巨大颈静脉孔区副神经节瘤1例报告

A case report of giant jugular foramen paraganglioma

通过1例巨大颈静脉球副神经节瘤病例,分析颈静脉球副神经节瘤的临床诊治经验。分析我科收治的1例仅表现为单侧全聋及搏动性耳鸣的巨大颈静脉球副神经节瘤患者的临床资料,并复习相关文献以总结该疾病的特点。予以完整手术切除颈静脉孔区肿瘤组织,术中完整保留面神经,术后随访2年无复发。仅表现为单侧全聋及搏动性耳鸣的巨大颈静脉球副神经节瘤临床少见,临床症状无特异性,早期误诊率高,术中安全切除肿瘤、最大限度保留面神经功能仍是手术关注的焦点。

To investigate the clinical experience of glomus jugulare paraganglioma by presenting a case of giant glomus jugulare paraganglioma.The clinical data of 1 case of giant glomus jugulare paraganglioma with unilateral anacousia and pulsatile tinnitus admitted to our department was retrospectively analyzed,and the relevant literature was reviewed to summarize the characteristics of the disease.The tumor tissue in the jugular venous foramen region was completely resected,with complete preservation of the facial nerve during the operation.There was no tumor recurrence during the 2-year postoperative follow-up period.With nonspecific clinical symptoms and a high rate of early misdiagnosis The giant glomus jugulare paraganglioma case only manifested as symptoms of unilateral anacousia and pulsatile tinnitus is clinically rare.The intraoperative safe resection of the tumor,maximum preservation of facial nerve function remains the focus of surgery.