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Diagnostic and Therapeutic Strategy for Vagal Schwannoma: Case Series and Literature Review
Background and Objectives: Clinical management of vagal schwannoma is a real diagnostic and therapeutic challenge because the medical history and clinical examination are often non-specific and vagal nerve injury following surgical resection still represents an unsolved problem. The aim of this pape...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10303656/ https://www.ncbi.nlm.nih.gov/pubmed/37374217 http://dx.doi.org/10.3390/medicina59061013 |
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author | Loperfido, Antonella Celebrini, Alessandra Fionda, Bruno Bellocchi, Gianluca Cristalli, Giovanni |
author_facet | Loperfido, Antonella Celebrini, Alessandra Fionda, Bruno Bellocchi, Gianluca Cristalli, Giovanni |
author_sort | Loperfido, Antonella |
collection | PubMed |
description | Background and Objectives: Clinical management of vagal schwannoma is a real diagnostic and therapeutic challenge because the medical history and clinical examination are often non-specific and vagal nerve injury following surgical resection still represents an unsolved problem. The aim of this paper is to provide a case series along with a diagnostic and therapeutic algorithm for vagal schwannoma of the head and neck, combining our experience with clinical evidence available in the literature. Materials and Methods: We retrospectively analyzed a series of patients affected by vagal schwannoma who were treated between 2000 and 2020. In addition, a review of the literature on vagal schwannoma management was conducted. Based on the cases described and the literature review, we made a diagnostic and therapeutic algorithm for the management of vagal schwannoma. Results: We were able to identify 10 patients affected by vagal schwannoma and treated between 2000 and 2020. All patients presented with a painless, mobile, slow-growing lateral neck mass with onset varying from a few months to years. The preoperative diagnostic workup included ultrasound (US) in nine cases, computed tomography (CT) with contrast in six patients and magnetic resonance imaging (MRI) of the neck in seven cases. All patients included in this study were surgically treated. Conclusions: Vagal schwannoma management represents a true challenge for clinicians and surgery is currently the most effective therapeutic strategy. A multidisciplinary approach through the collaboration of otolaryngologist with other specialists is desirable to develop a tailored treatment plan for the patient. |
format | Online Article Text |
id | pubmed-10303656 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-103036562023-06-29 Diagnostic and Therapeutic Strategy for Vagal Schwannoma: Case Series and Literature Review Loperfido, Antonella Celebrini, Alessandra Fionda, Bruno Bellocchi, Gianluca Cristalli, Giovanni Medicina (Kaunas) Article Background and Objectives: Clinical management of vagal schwannoma is a real diagnostic and therapeutic challenge because the medical history and clinical examination are often non-specific and vagal nerve injury following surgical resection still represents an unsolved problem. The aim of this paper is to provide a case series along with a diagnostic and therapeutic algorithm for vagal schwannoma of the head and neck, combining our experience with clinical evidence available in the literature. Materials and Methods: We retrospectively analyzed a series of patients affected by vagal schwannoma who were treated between 2000 and 2020. In addition, a review of the literature on vagal schwannoma management was conducted. Based on the cases described and the literature review, we made a diagnostic and therapeutic algorithm for the management of vagal schwannoma. Results: We were able to identify 10 patients affected by vagal schwannoma and treated between 2000 and 2020. All patients presented with a painless, mobile, slow-growing lateral neck mass with onset varying from a few months to years. The preoperative diagnostic workup included ultrasound (US) in nine cases, computed tomography (CT) with contrast in six patients and magnetic resonance imaging (MRI) of the neck in seven cases. All patients included in this study were surgically treated. Conclusions: Vagal schwannoma management represents a true challenge for clinicians and surgery is currently the most effective therapeutic strategy. A multidisciplinary approach through the collaboration of otolaryngologist with other specialists is desirable to develop a tailored treatment plan for the patient. MDPI 2023-05-24 /pmc/articles/PMC10303656/ /pubmed/37374217 http://dx.doi.org/10.3390/medicina59061013 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Loperfido, Antonella Celebrini, Alessandra Fionda, Bruno Bellocchi, Gianluca Cristalli, Giovanni Diagnostic and Therapeutic Strategy for Vagal Schwannoma: Case Series and Literature Review |
title | Diagnostic and Therapeutic Strategy for Vagal Schwannoma: Case Series and Literature Review |
title_full | Diagnostic and Therapeutic Strategy for Vagal Schwannoma: Case Series and Literature Review |
title_fullStr | Diagnostic and Therapeutic Strategy for Vagal Schwannoma: Case Series and Literature Review |
title_full_unstemmed | Diagnostic and Therapeutic Strategy for Vagal Schwannoma: Case Series and Literature Review |
title_short | Diagnostic and Therapeutic Strategy for Vagal Schwannoma: Case Series and Literature Review |
title_sort | diagnostic and therapeutic strategy for vagal schwannoma: case series and literature review |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10303656/ https://www.ncbi.nlm.nih.gov/pubmed/37374217 http://dx.doi.org/10.3390/medicina59061013 |
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