Neurilemmomas, also known as schwannomas, are typically benign, well-encapsulated, slow-growing tumors originating from Schwann cells which encompass peripheral motor and sensory nerves. Neurilemmomas in parapharyngeal space (PPS) are very rare, but they can occasionally originate from the last four cranial nerves and autonomic nerves. In this article, we report the rare case of a 47-year-old male presenting solitary neck swelling and hoarseness. After computed tomography and magnetic resonance imaging, we performed complete surgical excision by a transcervical approach under general anesthesia. In the histologic examination, Neurilemmoma was diagnosed. The patient did not complain of any specific complications, showed good prognosis without recurrence or pain up to date.
As the competition in the liner shipping industry is becoming fiercer, the shipping company is trying to find the way to keep the best competitive position by reducing the cost level as low as possible and offering the best quality of service to their customer. In order to achieve this goal, the selection of port and terminal that have the best quality of service and cost effective structure is essential for the shipping line, where they can only have a chance to save the money. In this context, the paper compares three European container terminals in order to understand the factors that have to be considered in the decision making process for the selection of terminal. And its advantages and disadvantages of each type of container terminal operation system were analyzed from the liner shipping company's point of view in terms of cost, time, flexibility, stability, hinterland connection, geographical position and terminal productivity. It is obvious that the cost factors are very important for liner shipping company to select their terminal. However, there might be even more important factors than the cost factors, such as quality of port and terminal service, mutual trust, and possibility of future development.