軟顎部神經鞘瘤－病例報告

Soft Palate Neurilemmoma - A Case Report

黃俊豪(Juen-Haur Hwang) ； 陳朱德(Chu-The Chen) ； 劉殿楨(Tien-Chen Liu)

《慈濟醫學雜誌》 14卷2期 (2002/04) Pp. 121-125

https://doi.org/10.6440/TZUCMJ.200204.0121

摘要

神經鞘瘤（neurilemmoma）雖非罕見之頭頸部腫瘤，但是發生於軟顎部則相當少見，在國內尚未有過報告。本科經歷一名24歲男性，主訴於右側軟部發現一無痛性腫塊約半年之久，理學檢查可見一黏膜下卵圓形腫塊，柔軟而有彈性，約2.5 × 1.5 cm。病患接受經口手術切除，術後無任何吞嚥或其他神經學上的問題，病理報告為神經鞘瘤。此一病例發生位置特殊，臨床上很少會考慮到此診斷，確切診斷必須靠病理檢查。治療方面，手術完全摘除大多可治療，惡性變化少見。

關鍵字

神經鞘瘤 ； 軟顎 ； 口咽部腫瘤

並列摘要

Neurilemmoma is not uncommon in the head and neck. However, its occurrence in the soft palate is very rare. A 24 year-old man had a painless, ovoid, soft, 2.5 × 1.5 cm mass on the right side of the soft palate for more than 6 months. This well capsulated submucosal tumor was smoothly extirpated transorally. After surgery, no swallowing, phonation, or focal neurological deficits were noted. The pathology report showed a neurilemmoma. Neurilemmoma is seldem considered in differential diagnosis of soft palate tumors. Diagnosis is often difficult until the definitive histology is reported. Total excision of the lesion is usually curative, and the neurilemmoma seldom becomes malignant.

並列關鍵字

neurilemmoma ； soft palate ； oropharynx tumor