scholarly journals Schwannoma of the lower lip mucosa: An unexpected finding

2014 ◽  
Vol 61 (3) ◽  
pp. 157-161
Author(s):  
Kanchan Raikwar ◽  
Monali Ghodke ◽  
Vikramsinh Deshmukh ◽  
Janardan Garde ◽  
Rajendrakumar Suryavanshi
Keyword(s):  
Differential Diagnosis ◽  
Oral Cavity ◽  
Surgical Excision ◽  
Benign Tumors ◽  
Unexpected Finding ◽  
Lower Lip ◽  
Medline Search ◽  
Neurogenic Tumors ◽  
Nerve Sheath ◽  
Complete Surgical Excision

Of all neurogenic tumors, about half are seen in the region of head and neck. Schwannomas are benign tumors of Schwann cells nerve sheath and are quite uncommon in the oral cavity, rarely occurring in the lip area. A MEDLINE search of the literature in English from 1969 to 2013 revealed only 20 documented cases of schwannomas of the lip. In the current study, authors reported a case of an intraoral schwannoma located in the lower lip. The diagnosis was established based on clinical and histopathological findings of the schwanoma which was treated by complete surgical excision. Although rare, schwannoma should be considered in the differential diagnosis of any nodule or mass in the oral mucosa.

scholarly journals Schwannoma of the Lower Lip Mucosa: An Unexpected Finding

2015 ◽  
Vol 6 (1) ◽  
pp. 35-37
Author(s):  
Kanchan Rajesh Raikwar ◽  
Monali H Ghodke ◽  
Vikramsinh B Deshmukh ◽  
Janardan B Garde ◽  
Rajendrakumar K Suryavanshi
Keyword(s):  
English Literature ◽  
Neck Region ◽  
Surgical Excision ◽  
Benign Tumors ◽  
Unexpected Finding ◽  
Lower Lip ◽  
Head And Neck Region ◽  
Medline Search ◽  
Neurogenic Tumors ◽  
Complete Surgical Excision

ABSTRACT Of all the neurogenic tumors, about half are seen in the head and neck region. Schwannomas are benign tumors of nerve sheath schwann cells and are quite uncommon in the oral cavity, rarely occurring in the lip area. A MEDLINE search in the English literature from 1969 to 2013 revealed only 20 documented cases of schwannomas of the lip. Although rare, schwannoma should be considered in the differential diagnosis of any nodule or mass in the oral mucosa. In the current study, authors report a case of an intraoral schwannoma situated in the lower lip. The diagnosis was established based on clinical and histopathological aspects, which was treated by complete surgical excision. How to cite this article Raikwar KR, Ghodke MH, Deshmukh VB, Garde JB, Suryavanshi RK. Schwannoma of the Lower Lip Mucosa: An Unexpected Finding. Int J Head Neck Surg 2015;6(1):35-37.

scholarly journals Intraosseous Myofibroma of the Mandible in a 7-Year-Old Patient: A Case Report

2021 ◽  
Vol 27 (1) ◽  
pp. 1-7
Author(s):  
Meshala Bala Sundram ◽  
Navasheilla Retna Retnasingam ◽  
Bahruddin Saripudin ◽  
Zuraiza Mohamad Zaini
Keyword(s):  
Differential Diagnosis ◽  
Oral Cavity ◽  
Histopathological Examination ◽  
Smooth Muscle Actin ◽  
Neck Region ◽  
Immunohistochemical Analysis ◽  
Surgical Excision ◽  
Permanent Molar ◽  
Complete Surgical Excision ◽  
Left Posterior

Myofibroma is a benign fibrous tumour that occurs predominantly in the head and neck region followed by the trunk and extremities. However, cases occurring in the oral cavity are rare, presenting with a variable clinical appearances and wide differential diagnosis.  We reported a case of a 7-year-old girl who was referred to the Department of Paediatric Dentistry, Tengku Ampuan Rahimah Hospital with a progressively enlarging painless swelling on the left posterior region of the mandible over the past 3 months.  The swelling was associated with ulceration and displaced lower left first permanent molar.  Radiographic investigations reported well-defined radiolucency at molar area, alveolar expansion and bone resorption of the left posterior alveolar ridge of the mandible. Complete surgical excision of the lesion was performed under general anaesthesia.  Histopathological examination revealed proliferation of spindle shaped cells with biphasic growth pattern. Immunohistochemical staining showed strong positivity with vimentin and smooth muscle actin whilst negative for desmin, S100 and CD34 establishing the diagnosis of myofibroma. Although rare, myofibroma should be considered as a differential diagnosis for solitary firm swelling in the oral cavity. Histopathological examination together with immunohistochemical analysis is essential for an accurate diagnosis.

scholarly journals Neurilemmoma of Retromolar Region in the Oral Cavity

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Ajit Singh Rathore ◽  
Deepti Srivastava ◽  
Nidhi Narwal ◽  
Devi Charan Shetty
Keyword(s):  
Oral Cavity ◽  
Surgical Excision ◽  
Nerve Sheath Tumor ◽  
Common Site ◽  
Immunohistochemistry Analysis ◽  
Nerve Sheath ◽  
Complete Surgical Excision ◽  
Retromolar Region ◽  
Slow Growing ◽  
Tissue Origin

Neurilemmoma also known as schwannoma is benign nerve sheath tumor rarely occurring in the oral cavity. Only 1% of all extracranial schwannomas show that intraoral occurrence with tongue is the commonest site and retromolar region is the least common site. It presents as encapsulated, slow growing, solitary, smooth-surfaced, usually asymptomatic tumor. We report a case of 70-year-old male with well-defined mass on left retromolar region which was painless and slow growing. Diagnosis is made by histological examination and immunohistochemistry analysis to confirm the neural tissue origin of the lesion. The treatment is complete surgical excision of the lesion without recurrence.

scholarly journals Extensive parapharyngeal and skull base neuroglial ectopia; a challenge for differential diagnosis and treatment: case report

2010 ◽  
Vol 128 (5) ◽  
pp. 302-305 ◽  
Author(s):  
Giulianno Molina de Melo ◽  
Gabrielle do Nascimento Holanda Gonçalves ◽  
Ricardo Antenor de Souza e Souza ◽  
Danilo Anunciatto Sguillar
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Skull Base ◽  
Infratemporal Fossa ◽  
Newborn Infants ◽  
Surgical Excision ◽  
Neck Mass ◽  
Oral Feeding ◽  
Feeding Difficulties ◽  
Complete Surgical Excision

CONTEXT: Neuroglial ectopia has been defined as a mass composed of differentiated neuroectodermal tissue isolated from the spinal canal or cranial cavity and remains rare. This lesion has to be considered in the differential diagnosis among newborn infants with classical symptoms of respiratory distress, neck mass and feeding difficulties. We present a rare case of extensive parapharyngeal and skull base neuroglial ectopia in 6-month-old girl who presented respiratory and feeding obstruction at birth. CASE REPORT: A six-month-old girl who presented upper respiratory and feeding obstruction at birth and was using tracheostomy and gastrostomy tubes was referred to our institution. Complete surgical excision of the mass consisted of a transcervical-transparotid approach with extension to the infratemporal fossa by means of a lateral transzygomatic incision, allowing preservation of all vital neurovascular structures. The anatomopathological examination showed a solid mass with nests of neural tissue, with some neurons embedded in poorly encapsulated fibrovascular stroma, without mitotic areas, and with presence of functioning choroid plexus in the immunohistochemistry assay. Neurovascular function was preserved, thus allowing postoperative decannulation and oral feeding. Despite the large size of the mass, the child has completed one year and six months of follow-up without complications or recurrence. Neuroglial ectopia needs to be considered in diagnosing airway obstruction among newborns. Surgical treatment is the best choice and should be performed on clinically stable patients. An algorithm to guide the differential diagnosis and improve the treatment was proposed.

scholarly journals Angioleiomyoma of the Larynx: A Case Report and Literature Review

2020 ◽  
Vol 99 (10) ◽  
pp. 658-663
Author(s):  
Federica Perardi ◽  
Giuseppe Abbate ◽  
Leonardo R. Iannuzzelli ◽  
Rossella Contini ◽  
Manuela De Munari ◽  
...  
Keyword(s):  
Carbon Dioxide ◽  
Differential Diagnosis ◽  
Smooth Muscle ◽  
Case Report ◽  
Gold Standard ◽  
Carbon Dioxide Laser ◽  
Standard Treatment ◽  
Surgical Excision ◽  
Laser Technology ◽  
Complete Surgical Excision

Angioleiomyoma is a benign smooth muscle and vessel tumor; laryngeal localization is extremely rare with only 24 cases described in the literature; moreover, it should be considered in the differential diagnosis of laryngeal mass. Endoscopic complete surgical excision with dissection along capsule is now considered the gold-standard treatment for small and well-circumscribed laryngeal angioleiomyoma. We present a case of laryngeal angioleiomyoma successfully treated with carbon dioxide laser technology which resulted in a bleeding reduction and adequate hemostasis with less tissue damage and good functional outcome.

The Nasolabial Cyst-Nasal Hamartoma

1987 ◽  
Vol 96 (3) ◽  
pp. 268-272 ◽  
Author(s):  
Daniel B. Kuriloff
Keyword(s):  
New York ◽  
Differential Diagnosis ◽  
Nasal Obstruction ◽  
Maxillary Sinusitis ◽  
Surgical Excision ◽  
Odontogenic Cysts ◽  
Facial Deformity ◽  
Developmental Origin ◽  
Complete Surgical Excision

The nasolabial cyst is an uncommon midfacial cyst. Twenty-six patients with nasolabial cysts were treated at the New York Eye and Ear infirmary from 1969 to 1986. Most of these lesions manifested facial deformity, unilateral nasal obstruction, and pain when infected. The nasolabial cyst is often unrecognized or confused with other intranasal masses, or fissural and odontogenic cysts. Infection of these lesions—which occurred in 50% of the patients—may mimic facial cellulitis, periodontal abscess, acute maxillary sinusitis, or nasal furuncies. This cyst is considered to be a hamartoma because of its developmental origin from entrapped epithelium in an embryonic fusion plane. Simple aspiration invariably leads to recurrence, and complete surgical excision is the accepted treatment. The nasolabial cyst should be considered in the differential diagnosis of intranasal masses, midface infections, and swelling in the nasolabial area.

scholarly journals Intralingual Dermoid Cysts: A Report of Two New Cases

2000 ◽  
Vol 79 (5) ◽  
pp. 380-383 ◽  
Author(s):  
David Myssiorek ◽  
James Lee ◽  
Patricia Wasserman ◽  
Elizabeth Lustrin
Keyword(s):  
Magnetic Resonance Imaging ◽  
Differential Diagnosis ◽  
Magnetic Resonance ◽  
Oral Cavity ◽  
English Language ◽  
Surgical Excision ◽  
Resonance Imaging ◽  
Common Site ◽  
Floor Of The Mouth ◽  
Language Literature

Dermoid cysts of the oral cavity are rare. When they do occur, the most common site is the floor of the mouth. Intralingual dermoid cysts are even more rare, and until now, there were only 15 such reports in the English-language literature. In this article, we describe two additional cases. Magnetic resonance imaging is extremely helpful in establishing a differential diagnosis. Surgical excision is recommended to correct deglutition and speech problems. Its rarity notwithstanding, dermoid cyst should be considered in the differential diagnosis of tongue masses in the younger population.

scholarly journals Pleomorphic Adenoma of the Ala Nasi: A Case Report

2019 ◽  
Vol 12 ◽  
pp. 117955061988656
Author(s):  
Amina Mouzali ◽  
Samia Lameche ◽  
Assia Slimani ◽  
Omar Zemirli
Keyword(s):  
Pleomorphic Adenoma ◽  
Minor Salivary Gland ◽  
Surgical Excision ◽  
Myoepithelial Cells ◽  
Benign Tumors ◽  
Complete Surgical Excision ◽  
External Nose ◽  
Pleomorphic Adenomas ◽  
Long Term Follow Up ◽  
The Right

Objectives: Pleomorphic adenomas are benign tumors that rarely involve nonsalivary glands. We report an uncommon case of ala nasi pleomorphic adenoma. We discuss the clinical and histopathologic characteristics, and review the literature on nasal pleomorphic adenoma. Method: A 20-year-old man presented with a painless slow growing lobulated mass located on the right ala nasi extending into the nasal vestibule. Results: Complete surgical excision was performed. Histologic examination found a mixed cellular component: epithelial and myoepithelial cells with chondromyxoid stroma. This was consistent with the diagnosis of a typical pleomorphic adenoma. There was no evidence of recurrence at 18 months after the surgery. Conclusions: Pleomorphic adenomas located in the external nose are extremely rare. In such case, pleomorphic adenoma could originate from ectopic minor salivary gland. Complete surgical excision with long-term follow-up is recommended due to the potential risk of recurrence and malignant transformation.

scholarly journals Sialolithiasis of minor salivary glands

2015 ◽  
Vol 63 (1) ◽  
pp. 63-68 ◽  
Author(s):  
Isabela Fernandes SOUZA ◽  
Michele Montini KAWATAKE ◽  
Andresa Borges SOARES ◽  
Paulo de Camargo MORAES ◽  
Vera Cavalcanti de ARAÚJO ◽  
...  
Keyword(s):  
Oral Cavity ◽  
Salivary Glands ◽  
Surgical Excision ◽  
Minor Salivary Glands ◽  
Upper Lip ◽  
Lower Lip ◽  
Favorable Prognosis ◽  
Appropriate Treatment ◽  
Treatment Plans ◽  
Microscopic Findings

Sialolithiasis, or salivary calculus, is a disease of the salivary glands, characterized by the formation of mineralized structures within the excretory salivary ducts or the glandular parenchyma. Approximately 80% occur in the submandibular gland, followed by the parotid and sublingual glands. Although rare, sialolithiasis can also occur in the minor salivary glands. Although the oral cavity and upper lip are the most common sites, they can develop in any region of the oral cavity that contains minor salivary glands. Treatment is based on surgical excision of the lesion, with a favorable prognosis. This study presents three cases of sialolithiasis of minor salivary glands of the upper and lower lip, addresses their clinical characteristics and correlation with microscopic findings, diagnosis and treatment plans. Etiology and factors that should be considered during diagnosis, appropriate treatment and improved prognosis are discussed in this study.

A LARGE SCALP MYXOID NEUROFIBROMA AN UNUSUAL PRESENTATION IN A MIDDLE- AGED PATIENT: A RARE CASE REPORT

2021 ◽  
pp. 18-20
Author(s):  
Subhabrata Das ◽  
Mala Mistri ◽  
Sukanta Sikdar
Keyword(s):  
Differential Diagnosis ◽  
S100 Protein ◽  
Surgical Excision ◽  
Fluctuation Test ◽  
Complete Surgical Excision ◽  
Rare Case Report ◽  
Choice Of Treatment ◽  
The Face ◽  
Scalp Location ◽  
Giant Size

The transformed cells in a neoplasm, whether benign or malignant, often resemble each other, as though all had been derived from a single progenitor, consistent with the monoclonal origin of the tumor. Myxoid neurobroma (MN) is a benign tumor of perineural origin, which is demonstrated by positive immunohistochemical staining for S100 protein. The most common locations are the face, shoulder, anus, periungual, and feet. To our knowledge, this is the first report of an MN in the scalp, which is a very rare location that has been reported earlier. The differential diagnosis of the tumor at this location MN should be kept in mind. This 56 years old male who presented with a large swelling in the scalp (occipital region) which extended to the nape of nack for last 3 years which is gradually increasing in size along with heaviness, intermittent severe pain in the head. Clinically (25x20) cm size swelling in the occipital area and extending to the nape of the neck. The swelling is nontender. It is ovoid in shape . Soft cystic in consistency, the surface is smooth, margins are well dened, the mobility is absent. Fluctuation test is negative but the swelling is brilliantly transilluminant. CONCLUSION: We report this case because of the rarity of both the tumor and its scalp location and also a giant size and to provide a review of the literature. This case study illustrates that any slowly progressing swelling in an unusual location should have been properly investigated and complete surgical excision is the preferred choice of treatment for future recurrence. The MN should be included in the differential diagnosis of tumors at this location.

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