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我科曾收治颊部神经鞘瘤1例,目前尚未见有报道发生于颊部的神经鞘瘤,故将该病例报告如下: 患者李××,女,45岁,缝纫工,1980年5月20日入院。主诉:左颏部肿物3个月。病史;患者3个月前无明显诱因感左颏部不适,无疼痛,自检发现左颏部稍隆起,之后局部渐膨隆肿大,口形不对称,2周来患处出现麻木感伴,针刺样疼痛。颌面外科检查;左颏部膨隆,左右不对称,肤色正常,可触及肿物3×3×3cm,质硬,不活动,无压痛,无囊性感及压缩性,左下前庭沟变浅。1-4牙色正常,活力测验迟钝。左颏部针刺不敏感。X线片显示,左颊部有4×3cm骨质密度减低区,边缘尚清晰。234根尖显露于透光区。
My department had received 1 case of buccal schwannoma, has not yet been reported in the buccal schwannoma reported, so the case was reported as follows: Patient Lee × ×, female, 45 years old, sewing workers, May 1980 Admission on the 20th. Chief complaint: left chin tumor 3 months. History; patients 3 months ago, no obvious incentive to feel left chin discomfort, no pain, self-test found a slight swelling of the left chin, followed by local bulging swollen, mouth shape asymmetry, 2 weeks to the affected area numbness, acupuncture Like pain. Maxillofacial surgery; left chin bulge, left and right asymmetry, normal skin color, palpable mass 3 × 3 × 3cm, hard, inactive, no tenderness, no capsule sex and compressibility, left lower vestibular groove shallow. 1-4 normal tooth color, vitality test dull. Left chin acupuncture insensitive. X-ray film showed a left cheek 4 × 3cm bone density reduction zone, the edge is still clear. 234 tips exposed in the light transmission area.