scholarly journals Vagal nerve schwannoma: a rare case from Border Security Force Composite hospital

2018 ◽  
Vol 6 (1) ◽  
pp. 307
Author(s):  
Kaushik Bhattacharya ◽  
Somi Dey Sarkar ◽  
Tapan Biswas
Keyword(s):  
Vagus Nerve ◽  
Rare Case ◽  
Fine Needle Aspiration Biopsy ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Neck Mass ◽  
Vagal Nerve ◽  
Rare Entity ◽  
Resonance Imaging ◽  
Slow Growing

Cervical vagal schwannoma is an extremely rare entity, slow growing, solitary, asymptomatic benign neck mass associated with vagus nerve. Definitive pre-operative diagnosis may be difficult and investigations such as fine needle aspiration biopsy (FNAB) have low specificity. Surgical excision is the treatment of choice. We describe a 26-year-old female presenting as right neck mass who underwent surgery. Magnetic resonance imaging was done, and patient was operated under general anaesthesia. Intraoperatively, the tumour was found to be originating from the vagus nerve. Final histopathology confirmed our preoperative suspicion of vagal nerve schwannoma. Vagus nerve schwannomas should be distinguished from other tumours that arise in the neck before planning surgery, to minimize the risk of nerve injury. A careful surgical technique is mandatory for tumour clearance and to reduce postoperative complications.

scholarly journals Schwannomatosis of Cervical Vagus Nerve

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Faheem Ahmed Abdulla ◽  
M. P. Sasi
Keyword(s):  
Vagus Nerve ◽  
Neck Mass ◽  
Imaging Features ◽  
Rare Entity ◽  
Benign Lesions ◽  
The Right ◽  
Slow Growing ◽  
Multiple Schwannomas

Cervical vagal schwannoma is a rare entity among lesions presenting as a neck mass. They are usually slow-growing benign lesions closely associated with the vagus nerve. They are usually solitary and asymptomatic. Multiple schwannomas occurring in patients without neurofibromatosis (NF) are rare and have recently been referred to as schwannomatosis. Here, we present a case of a neck mass that had imaging features suggestive of vagal schwannoma and was operated upon. Intraoperatively, it was discovered to be a case of multiple vagal cervical schwannoma, all directly related to the right vagus nerve, and could be resected from the nerve in toto preserving the function of the vagus nerve. Final HPR confirmed our pre-op suspicion of vagal schwannomatosis.

scholarly journals Schwannoma Base of Tongue: Report of a Rare Case and Review of Literature

2013 ◽  
Vol 4 (3) ◽  
pp. 133-135 ◽  
Author(s):  
Hitendra Prakash Singh ◽  
SP Agarwal ◽  
Nidhi Verma ◽  
Madhukar Vashistha ◽  
Amit Chaddha ◽  
...  
Keyword(s):  
Rare Case ◽  
Neck Region ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Review Of Literature ◽  
Complete Excision ◽  
Base Of Tongue ◽  
Magnetic Resonance Imaging Mri ◽  
Needle Aspiration Cytology ◽  
Slow Growing

ABSTRACT Schwannomas or neurilemmomas are benign, slow growing, usually solitary and encapsulated tumor, originating from Schwann cells of the nerve sheath. Extracranially, 25% of all schwannomas are located in the head and neck region. The intraoral lesions show a predilection for the tongue, followed by the palate, buccal mucosa, lips and gingiva respectively. Among these, base of tongue schwannoma are extremely rare. Schwannomas involving the tongue base remain asymptomatic unless they attain appreciable size. Diagnostic investigations include ultrasound scanning, computed tomography, magnetic resonance imaging (MRI), and fine-needle aspiration cytology. MRI is superior to other imaging modalities for the examination of the base of the tongue. The definitive diagnosis is based on histopathology. Surgical excision or enucleation with preserve nerve function is the treatment of choice for this rare tumor. The most common approach for complete excision is transoral route for base of tongue schwannoma. Authors report a case of base of tongue schwannoma which was treated with surgery by transoral route. How to cite this article Singh HP, Kumar S, Verma N, Vashistha M, Chaddha A, Agarwal SP, Babu S. Schwannoma Base of Tongue: Report of a Rare Case and Review of Literature. Int J Head Neck Surg 2013;4(3):133-135.

scholarly journals Ectopic cervical thymus as a rare cause of pediatric neck mass: the role of ultrasound and MRI in the diagnosis. Case report.

2015 ◽  
Vol 17 (2) ◽  
pp. 248 ◽  
Author(s):  
Alper Ozel ◽  
Pinar Ozdemir Akdur ◽  
Irfan Celebi ◽  
Rabia Karasu ◽  
Banu Yilmaz ◽  
...  
Keyword(s):  
Fine Needle Aspiration Biopsy ◽  
Needle Aspiration ◽  
Neck Mass ◽  
Resonance Imaging ◽  
Cervical Mass ◽  
Superior Mediastinum ◽  
Pediatric Age Group ◽  
Netic Resonance Imaging

Ectopic cervical thymus (ECT) is an uncommon cause for cervical mass in the pediatric age group. Ultrasound and mag- netic resonance imaging findings of the mass (location along the thymic descent pathway along the thymopharyngeal tract and the identical echostructure and signal intensities to the native thymus in the superior mediastinum) would lead to the diagnosis. The diagnosis is confirmed by fine needle aspiration biopsy or histopathology after resection. The management of ECT is a conservative follow up, except in symptomatic cases with tracheal compression and histologically confirmed neoplasia where surgery is indicated. We present the case of ECT presenting as a left upper neck mass in a 12 year old girl.

Vagal Nerve Schwannoma: Presentation of Two Case Reports

2016 ◽  
Vol 8 (3) ◽  
pp. 116-118
Author(s):  
Atishkumar B Gujrathi ◽  
Vijayalaxmi Ambulgekar ◽  
Shrinivas Chavan
Keyword(s):  
Case Reports ◽  
Surgical Excision ◽  
Neck Mass ◽  
Vagal Nerve ◽  
Lateral Neck ◽  
Benign Lesions ◽  
Complete Surgical Excision ◽  
Lateral Neck Swelling ◽  
Slow Growing ◽  
Nose And Throat

ABSTRACT Vagal nerve schwannomas are rare neural sheath tumors. Although schwannomas are generally benign lesions, they are known to enlarge at a rate of 2.5 to 3 mm per year according to published reports. Vagal nerve schwannoma usually occurs between the 3rd and 5th decades of life, it does not show sex predilection, with both sexes being equally affected, and it most often presents as a painless, slow-growing, lateral neck mass. The treatment of choice is complete surgical excision with preservation of the neural pathway, when it is possible. These tumors, in fact, are almost always benign, and a conservative surgical approach is emphasized by most of the authors. Here, we are presenting two cases of cervical vagal schwannoma, both were middle aged females and presenting in the ear, nose, and throat (ENT) department as a painless lateral neck swelling and were operated by horizontal skin crease incision. Of the two cases, we succeeded to secure nerve functions in one case. The clinical features, diagnosis, management, and pathological findings of cervical vagal schwannoma are discussed. How to cite this article Gujrathi AB, Ambulgekar V, Chavan S. Vagal Nerve Schwannoma: Presentation of Two Case Reports. Int J Otorhinolaryngol Clin 2016;8(3):116-118.

Spontaneous cutaneous endometriosis of the mons pubis: Diagnosis, treatment, and review of the literature

2018 ◽  
Vol 10 (1) ◽  
pp. 36-38
Author(s):  
Lydia Lo ◽  
Rebecca Lee
Keyword(s):  
Fine Needle Aspiration Biopsy ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Review Of The Literature ◽  
Resonance Imaging ◽  
Pelvic Ultrasound ◽  
Surgical History ◽  
History Of ◽  
Cutaneous Endometriosis ◽  
Subsequent Improvement

Background: Cutaneous endometriosis is usually associated with a preceding surgical scar; spontaneous cutaneous endometriosis is rare. We report on a case of spontaneous cutaneous endometriosis of the mons pubis as well as a review of the literature. Case: A 46-year-old woman with no surgical history presented to gynecology clinic with a 6-year history of a mass on the mons pubis causing severe cyclic pain with enlargement during menses. Initial fine needle aspiration biopsy was nondiagnostic; thus, pelvic ultrasound, magnetic resonance imaging, and a core needle biopsy were used to diagnose a mons endometrioma. The lesion was surgically excised with pathology confirming the diagnosis. The patient noted subsequent improvement in her symptoms. Conclusion: Spontaneous cutaneous endometriosis of the mons pubis can be successfully treated via surgical excision.

scholarly journals A rare clinical case: schwannoma of tongue

2019 ◽  
Vol 5 (3) ◽  
pp. 789
Author(s):  
Chandra Veer Singh ◽  
Sheetal Radia ◽  
Saalim Sheikh ◽  
Vijay Haribhakti
Keyword(s):  
Head And Neck ◽  
Rare Case ◽  
Neck Region ◽  
Surgical Excision ◽  
Imaging Studies ◽  
Head And Neck Tumours ◽  
Head And Neck Region ◽  
Complete Surgical Excision ◽  
Slow Growing ◽  
Rule Out

<p class="abstract">Schwannoma are slow growing tumours, which can arise from any peripheral nerve. 10% of schwannomas that occur in the head and neck region mostly originate from the vagus or sympathetic nervous system. Extracranial schwannomas in the head and neck region are rare neoplasm. Intraoral schwannoma are only 1% of the all head and neck tumours. Diagnosis is established by imaging studies such as magnetic resonance imaging or computed tomography, while FNAC is used to rule out other conditions. We report a rare case of lingual schwannomas generally present as a painless lump schwannoma of the tongue in a 27-year-old male complaining of asymptomatic swelling over a posterolateral surface of the tongue, treated by complete surgical excision. The diagnosis was established on the basis of clinical, histopathological, and immunohistochemical examination. We report a rare case of schwannoma over the posterolateral surface of tongue. Prognosis is good for the patient when this condition is correctly diagnosed as the condition rarely recurs after complete resection.</p>

scholarly journals Gingival Lipoma: A Rare Case Report

2017 ◽  
Vol 1 (1) ◽  
pp. 37-39
Author(s):  
Sweta Shrestha ◽  
Shaili Pradhan ◽  
Ranjita Shrestha Gorkhali
Keyword(s):  
Rare Case ◽  
Surgical Excision ◽  
Soft Tissue Tumors ◽  
Rare Case Report ◽  
Postsurgical Complication ◽  
Benign Tumours ◽  
One Year ◽  
Slow Growing ◽  
Oral Soft Tissue

Lipomas are benign tumours of mesenchymal origin (mature adipocytes) that are comparatively uncommon in the oral cavity corresponding to less than 4.4% of all benign oral soft tissue tumors. Clinically, they present as slow growing, soft, asymptomatic masses. Histopathologically, they appear as thinly encapsulated lesion composed of mature adipocytes with inconspicuous vascularity. The pathogenetic mechanisms of oral lipomas are still unclear. They are usually treated by surgical excision and bear excellent prognosis. Here we report a case of intraoral lipoma in 54 year old male patient in the left lower lingual alveolar mucosal region that was treated by surgical excision using electrocautery without any postsurgical complication. One-year follow-up showed no evidence of recurrence.

A Rare Case of Nasopharyngeal Glial Heterotopia in a Neonate

2021 ◽  
pp. 097321792110425
Author(s):  
Viveka Singh ◽  
Neha Nabar ◽  
Sanjiv Badhwar ◽  
Preetha Joshi
Keyword(s):  
Gold Standard ◽  
Rare Case ◽  
Neural Tissue ◽  
Surgical Excision ◽  
Intracranial Extension ◽  
Resonance Imaging ◽  
Radiological Studies ◽  
Rule Out ◽  
Glial Heterotopia

Nasopharyngeal glial heterotopias is an extremely rare, nonhereditary, developmental malformation manifesting as a mass composed of mature neural tissue with no intracranial continuity. Glial heterotopia is a rare, non-neoplastic, extracranial midline malformation. Nasal glioma is the most frequently encountered entity among congenital nasal masses. Cases which are associated with intracranial extension are termed as encephalocele. It must be considered in the differential diagnosis of airway obstruction in neonates. Magnetic resonance imaging is mandatory to rule out intracranial extension. We report a rare case of heterotopic brain tissue in nasopharynx with no intracranial extension to attract attention to the diagnostic workup of nasopharyngeal obstruction in a neonate with respiratory distress. Clinical examination and radiological studies are diagnostic while early surgical excision and histopathological confirmation is the gold standard. This baby underwent complete intranasal endoscopic excision of mass on day 20 of life. The postoperative course was uneventful and the baby is growing well on follow-up. This case would be one of the few cases reported from India.

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