Synchronous cervical sympathetic chain schwannoma, parathyroid adenoma and hypofunctional nodular goiter - a case report and literature review
Simultaneously diagnosing cervical sympathetic chain schwannoma, nodular goiter and parathyroid adenoma is a very rare event during clinical practice. We had the opportunity to find this unusual association on a female patient. While nodular goiter and parathyroid adenoma are more common diseases an...
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| Format: | Article |
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MDPI AG
2024-04-01
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| Series: | Journal of Mind and Medical Sciences |
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| Online Access: | https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1432&context=jmms |
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| author | Flaviu Muresan Alexandrina-Manuela Muresan Gabriel-Emil Petre Iacob Domsa Vasile Ovidiu Fabian Olga Hilda Orasan |
| author_facet | Flaviu Muresan Alexandrina-Manuela Muresan Gabriel-Emil Petre Iacob Domsa Vasile Ovidiu Fabian Olga Hilda Orasan |
| author_sort | Flaviu Muresan |
| collection | DOAJ |
| description | Simultaneously diagnosing cervical sympathetic chain schwannoma, nodular goiter and parathyroid adenoma is a very rare event during clinical practice. We had the opportunity to find this unusual association on a female patient. While nodular goiter and parathyroid adenoma are more common diseases and easier to diagnose, identifying the etiology of a parapharyngeal space tumor remains a challenge and requires multiple imaging studies such as computed tomography scan, magnetic resonance imaging or angiography. A cervical sympathetic chain schwannoma, a carotid body tumor, a paraganglioma or a vagal schwannoma must be taken into account as possible diagnostic variants. Complaints such as Horner`s syndrome, hoarse voice or dysphagia may suggest a nerve originating tumor, but this is a rare situation. Only the surgical exploration is successful in detecting the tumor origin from the cervical sympathetic chain. Even so, the exact origin of the tumor cannot usually be detected without surgical exploration and removal of the piece or biopsies. Therefore, the pathological report of the specimen (adding or not immunohistochemistry tests) is mandatory to be able to confirm the diagnosis of schwannoma. |
| format | Article |
| id | doaj-art-7e0f362f42e44bb6bc760aee43462955 |
| institution | Kabale University |
| issn | 2392-7674 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Mind and Medical Sciences |
| spelling | doaj-art-7e0f362f42e44bb6bc760aee434629552025-08-20T03:35:24ZengMDPI AGJournal of Mind and Medical Sciences2392-76742024-04-0111126126610.22543/2392-7674.1432Synchronous cervical sympathetic chain schwannoma, parathyroid adenoma and hypofunctional nodular goiter - a case report and literature reviewFlaviu Muresan0Alexandrina-Manuela Muresan1Gabriel-Emil Petre2Iacob Domsa3Vasile Ovidiu Fabian4Olga Hilda Orasan5Iuliu Hatieganu University of Medicine and Pharmacy, Department of Surgery, Cluj-Napoca, RomaniaCF Hospital, Department of Anesthesia and Intensive Care Unit, Cluj-Napoca, RomaniaIuliu Hatieganu University of Medicine and Pharmacy, Department of Surgery, Cluj-Napoca, RomaniaCF Hospital, Department of Pathology, Cluj-Napoca, RomaniaIuliu Hatieganu University of Medicine and Pharmacy, Department of Surgery, Cluj-Napoca, RomaniaIuliu Hatieganu University of Medicine and Pharmacy, Department of Internal Medicine, CF Hospital, Cluj-Napoca, RomaniaSimultaneously diagnosing cervical sympathetic chain schwannoma, nodular goiter and parathyroid adenoma is a very rare event during clinical practice. We had the opportunity to find this unusual association on a female patient. While nodular goiter and parathyroid adenoma are more common diseases and easier to diagnose, identifying the etiology of a parapharyngeal space tumor remains a challenge and requires multiple imaging studies such as computed tomography scan, magnetic resonance imaging or angiography. A cervical sympathetic chain schwannoma, a carotid body tumor, a paraganglioma or a vagal schwannoma must be taken into account as possible diagnostic variants. Complaints such as Horner`s syndrome, hoarse voice or dysphagia may suggest a nerve originating tumor, but this is a rare situation. Only the surgical exploration is successful in detecting the tumor origin from the cervical sympathetic chain. Even so, the exact origin of the tumor cannot usually be detected without surgical exploration and removal of the piece or biopsies. Therefore, the pathological report of the specimen (adding or not immunohistochemistry tests) is mandatory to be able to confirm the diagnosis of schwannoma.https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1432&context=jmmsparapharyngeal space tumorcarotid body tumorparagangliomacervical sympathetic chain schwannomahorner`s syndromevagal schwannoma |
| spellingShingle | Flaviu Muresan Alexandrina-Manuela Muresan Gabriel-Emil Petre Iacob Domsa Vasile Ovidiu Fabian Olga Hilda Orasan Synchronous cervical sympathetic chain schwannoma, parathyroid adenoma and hypofunctional nodular goiter - a case report and literature review Journal of Mind and Medical Sciences parapharyngeal space tumor carotid body tumor paraganglioma cervical sympathetic chain schwannoma horner`s syndrome vagal schwannoma |
| title | Synchronous cervical sympathetic chain schwannoma, parathyroid adenoma and hypofunctional nodular goiter - a case report and literature review |
| title_full | Synchronous cervical sympathetic chain schwannoma, parathyroid adenoma and hypofunctional nodular goiter - a case report and literature review |
| title_fullStr | Synchronous cervical sympathetic chain schwannoma, parathyroid adenoma and hypofunctional nodular goiter - a case report and literature review |
| title_full_unstemmed | Synchronous cervical sympathetic chain schwannoma, parathyroid adenoma and hypofunctional nodular goiter - a case report and literature review |
| title_short | Synchronous cervical sympathetic chain schwannoma, parathyroid adenoma and hypofunctional nodular goiter - a case report and literature review |
| title_sort | synchronous cervical sympathetic chain schwannoma parathyroid adenoma and hypofunctional nodular goiter a case report and literature review |
| topic | parapharyngeal space tumor carotid body tumor paraganglioma cervical sympathetic chain schwannoma horner`s syndrome vagal schwannoma |
| url | https://scholar.valpo.edu/cgi/viewcontent.cgi?article=1432&context=jmms |
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