대한두경부종양학회지 (Korean Journal of Head & Neck Oncology)

  • 제39권2호
  • /
  • Pages.49-54
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  • 2023
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  • 1229-5183(pISSN)
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  • 2586-2553(eISSN)
대한두경부종양학회 (The Korean Society for Head and Neck Oncology)
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경부신경총에서 기인한 신경초종으로 오인된 림프상피성낭종 1예

A Case of Lymphoepithelial Cyst Mimicking Cervical Plexus Schwannoma

  • 김정환 (고려대학교 의과대학 안산병원 이비인후-두경부외과학교실) ;
  • 강병재 (고려대학교 의과대학 안산병원 이비인후-두경부외과학교실) ;
  • 김민석 (고려대학교 의과대학 안산병원 이비인후-두경부외과학교실) ;
  • 김홍진 (고려대학교 의과대학 안산병원 이비인후-두경부외과학교실) ;
  • 이예환 (고려대학교 의과대학 안산병원 이비인후-두경부외과학교실) ;
  • 오화은 (고려대학교 의과대학 안산병원 병리과학교실) ;
  • 오경호 (고려대학교 의과대학 안산병원 이비인후-두경부외과학교실) ;
  • 권순영 (고려대학교 의과대학 안산병원 이비인후-두경부외과학교실)
  • Jeong Hwan Kim (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, College of Medicine, Korea University Ansan Hospital) ;
  • Byung Jae Kang (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, College of Medicine, Korea University Ansan Hospital) ;
  • Min Suk Kim (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, College of Medicine, Korea University Ansan Hospital) ;
  • Hong Jin Kim (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, College of Medicine, Korea University Ansan Hospital) ;
  • Ye Hwan Lee (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, College of Medicine, Korea University Ansan Hospital) ;
  • HwaEun Oh (Department of Pathology, College of Medicine, Korea University Ansan Hospital) ;
  • Kyung Ho Oh (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, College of Medicine, Korea University Ansan Hospital) ;
  • Soon Young Kwon (Department of Otolaryngology-Head and Neck Surgery, College of Medicine, College of Medicine, Korea University Ansan Hospital)
  • 투고 : 2023.08.22
  • 심사 : 2023.10.18
  • 발행 : 2023.11.30
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초록

Neck masses can have various origins and diverse presentations, making accurate diagnosis challenging. Schwannomas and lymphoepithelial cysts are commonly encountered neck tumors, and it is hard to get differential diagnosis. A 50-year-old woman presented with a progressively enlarging right neck mass discovered five years ago. Upon examination, a 3 cm firm, non-tender, and mobile tumor was found in the right neck level II region. Imaging studies suggested a tumor originating from the cervical sympathetic chain. The patient underwent a resection of the tumor under general anesthesia. Postoperative follow-up showed no complications or signs of recurrence. However, contrary to the initial suspicion of a schwannoma, the final pathological examination revealed a lymphoepithelial cyst. In this paper, we present a case of a cervical lymphoepithelial cyst misdiagnosed as a schwannoma, aiming to compare the clinical and histological characteristics of these two tumors and provide insights into appropriate diagnosis and management.

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참고문헌

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