Swelling left submandibul

Question

Asked for Male, 35 Years

This is what my report says for usg scan of the neck " a large left upper deep cervical solid cystic well circumscribed nodule of 5.5 into 3 into 4.5 CM is noted, along the posterior aspect of left carotid sheat, splaying the left carotid artery and internal jugular vein. It is mildly on Doppler interrogation. The neck vessels otherwise appear normal. No focal solid cystic lesson no significant cervical lymphadenopathy. Impression large left neck mass as described-s/o vagus nerve schwannoma" please suggest and this swelling near my neck is not painful. thanks

Answers (2)

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Dr. Pinaki Mazumder

Otologist/ Neurotologist 34 yrs exp Kolkata

It is a tumor arising from the nerve sheath. It should be surgically removed.

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Carotid artery and other vital structures are in and around the field of surgery, which should be preserved during surgery.

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Dr. Gladson Guddappa Uchil ENT/ Otorhinolaryngologist 29 yrs exp Bangalore · Accepted Answer

Dr. Gladson Guddappa Uchil

ENT/ Otorhinolaryngologist 29 yrs exp Bangalore

This is a benign tumour arising from the nerve sheath of the 10th Cranial Nerve, the Vagus Nerve. The tumour is located in a very tricky region of the neck known as the carotid sheath which is in close proximity to the Carotid and Jugular vessels. This needs to be operated upon by a good Head & Neck Surgeon. You are most welcome to drop in to me clinic for a thorough examination to plan the surgery.