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Case Report | Open Access

A Misdiagnosed Cervical Vagal Schwannoma: A Case Report and Review of Its Imaging Features and Differential Diagnosis

Ping Wanga,1, Yuqun Luoa,1, Yunkai Lib, Wensheng Yuea, Duo Huanga, Xuemei Linc, Shaoli Xied, Bin Xiongd( )
Department of Ultrasound, The Affiliated Hospital of North Sichuan Medical College, Nanchong, China
Department of Radiology, North Sichuan Medical College, Nanchong, China
Department of Pathology, The Affiliated Hospital of North Sichuan Medical College, Nanchong, China
Department of Thyroid and breast surgery, The Affiliated Hospital of North Sichuan Medical College, Nanchong, China

1 Ping Wang and Yuqun Luo contributed equally to this study.

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Abstract

Schwannoma (syn. neurilemoma, neuroschwannoma) is a benign tumor derived from nerve sheath cells (Schwann cells), which is the most common type of peripheral neurogenic tumors. In this case, a patient with papillary thyroid carcinoma on the left side was found to have a predominantly cystic nodule in the ipsilateral neck level 4 by ultrasonography (US), which mistook for ipsilateral cervical lymph node metastasis and was later found to be a vagal nerve sheath tumor by surgery. The article reviews the pathology, imaging findings and differential diagnosis of schwannomas. A meticulous evaluation and comprehensive differential diagnosis are pivotal to reach correct diagnosis.

Keywords

UltrasonographyContrast-enhanced ultrasoundCervical vagal schwannomaDifferential diagnosis

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Advanced Ultrasound in Diagnosis and Therapy
Volume 7 Issue 1,
March 2023
Pages 53-56
DOI: 10.37015/AUDT.2023.220020

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Cite this article:
Wang P, Luo Y, Li Y, et al. A Misdiagnosed Cervical Vagal Schwannoma: A Case Report and Review of Its Imaging Features and Differential Diagnosis. Advanced Ultrasound in Diagnosis and Therapy, 2023, 7(1): 53-56. https://doi.org/10.37015/AUDT.2023.220020

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Received: 14 May 2022
Revised: 05 June 2022
Accepted: 02 July 2022
Published: 30 March 2023
© AUDT 2023

This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International license, which permits unrestricted use, distribution and reproduction in any medium provided that the original work is properly attributed.