EVREN ÜSTÜNER, Zehra AKKAYA, EBRU DÜŞÜNCELİ ATMAN, ÇAĞLAR UZUN, Koray CEYHAN

Unexpected complication or diagnostic clue: exaggerated pain during fine needle aspiration biopsy of a neck mass

Travmatik nöromalar, vücudun sinir hasarının geliştiği herhangi bir yerinde ortaya çıkabilir. Bu bildiride, papiller tiroid karsinomu nedeniyle yapılan lenf nodu diseksiyonu sonrası boyunda travmatik nöroma gelişen bir olgu sonografik bulguları ile birlikte sunulmaktadır. Biyopsi sırasında ortaya çıkan şiddetli ağrı nöroma için tanısal ipucudur.

Beklenmedik bir komplikasyon ya da tanısal ipucu: bir boyun kitlesinin ince iğne aspirasyon biyopsisi esnasında ortaya çıkan aşırı ağrı

Traumatic neuromas are known to occur anywhere in the body, but they can develop at any site where a nerve is damaged. In this case, a traumatic neuroma which arose in the neck after lymph node dissection for papillary thyroid carcinoma is reported with its sonographic findings. Severe pain during biopsy procedure is also a diagnostic clue for this condition.

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1. Huang LF, Weissman JL, Fan C. Traumatic neuroma after neck dissection: CT characteristics in four cases. AJNR Am J Neuroradiol 2000; 21(9):167680.
2. Kransdorf MJ. Benign soft tissue tumors in a large referral population: distribution of specific diagnoses by age, sex and location. AJR Am J Roentgenol 1995; 164(2):395-402.
3. Lee EJ, Calcaterra TC, Zuckerbraun L. Traumatic neuromas of the head and neck. Ear Nose Throat J 1998; 77(8):6706.
4. Robbins KT. Neck dissection. In: Cummings CW, Fredrickson JM, Harker LA, Krause CJ, Schuller DE, Richardson MA. Otolaryngology: Head and Neck Surgery (2nd Ed) St Louis, Mosby, 1998; 17871809.
5. Torun F, Tuna H, Kahilogullari G, Bagdatoglu C, Caglar S. Bilateral traumatic neuroma of the anterior cervical nerve root: case report. Spine 2005; 30(17):521-3.
6. Boutin RD, Pathria MN, Resnick D. Disorders in the stumps of amputee patients: MR imaging. AJR Am J Roentgenol 1998; 171(2):497-501.
7. King AD, Ahuja AT, King W, Metreweli C. Sonography of peripheral nerve tumors of the neck. Am J Roentgenol 1997; 169(6): 1695-8.
8. Yabuuchi H, Kuroiwa T, Fukuya T, Tomita K, Hachitanda Y. Traumatic neuroma and recurrent lymphadenopathy after neck dissection: comparison of radiologic features. Radiology 2004;233(2):523-9.
9. 10.Beggs I. Sonographic appearances of nerve tumors.Clin Ultrasound 1999; 27(7):363-8.
Weiss SW, Goldblum JR. Benign tumors of peripheral nerves: Traumatic neuroma. In: Weiss SW, Goldblum JR, Enzinger FM. Enzinger and Weisss Soft Tissue Tumors (4th Ed) St.Louis, Mosby, 2001; 1114.