颈部节细胞神经瘤临床分析

Management of ganglioneuroma in the neck

目的:探讨颈部节细胞神经瘤的临床特点、诊断、治疗方式及预后。方法:回顾性分析1995-2009年收治的6例颈部节细胞神经瘤患者的临床资料并进行总结。结果:患者临床多表现为颈部无症状肿物,术前影像学检查及细针穿刺细胞学检查未能明确诊断。患者均接受手术治疗,术后均出现Horner征。术后随访1～17年,中位随访时间5.9年。患者均生存,肿瘤无复发或转移。结论:颈部节细胞神经瘤是一种罕见的分化较好的良性肿瘤,一般需行病理学检查才能明确诊断。手术是惟一治疗手段,完整切除肿瘤后患者预后良好。

Objective：To evaluate clinical feature,diagnosis,treatment and prognosis of ganglioneuroma in the neck.Method：The medical records of 6 patients with cervical ganglioneuroma which were confirmed by pathology between 1995 and 2009 were retrospectively reviewed.Result：Patients with ganglioneuroma in the neck typically present with an asymptomatic neck mass.Neither imaging procedures nor fine needle aspiration made a definite diagnosis before surgery.All cases were operated,and developed Horner syndrome.With a median follow-up time of 5.9 years,all cases survived without local recurrence or distant metastasis.Conclusion：Ganglioneuroma in the neck is a rare well differentiated benign tumour.Definite diagnosis only can be made after pathology.Complete surgical excision is the treatment of choice,as it will ensure thorough sampling of the tumour and cure.Postoperative prognosis is favorable if total resection.