被膜間摘出術を行った頸部神経鞘腫症例の検討

嶋根 俊和; 江川 峻哉; 池田 賢一郎; 櫛橋 幸民; 池谷 洋一; 河村 陽二郎; 中村 泰介; 川口 顕一郎; 北田 良裕; 林 武史

doi:10.5106/jjshns.25.185

Examination of cervical schwannoma treated by intercapsular resection

Toshikazu Shimane, Shunya Egawa, Kenichiro Ikeda, Yukiomi Kushihashi, Youichi Ikenoya, Youjiro Kawamura, Taisuke Nakamura, Kenichiro Kawaguchi, Yoshihiro Kitada, Takeshi Hayashi

Author information

Toshikazu Shimane
Showa University Head and Neck Oncology Center
Department of Oral Surgery, Oral Oncology, Showa University, School of Dentistry
Department of Otorhinolaryngology, Showa University, School of Medicine
Shunya Egawa
Showa University Head and Neck Oncology Center
Department of Otorhinolaryngology, Showa University, School of Medicine
Kenichiro Ikeda
Showa University Head and Neck Oncology Center
Department of Otorhinolaryngology, Showa University, School of Medicine
Yukiomi Kushihashi
Showa University Head and Neck Oncology Center
Department of Otorhinolaryngology, Showa University, School of Medicine
Youichi Ikenoya
Department of Otorhinolaryngology, Showa University, School of Medicine
Youjiro Kawamura
Department of Otorhinolaryngology, Showa University, School of Medicine
Taisuke Nakamura
Department of Otorhinolaryngology, Showa University, School of Medicine
Kenichiro Kawaguchi
Department of Otorhinolaryngology, Showa University, School of Medicine
Yoshihiro Kitada
Department of Otorhinolaryngology, Showa University, School of Medicine
Takeshi Hayashi
Department of Otorhinolaryngology, Showa University, School of Medicine

Keywords: schwannoma, intercapsular resection, cervical, operation

JOURNAL FREE ACCESS

2015 Volume 25 Issue 2 Pages 185-189

DOI https://doi.org/10.5106/jjshns.25.185

Details

Abstract

We review 38 cases in whom intercapsular resection for neck schwannoma was carried out at our center from April 2005 to January 2015. We examined the age, sex, neurological symptoms before the operation, size of tumor, and neurological symptoms after the operation. The same surgeon conducted all of the intercapsular resections.
The results indicated that postoperative neurological deficits occurred in 8 cases (21.1%). Among these cases, paralysis which did not improve occurred in 2 cases (5.3%) and temporary paralysis in 6 cases (15.8%). However, the patients did not suffer problems for daily living. It is considered that surgery by this method is an option instead of follow-up. We must also explain the merits and demerits of follow-up and operation.

Corresponding author

Register with J-STAGE for free!