CASE 834: A Giant Schwannoma of Vagal Nerve Sheath Mimicking A Lymph Node Necrosis, Dr PHAN THANH HẢI , Dr NGUYỄN NGHIỆP VĂN, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

 A 49 year-old man with a big painless mass at the lower part of his neck on the right side. The mass gots bigger rapidly causing cough in hard squizzing.

CT Scan noted a #8.5x2.9cm right lymph node necrosis or metastase. The lungs were intact.

But MRI suspected a big lymph node abscess.

Ultrasound detected a # 3x8cm big mass which had a cystic pattern between the neck vessels and adhered the vagal nerve of the right neck ; maybe a giant cystic degeneration schwannoma of the right vagal nerve sheath.

Surgery removed the right mass of the neck; the result post-op was a cellular schwannoma of the nerve sheath of the right vagal nerve.