Ancient schwannoma mimicking a carotid body tumor A case report and review of the literature

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COD: 15_01_2020_3144-ep Categorie: , ,

Roberta Garbuglio, Davide Turchino, Anna Maria Giribono, Emanuela Viviani, Liborio Ferrante, Maurizio Sodo, Luca del Guercio, Umberto Marcello Bracale

Ann Ital Chir, Digital Edition 2020, 9
Epub, January 15

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Ancient Schwannoma is a type of peripheral neurogenic tumor formed by the Schwann cells presenting mainly as a benign
and asymptomatic lesion. The neurilemmoma tumor appears in different sites and, in cases of cervical location, can
mimic a carotid body tumor. Herein we describe a clinical case of a 51-year-old woman with latero-cervical swelling.
A contrast-enhanced computed tomography scan revealed a classical wineglass image mimicking a carotid body tumor.
During surgery the tumor appeared connected to the cervical sympathetic trunk without carotid involvement. The histological
exam confirmed the nature of the mass which consisted of an ancient schwannoma. A subsequent systematic review
of the literature on ancient schwannoma incidence and treatment confirms it being a benign and rare lesion primarily
treatable with open surgery.

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