin, Turkey
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Aghazadeh K, Mohammadtaghi K, Rikhtegar M, Sharifi A, Hashemiaghdam A, Hashem Zade A. Surgical Approaches to Benign Parapharyngeal Space Tumors-5-Year Experience. IRANIAN JOURNAL OF OTORHINOLARYNGOLOGY 2020; 32:43-48. [PMID: 32083030 PMCID: PMC7007997 DOI: 10.22038/ijorl.2019.38350.2268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Introduction: Various surgical approaches to parapharyngeal space (PPS) tumors are introduced to obtain complete removal with the preservation of the surrounding structures in parapharyngealneoplasms. Here, we will discuss the main techniques and their outcome. Materials and Methods: This retrospective study was conducted on 78 patients undergone either transoral, transcervical or a combination of these two approaches for the resection of PSS tumors from January 2010 to January 2015. Results: A number of 33 male and 45 female patients with the mean age of 40.9 ± 9.1 were evaluated. 42.3% of the patients were asymptomatic at the initial presentation. Pleomorphic adenoma and schwannoma were a permanent diagnosis in 61(78.2%) and 11(14.1%) patients, respectively. PPS tumors were resected using transoral, transcervical and combined approaches in 35(44.8%), 33(42.3%) and 10 (12.9%) cases, respectively. Recurrence occurred in 10 patients all of whom had apre-styloid pleomorphic adenoma, operated transcervical (P< 0.0001).Three cases of tenth nerve palsy occurred in schwannomas which were operatedtranscervically (P=0.04). Mean hospital stays were 2.11,3.69, and 4.9 days after transoral, transcervical and combined approaches, respectively (P= 0.001). Conclusion: Transoral, transcervical and combined approaches are all able to provide adequate visualization with comparable outcomes.
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Affiliation(s)
- Keyvan Aghazadeh
- Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Tehran, Iran
| | | | | | - Amirsina Sharifi
- Otorhinolaryngology Research Center, Tehran University of Medical Sciences, Tehran, Iran
| | - Arsalan Hashemiaghdam
- Students' Scientific Research Center, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Arezou Hashem Zade
- Students' Scientific Research Center, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran
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Deng Q, Tian Z, Sheng W, Guo H, Dan ME. Surgical methods and efficacies for cervicothoracolumbar spinal schwannoma. Exp Ther Med 2015; 10:2023-2028. [PMID: 26668590 PMCID: PMC4665202 DOI: 10.3892/etm.2015.2803] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2015] [Accepted: 05/08/2015] [Indexed: 12/27/2022] Open
Abstract
The aim of this study was to investigate the surgical methods and efficacies for cervicothoracolumbar spinal schwannoma (CSS). A total of 52 patients who had undergone treatment for schwannoma were retrospectively analyzed. Two methods were employed for the surgical resection of the thoracic and lumbar schwannomas: Type I (posterior midline approach semi-laminectomy with tumor resection and internal fixation with pedicle screws) was used in 24 cases, and type II (posterior midline approach laminectomy with tumor resection and internal fixation with pedicle screws) was used in 26 cases. Two cases of giant cervical schwannoma were treated via anterior-posterior combined surgery. Histopathological examination confirmed the diagnosis of schwannoma in all cases (n=52). The clinical status of the patients was evaluated pre- and postoperatively using the visual analog scale, Oswestry Disability Index and Japanese Orthopedic Association scale, and the scores associated with the two types of surgical method were compared. Within the follow-up period, which lasted between 6 months and 3 years, no recurrence was detected, and such preoperative symptoms as radicular pain and spinal dysfunction were improved significantly. The numbness and hyperesthesia were relieved to different extents. In conclusion, methods of exposing and surgically treating CSS should be selected according to the growth site of the schwannoma in order to reduce the blood loss and surgery duration and to improve the surgical safety.
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Affiliation(s)
- Qiang Deng
- Department of Spinal Surgery, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang Uyghur Autonomous Region 830054, P.R. China
| | - Zheng Tian
- Department of Spinal Surgery, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang Uyghur Autonomous Region 830054, P.R. China
| | - Weibin Sheng
- Department of Spinal Surgery, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang Uyghur Autonomous Region 830054, P.R. China
| | - Hailong Guo
- Department of Spinal Surgery, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang Uyghur Autonomous Region 830054, P.R. China
| | - Mai Er Dan
- Department of Spinal Surgery, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang Uyghur Autonomous Region 830054, P.R. China
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Jabbour MN, Zaatari GS, Salem Z, Khalifeh I. Cervical ganglioneuroma in collision with a metastatic undifferentiated carcinoma. J Oral Maxillofac Pathol 2015; 19:88-91. [PMID: 26097314 PMCID: PMC4451676 DOI: 10.4103/0973-029x.157208] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2014] [Accepted: 04/23/2015] [Indexed: 11/06/2022] Open
Abstract
Cervical ganglioneuromas are extremely rare with approximately six case reports. The current report highlights a unique collision tumor between a cervical ganglioneuroma and a metastatic undifferentiated carcinoma arising from a primary gingival mass. A 53-year-old male presented with a 2 cm left gingival mass that was excised and treated with systemic chemotherapy. Consequently, 9 months later, he developed a 3.2 cm left submandibular mass followed by recurrence of the left gingival mass. From the clinicopathologic perspective, this had to be separated from the differentials: ganglioneuroblastoma or metastatic involvement of a lymph node from primary gingival undifferentiated carcinoma.
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Affiliation(s)
- Mark N Jabbour
- Department of Pathology and Laboratory Medicine, Division of Hematology/Oncology, American University of Beirut Medical Center, Beirut, Lebanon
| | - Ghazi S Zaatari
- Department of Pathology and Laboratory Medicine, Division of Hematology/Oncology, American University of Beirut Medical Center, Beirut, Lebanon
| | - Ziad Salem
- Department of Internal Medicine, Division of Hematology/Oncology, American University of Beirut Medical Center, Beirut, Lebanon
| | - Ibrahim Khalifeh
- Department of Pathology and Laboratory Medicine, Division of Hematology/Oncology, American University of Beirut Medical Center, Beirut, Lebanon
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Recent advances in surgical management of parapharyngeal space tumors. Curr Opin Otolaryngol Head Neck Surg 2015; 23:83-90. [DOI: 10.1097/moo.0000000000000134] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Multiple Ganglioneuroma With Cervical Involvement. ACTA OTORRINOLARINGOLOGICA ESPANOLA 2015. [DOI: 10.1016/j.otoeng.2013.08.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Gu MJ, Choi JH. Microcystic/reticular schwannoma of the esophagus: the first case report and a diagnostic pitfall. BMC Gastroenterol 2014; 14:193. [PMID: 25404099 PMCID: PMC4236469 DOI: 10.1186/s12876-014-0193-y] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/18/2014] [Accepted: 10/28/2014] [Indexed: 12/11/2022] Open
Abstract
Background Microcystic/reticular schwannoma is a recently described, rare, distinctive histological variant of schwannoma with a predilection for the gastrointestinal tract (GIT). The authors experienced the first case of a microcystic/reticular schwannoma occurring in the esophagus. Case presentation A 39-year-old male presented for an obstructive sensation during swallowing of several months duration. Endoscopy revealed a bulging mass with intact mucosa at 30 cm from incisors in the esophagus. The mass was excised and gross examination showed it was a well circumscribed, unencapsulated nodule, measuring 3.5×3.2×1.2 cm. On microscopic examination, the tumor showed a vague multinodular appearance with a pushing border and tumor cells arranged in a microcystic and reticular growth pattern with anastomosing and intersecting strands of spindle cells in a myxoid or collagenous/hyalinized stroma. Tumor cells showed diffuse nuclear and cytoplasmic positivity for S100. Conclusions The authors report the first case of microcystic/reticular schwannoma of the esophagus. Microcystic/reticular schwannoma is a distinctive histological variant of schwannoma with a benign clinical course. However, its histological findings are non-specific and may cause diagnostic difficulties. Awareness of this uncommon neoplasm with distinct histologic features is essential to prevent misdiagnosis.
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Affiliation(s)
- Mi Jin Gu
- Department of Pathology, Yeungnam University College of Medicine, Daegu, Republic of Korea.
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Cazorla Ramos ÓE, Aguilar Conde MD, Flores Carmona E, Solano Romero JR. [Multiple ganglioneuroma with cervical involvement]. ACTA OTORRINOLARINGOLOGICA ESPANOLA 2013; 66:120-1. [PMID: 24342697 DOI: 10.1016/j.otorri.2013.08.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2013] [Revised: 08/08/2013] [Accepted: 08/26/2013] [Indexed: 11/16/2022]
Affiliation(s)
- Óscar E Cazorla Ramos
- Servicio de Otorrinolaringología, Hospital Virgen de la Victoria, Instituto Biomédico de Málaga, Málaga, España.
| | - María Dolores Aguilar Conde
- Servicio de Otorrinolaringología, Hospital Virgen de la Victoria, Instituto Biomédico de Málaga, Málaga, España
| | - Eva Flores Carmona
- Servicio de Otorrinolaringología, Hospital Virgen de la Victoria, Instituto Biomédico de Málaga, Málaga, España
| | - José R Solano Romero
- Servicio de Otorrinolaringología, Hospital Virgen de la Victoria, Instituto Biomédico de Málaga, Málaga, España
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Abstract
A young girl presented to the ENT acute clinic with a persistent cough and a bulge in the left oropharynx. As there were no clinical signs suggestive of a quinsy, an MRI was performed that showed a large mass extending from the base of the skull to the epiglottis medialising the lateral and posterior pharyngeal walls. The patient subsequently underwent an excision biopsy which demonstrated a ganglioneuroma, however developed a left-sided Horner's syndrome and mild vocal cord palsy after.
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