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本文描述了来自下齿槽神经鞘的神经鞘瘤。在第一次活检标本里发现了所谓的契维茨器(Organ of Chievitz)。它是退化性结构并不是病理改变。一位41岁男性,就诊前两周发现左侧面部弥漫性肿胀,拔除同侧下颌第三磨牙阻生齿后仍有持续性肿胀。给病人做了第一次切开活捡。以后病人转院治疗,进一步检查发现在左侧颊肌深部,翼下颌以及咽旁间隙,一直到嚼肌内侧面可触到一块坚实的、轻微移动的软组织肿块。第一次活检部位形成肉芽组织。肿块与上下颌均无连系。余皆正常。
This article describes schwanoma from the inferior alveolar nerve sheath. The so-called Organ of Chievitz was found on the first biopsy. It is a degenerative structure and not a pathological change. A 41-year-old man found diffuse swelling of the left side of the face two weeks prior to the visit and continued swelling after removal of the third molar on the ipsilateral mandibular third molar. To the patient for the first time to cut open to pick up. After the patient was transferred to hospital, further examination revealed a solid, slightly moving soft tissue mass at the deep cheek muscle, the chin, and the parapharyngeal space, all the way to the medial side of the chewing muscle. The first biopsy site formed granulation tissue. No connection between the lumps and the lower jaw. I am all normal.