Skaletskyi M. V., Masna Z. Z., Sohuyko R. R., Vasyliv M.A. L., Sopnieva N. B.

CLINICAL CASE OF NEURINOMA WITH SECONDARY CHANGES

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About the author:

Skaletskyi M. V., Masna Z. Z., Sohuyko R. R., Vasyliv M.A. L., Sopnieva N. B.

Heading:

CLINICAL AND EXPERIMENTAL MEDICINE

Type of article:

Scientific article

Annotation:

Symptomatic neuromas and cystic neck formations are clinically significant entities that require detailed diag nostic and therapeutic strategies. Traumatic neuromas resulting from aberrant nerve repair, neurinomas of other or unknown origin, and cystic lesions of the neck with either benign or malignant etiology represent ongoing challeng es in both differentiation and treatment. This study presents a clinical case of neurinoma with secondary changes localized in the cervical region of a 44-year-old patient. Based on physical examination, medical history, ultrasound, and computed tomography, a diagnosis of lateral neck cyst was established. Following surgical excision of the mass, histological examination confirmed the diagnosis: neurinoma with secondary changes.This case highlights the im portance of multimodal imaging, minimally invasive procedures, and personalized surgical approaches. Emerging innovations in the fields of nerve regeneration and molecular diagnostics hold promise for further advancing future paradigms of diagnosis and treatment. Given the polymorphic nature of lesions that may be localized in the neck region, their differential diagnosis often presents challenges. Therefore, the selection of appropriate treatment methods for neurinomas and cystic neck formations requires an individualized approach, application of advanced imaging techniques, interdisciplinary collaboration, and the use of methods with varying degrees of invasiveness.

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Bibliography:

1. Eberlin KR, Ducic I, Moore A, Cederna PS, Valerio IL, Dumanian GA, eds. Contemporary Neuroma Management. Springer; 2024. Chapter 1, Definition, Etiology, and Epidemiology of Symptomatic Neuroma; p. 3-15.
2. Mittal MK, Malik A, Sureka B, Thukral BB. Cysticmasses of neck: A pictorialreview. Indian J RadiolImaging. 2012;22(4):334-343.
3.  Wright B, Wiggins RH III. Cysticlesions of the headandneck: Benignormalignant? ApplRadiol. 2020;49(5):6-14.
4. Feier J, Self Q, Karabachev A, Brundage W, Sajisevi M. Assessing the role of ultrasound for the evaluation of adult neck masses. Laryngoscope Investig Otolaryngol. 2022;8(1):135-139.
5.  Eberlin KR, Ducic I, Moore A, Cederna PS, Valerio IL, Dumanian GA, eds. Contemporary Neuroma Management. Springer; 2024. Chapter 6, Radiologic Imaging of Neuroma; p. 51-69.
6.  Wasa J, Nishida Y, Tsukushi S, Shido Y, Sugiura H, Nakashima H, et al. MRI features in the differentiation of malignant peripheral nerve sheath tumors and neurofibromas. AJR Am J Roentgenol. 2010;194(6):1568-1574.
7.  Demehri S, Belzberg A, Blakeley J, Fayad LM. Conventional and functional MR imaging of peripheral nerve sheath tumors: initial experience. AJNR Am J Neuroradiol. 2014;35(8):1615-1620.
8.  Layfield LJ, Esebua M, Schmidt RL. Fine-needle aspiration cytology of cystic neck masses: A review of diagnostic pitfalls. Diagn Cytopathol. 2014;42(8):653-659.
9.  Flanagan PM, Roland NJ, Jones AS. Lateral cystic neck masses in adults: A ten-year series and comparative analysis of diagnostic modalities. J Laryngol Otol. 2023;137(3):312-318.
10.  Challoner T, Power DM, Beale S, Nijran A. Pathogenesis, clinical evaluation and non-surgical management of symptomatic neuromas: A literature review. J Musculoskelet Surg Res. 2019;3:15-21.
11.  Zhou L, Huo T, Zhang W, Han N, Wen Y, Zhang P. New techniques and methods for prevention and treatment of symptomatic traumatic neuroma: A systematic review. Front Neurol. 2023;14:1086806.
12.  Yang H, Dong Y, Wang Z, Lai J, Yao C, Zhou H, et al. Traumatic neuromas of peripheral nerves: Diagnosis, management and future perspectives. Front Neurol. 2023;13:1039529.
13.  Eberlin KR, Ducic I, Moore A, Cederna PS, Valerio IL, Dumanian GA, eds. Contemporary Neuroma Management. Springer; 2024. Chapter, Head and Neck Neuroma Cases; p. 209-218.
14.  Kaltoft M, Stage MG, Todsen T, Hahn CH. Diagnostics and treatment of cysts of the neck. Ugeskr Laeger. 2023;185(9):V10220661.

Publication of the article:

«Bulletin of problems biology and medicine», Issue 2,177, 260-268 pages, index UDC 616-006.48-036

DOI:

10.29254/2077-4214-2025-2-177-260-268