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Unusual presentation of more common disease/injury
CASE REPORT
Secretory cervical schwannoma: first of its kind
  1. Anup Singh1,
  2. Amit Singh Chirom2,
  3. Sandeep R Mathur3,
  4. Suresh Chandra Sharma4
  1. 1Otolaryngology (ENT), All India Institute of Medical Sciences, New Delhi, India
  2. 2Otolaryngology (ENT), All India Institute of Medical Sciences, New Delhi, India
  3. 3Department of Pathology, All India Institute of Medical Sciences, New Delhi, India
  4. 4Otolaryngology (ENT), AIIMS, New Delhi, India
  1. Correspondence to Dr Amit Singh Chirom, amitchirom{at}gmail.com

Summary

Schwannomas arising from cervical sympathetic chain are rare benign neoplasms which are slow growing, usually asymptomatic, biochemically non-secretory and functionally inactive tumours. We present a case of secretory schwannoma arising from the cervical sympathetic chain, causing hypertension and associated with raised urinary catecholamine degradation by-products. Transcervical excision of the tumour was followed by normalisation of blood pressure and urinary vanillylmandelic acid levels and pathologically the tumour was proved to be a schwannoma.

  • ear, nose and throat
  • head and neck cancer
  • head and neck surgery

https://doi.org/10.1136/bcr-2018-225222

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    Footnotes

    • Contributors AS, ASC, SRM and SCS contributed to the following in case report : (1) conception and design, acquisition of data or analysis and interpretation of data; (2) drafting the article or revising it critically for important intellectual content; (3) final approval of the version published and (4) agreement to be accountable for the case report and to ensure that all questions regarding the accuracy or integrity of the case report are investigated and resolved.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.