International Journal of Head and Neck Surgery

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VOLUME 3 , ISSUE 1 ( January-April, 2012 ) > List of Articles

CASE REPORT

Sublingual Schwannoma: A Rare Clinical Entity reported in a Hypothyroid Female

Sudhir Naik, S Ravishankara, Mohan K Appaji, MK Goutham

Citation Information : Naik S, Ravishankara S, Appaji MK, Goutham M. Sublingual Schwannoma: A Rare Clinical Entity reported in a Hypothyroid Female. Int J Head Neck Surg 2012; 3 (1):33-39.

DOI: 10.5005/jp-journals-10001-1089

Published Online: 01-04-2012

Copyright Statement:  Copyright © 2012; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background

Schwannomas are solitary, encapsulated tumor usually attached to, or surrounded by a nerve and are not associated with von Recklinghausen's disease and rarely show malignant degeneration.

Setting

Department of ENT, Head and Neck Surgery, KVG Medical College, Sullia.

Case report

A 68-year-old female presented with pain at the left side of the tongue since 1 month. Also a firm to soft 7 × 5 cm sublingual swelling of long-standing duration was seen. FNAC was inconclusive and contrast CT showed a sublingual swelling with mild-contrast enhancement.

Intervention

Sublingual excision of the tumor was done under general anesthesia and the tumor enucleated. No complications were seen and the recovery was uneventful. Histopathological report came as benign schwannoma and immunoreactive to S- 100 protein.

Conclusion

Most of the intraoral schwannomas are managed by complete surgical excision and recurrence are not reported. Malignant transformation is not seen in any of the intraoral schwannomas but definite preoperative diagnosis is necessary to avoid wide excision when the tumors can be easily enucleated without recurrence.

How to cite this article

Naik SM, Goutham MK, Ravishankara S, Appaji MK. Sublingual Schwannoma: A Rare Clinical Entity reported in a Hypothyroid Female. Int J Head and Neck Surg 2012;3(1):33-39.


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  1. Schwannoma in the sublingual space. Dento-maxillofac Radiol 2004;33:259-61.
  2. Schwannoma of the submandibular gland. Head Neck 1991;13:239-42.
  3. Schwannoma of the hard palate: A rare case. The Internet Jour of Head and Neck Surgery 2011;4(2).
  4. An unusual site for an intraoral schwannoma: A case report. American Journal of Otolaryngology (September-October) 2003;24(5):348-50.
  5. Neurogenous neoplasms of major nerves of the face and neck. Arch Surg 1971;103:51-56.
  6. Neurilemmoma of hard palate. J Oral Maxillofacial Surgery 2002;60:1069-71.
  7. Neurilemmoma of head and neck. Br J Oral Maxillofac Surg 1993;31:32.
  8. Sublingual hypoglossal neurilemmoma. Case report. Aust Dent J 1998;43:311-14.
  9. Extracranial head and neck schwannomas. J Otolayngol 1992;21:186-88.
  10. Schwannoma of the neck. Clin Otolaryngol 1982;7:245-51.
  11. Neurilemoma: Review of the literature and report of five cases. J Oral Surg 1977;35: 235-36.
  12. A textbook of oral pathology (4th edn), WB Saunders Co: 208-10.
  13. Oral pathology, clinical-pathologic correlations (2nd edn). WB Saunders Co: 221-25.
  14. Schwannoma of vagus nerve first diagnosed as a parotid tumor. J Oral Maxillofac Surg 2003;61:141-44.
  15. Extracranial neurogenic tumors of the head and neck. Otolaryngol Clin North Am 1986;19(3):609-17.
  16. Schwannoma of the nasal septum: Report of 2 cases. Rev Laryngol Otol Rhino 1993;114:33-36.
  17. Neurogenous tumors within the thorax: A clinicopathological evaluation of forty-eight cases. Cancer 1951;4(4):669-91.
  18. Ancient schwannoma arising from mental nerve. A case report and review. Med Oral Patol Oral Cir Bucal 2009;14(1):E12-14.
  19. Hypoglossal schwannoma in the submandibular region. The Internet Journal of Otorhinolaryngology 2006;5(2).
  20. Neurilemmoma of hard palate. J Oral Maxillofacial Surgery 2002;60:1069-71.
  21. A schwannoma of the hypoglossal nerve presenting as a malignant tumour of the oral floor. Rev Laryngol Otol Rhinol (Bord) 2009;130(3):189-91.
  22. Hypoglossal schwannoma. Ann Otol Rhinol Laryngol 1995;104:490-92.
  23. Schwannoma of the paranasal sinus. Arch Otolaryngol Head Neck Surg 1991;117:677-80.
  24. Ancient neurilemmoma (Schwannoma) of the oral cavity. J Craniomaxillofac Surg 1989;17(6):280-82.
  25. Submaxillary hypoglossal neurilemmoma. J Laryngol Otol 1993;107:953-54.
  26. Schwannoma of the nasal septum. The British Journal of Radiology 2006;79:e16–e18.
  27. Schwannoma of the ansa cervicalis. JSCR 2011;8:3.
  28. Intraosseous ancient schwannoma of the mandible: A case report. Iranian Journal of Pathology 2011;6(2):101-05.
  29. Ancient neurilemmoma (schwannoma). Acta Pathol Microbiol Scand A 1977;85(6):812-18.
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