Malignant peripheral nerve sheath tumour of the spinal accessory nerve.
A 50-year-old man presented with a left-sided neck mass. Clinical examination revealed a large fluctuant 7 cm x 7 cm mass in the left posterior triangle. Magnetic resonance imaging (MRI) revealed an encapsulated soft tissue lesion. He underwent exploration of the neck and a 14 cm by 8 cm mass enfolding the accessory nerve was identified and completely excised. Histological examination of the surgical specimen showed features in keeping with a malignant peripheral nerve sheath tumour (MPNST). We present the clinical and pathological features of this condition.
Ho
T P
TP
Department of Otolaryngology, Head and Neck Surgery, Sunderland Royal Hospital, UK.
Samuel
P R
PR
Jeannon
J P
JP
McElroy
J
J
D020436:Accessory Nerve Diseases / Q000175:diagnosis* / Q000601:surgery; D003390:Cranial Nerve Neoplasms / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D018317:Nerve Sheath Neoplasms / Q000175:diagnosis* / Q000601:surgery; D012782:Shoulder