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摘要


神經鞘瘤雖非罕見之頭頸部腫瘤,但是發生於口腔則相當罕見,尤其是發生在舌根部,在國內尚未有過報告。本科於2002年7月經歷一15歲女性患者,其主訴為說話口齒不清多年,右側咽部異物感漸進明顯,所以前來就醫。理學檢查可見右側舌根部,有一3×25cm無痛性、卯圓形、柔軟的腫塊。病患接受全身麻醉,經喉頭內視鏡二氧化碳雷射切除手術。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,術後於門診追蹤,傷口癒合良好。此一病例因發生位置特殊,臨床上很少會考慮到此診斷,確切診斷必須靠病理切片診斷,治療方面,手術完全摘除大多可治癒,惡性變化少見。

關鍵字

神經鞘瘤 舌根部

並列摘要


Neurilemmoma is not uncommon in the head and neck. However its occurrence in the oral cavity is very rare, especially at the base of the tongue. A 15-year-old female patient had potato-voice and lump sensation at right throat for years. A painless, ovoid, soft, 3×2.5cm mass was noted on right side of the tongue base . The tumor was excised via MLS with CO2 laser. After surgery, no swallowing, phonation, or focal neurological deficits were noted. The pathology report showed a neurilemmoma. The postoperative course was uneventful. Neurilemmoma is seldom considered in differential diagnosis of tongue base 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 tongue base

延伸閱讀


  • 方淳、張雅慧、周延隆(2007)。舌根部神經髓鞘瘤北市醫學雜誌4(9),829-832。https://doi.org/10.6200/TCMJ.2007.4.9.06
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  • 許明輝、李仁杰、張遵(1983)。Lipomyelomeningocele中華放射線醫學雜誌8(4),327-333。https://www.airitilibrary.com/Article/Detail?DocID=10188940-198312-8-4-327-333-a

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