Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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Submucosal Schwannoma of Tongue: A Case Report and Brief Review of Literature

혀의 점막하에 발생한 신경초종 환자의 치험례

  • Park, Sung Won (Oral Oncology Clinic, Research Institute and Hospital, National Cancer Center) ;
  • Jeon, Jae Ho (Oral Oncology Clinic, Research Institute and Hospital, National Cancer Center) ;
  • Park, Joo Yong (Oral Oncology Clinic, Research Institute and Hospital, National Cancer Center) ;
  • Choi, Sung Weon (Oral Oncology Clinic, Research Institute and Hospital, National Cancer Center) ;
  • Kim, Soo Ho (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University)
  • 박성원 (국립암센터 구강종양클리닉) ;
  • 전재호 (국립암센터 구강종양클리닉) ;
  • 박주용 (국립암센터 구강종양클리닉) ;
  • 최성원 (국립암센터 구강종양클리닉) ;
  • 김수호 (서울대학교 치의학대학원 구강악안면외과학교실)
  • Received : 2012.07.30
  • Accepted : 2012.11.23
  • Published : 2012.11.30
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Abstract

Schwannoma is a benign, slow-growing, tumor of the peripheral nerves without specific symptoms, so that early diagnosis may be difficult. Though approximately 25~40% of all schwannomas occur extracranially in the head and neck region, only 1% of schwannomas are reported in the oral cavity. An 18-years-old female patient visited our clinic with a mass on the middle-right-dorsal surface of the tongue slowly growing for 1.5 years. The patient underwent the surgical removal of the neoplasia under general anesthesia. The mass was well capsulated and a cleavage plane was easily found. There was no recidivation during the course of a one-year follow-up. The treatment for schwannoma is surgical excision of the lesion and recurrence after excision of schwannoma is rare. The final diagnosis is made after a histological examination. Differential diagnoses must be made in relation to malignant tumors and in relation to numerous benign neoformations based on epithelial and connective tissues.

Keywords

References

  1. Harada H, Omura K, Maeda A. A massive pleomorphic adenoma of the submandibular salivary gland accompanied by neurilemomas of the neck misdiagnosed as a malignant tumor: report of case. J Oral Maxillofac Surg 2001;59:931-5. https://doi.org/10.1053/joms.2001.25035
  2. de Bree R, Westerveld GJ, Smeele LE. Submandibular approach for excision of a large schwannoma in the base of the tongue. Eur Arch Otorhinolaryngol 2000;257:283-6. https://doi.org/10.1007/s004050050241
  3. Wright BA, Jackson D. Neural tumors of the oral cavity. A review of the spectrum of benign and malignant oral tumors of the oral cavity and jaws. Oral Surg Oral Med Oral Pathol 1980;49:509-22. https://doi.org/10.1016/0030-4220(80)90075-4
  4. Ulku CH, Uyar Y, Acar O, Yaman H, Avunduk MC. Facial nerve schwannomas: a report of four cases and a review of the literature. Am J Otolaryngol 2004;25:426-31. https://doi.org/10.1016/j.amjoto.2004.04.013
  5. Ferreti Bonan PR, Martelli H Jr, Nogueira Dos Santos LA, Comini Mol V, Paes De Almeida O. Multinodular neurilemmoma of the tongue: a case report with differential immunohistochemical profile. Minerva Stomatol 2008;57:71-5.
  6. Batra UB, Usha G, Gogia AR. Anesthetic management of schwannoma of the base of the tongue. J Anaesthesiol Clin Pharmacol 2011;27:241-3. https://doi.org/10.4103/0970-9185.81830
  7. Colreavy MP, Lacy PD, Hughes J, et al. Head and neck schwannomas--a 10 year review. J Laryngol Otol 2000;114: 119-24.
  8. Esmeili T, Lozada-Nur F, Epstein J. Common benign oral soft tissue masses. Dent Clin North Am 2005;49:223-40. https://doi.org/10.1016/j.cden.2004.07.001
  9. Wang HM, Hsu YC, Lee KW, Chiang FY, Kuo WR. Neurofibroma of the lingual nerve: a case report. Kaohsiung J Med Sci 2006;22:461-4. https://doi.org/10.1016/S1607-551X(09)70339-0
  10. Llewelyn J, Sugar AW. Neurilemmoma of the mandible. Report of a case. Br J Oral Maxillofac Surg 1989;27:512-6. https://doi.org/10.1016/S0266-4356(89)80011-7
  11. Nelson W, Chuprevich T, Galbraith DA. Enlarging tongue mass. J Oral Maxillofac Surg 1998;56:224-7. https://doi.org/10.1016/S0278-2391(98)90873-4
  12. Sardinha SDCS, Paza AO, Vargas PA, Moreira RWF, de Moraes M. Schwannoma of the oral cavity. Histological and immunohistochemical features. Braz J Oral Sci 2005;4:806-9.
  13. Cohen M, Wang MB. Schwannoma of the tongue: two case reports and review of the literature. Eur Arch Otorhinolaryngol 2009;266:1823-9. https://doi.org/10.1007/s00405-008-0907-2
  14. Patnayak R, Anuradha SV, Uppin SM, Sundaram C, Raju GS, Jena A. Schwannoma of tongue - a case report and short review of literature. Acta Oncol 2007;46:265-6. https://doi.org/10.1080/02841860600897959
  15. Flickinger FW, Lozano RL, Yuh WT, Sachs MA. Neurilemoma of the tongue: MR findings. J Comput Assist Tomogr 1989;13:886-8. https://doi.org/10.1097/00004728-198909000-00025
  16. Alphs HH, Eisele DW, Westra WH. The role of fine needle aspiration in the evaluation of parotid masses. Curr Opin Otolaryngol Head Neck Surg 2006;14:62-6. https://doi.org/10.1097/01.moo.0000193184.38310.0a
  17. Gallo WJ, Moss M, Shapiro DN, Gaul JV. Neurilemoma: review of the literature and report of five cases. J Oral Surg 1977;35:235-6.
  18. Jeffcoat BT, Pitman KT, Brown AS, Baliga M. Schwannoma of the oral tongue. Laryngoscope 2010;120 Suppl 4:S154.