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경부 결핵성 림프절염으로 오인된 미주신경에서 발생한 다발성 신경초종 1예

김영준1, 송준웅1, 이형신1, 김성원1,*
Yeong Joon Kim1, Jun Woong Song1, Hyoung Shin Lee1, Sung Won Kim1,*
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1고신대학교 의과대학 이비인후과학교실
1Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Kosin University, Busan, Korea
*교신저자: 김성원, 602-702 부산광역시 서구 감천로 262 고신대학교 의과대학 이비인후과학교실 전화 :(051) 990-6136·전송:(051) 245-8539 E-mail:swforyou@hanmail.net

© Copyright 2015 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Nov 18, 2014; Revised: Jan 26, 2015; Accepted: Mar 27, 2015

Published Online: May 31, 2020

ABSTRACT

In many cases, schwannoma is a single and solitary lesion and more than half of it develops from head and neck area. Ideally schwannoma should be removed without damaging the nerve, but if the cancer is difficult to desquamate, neurolysis or debulking procedure can be performed by compensating the nerve functions. In this case, due to a previous diagnosis of colonal tuberculosis, the caseous neck nodes were assumed as tuberculous lymphadenitis. But imaging study and surgical point of view misled to diagnosis between Tbc lymphadenitis or schwannoma. Multifocal shwannoma in a single nerve is very rare, authors had a difficulty to plan a proper treatment. (J Clinical Otolaryngol 2015;26:112-116)

Keywords: 신경초종; 미주신경; 결핵성 림프절염
Keywords: Schwannoma; Vagus nerve; Tuberculous lymphadenitis