scholarly journals Asymptomatic nodule on face: Dermoscopic and histopathological clue for diagnosis

2020 ◽  
Vol 17 (1) ◽  
pp. 63-65
Author(s):  
Anisha Joshi ◽  
Deeptara Pathak Thapa

Schwannomas/ neurilemmomas are benign tumors of nerve sheath arising from Schwann cells that form myelin sheath around peripheral nerves. They are usually solitary, slow growing and encapsulated lesions. Head and neck are the common sites. We report a case of a 38 years old Nepalese female who had presented with a solitary asymptomatic, slow growing nodule on the left side of the chin for the last three years. Dermoscopy of the lesion revealed arborizing vessels with brownish pigmentation overlying a whitish to pinkish background. Complete excision of the lesion was performed. Histopathological evaluation of the lesion revealed schwannoma. Though schwannomas are a rare diagnosis, they should be considered as a differential diagnosis of any unilateral, asymptomatic, slow growing nodule in the head and neck region. Dermoscopy is a useful tool which helps to differentiate schwannoma from other lesions. Histopathology is the gold standard for diagnosis and the treatment of choice is surgical excision.  

2013 ◽  
Vol 5 (2) ◽  
pp. 14-16
Author(s):  
Hemantkumar Onkar Nemade ◽  
Subbalaxmi Atmaram Jaiswal ◽  
Vidhyadhar Rudrappa Borade

ABSTRACT Schwannomas are slow growing, encapsulated, solitary, benign tumors. They can arise from any myelinated nerve as they are tumors of neural sheath Schwann cells. Schwannoma seen in head and neck region are most commonly found in tongue, floor of mouth but rarely in oropharynx and tonsils. They are usually asymptomatic and rarely undergo malignant transformation. Schwannomas are considered radioresistant and recure less frequently after complete excision. Hence, complete surgical excision is treatment of choice. We are presenting a case of elderly female with oropharyngeal schwannoma completely extirpated transorally by dissection method by cold instruments. Due to rarity of presentation the surgical approach to this lesion is not well established. Following surgery the raw area created was well epithelized and patient relieved symptoms without significant morbidity. We conclude that this is a cost-effective and simple approach for management of other similar cases in future.


2013 ◽  
Vol 5 (2) ◽  
pp. 104-106
Author(s):  
Hemantkumar Onkar Nemade ◽  
Subbalaxmi Atmaram Jaiswal ◽  
Vidhyadhar Rudrappa Borade

ABSTRACT Schwannomas are slow growing, encapsulated, solitary, benign tumors. They can arise from any myelinated nerve as they are tumors of neural sheath Schwann cells. Schwannoma seen in head and neck region are most commonly found in tongue, floor of mouth but rarely in oropharynx and tonsils. They are usually asymptomatic and rarely undergo malignant transformation. Schwannomas are considered radioresistant and recure less frequently after complete excision. Hence, complete surgical excision is treatment of choice. We are presenting a case of elderly female with oropharyngeal schwannoma completely extirpated transorally by dissection method by cold instruments. Due to rarity of presentation the surgical approach to this lesion is not well established. Following surgery the raw area created was well epithelized and patient relieved symptoms without significant morbidity. We conclude that this is a cost-effective and simple approach for management of other similar cases in future. How to cite this article Nemade HO, Jaiswal SA, Borade VR. Schwannoma of Oropharynx: A Rare Presentation. Int J Otorhinolaryngol Clin 2013;5(2):104-106.


Author(s):  
Chandra Veer Singh ◽  
Sheetal Radia ◽  
Saalim Sheikh ◽  
Vijay Haribhakti

<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>


2020 ◽  
Vol 13 (1) ◽  
pp. 78-82
Author(s):  
Brihaspati Sigdel ◽  
Rajesh Maharjhan ◽  
Tulika Dubey ◽  
Bhima Neupane

Hemangiomas of the head and neck region comprise about 60 to 70% of all benign tumors. Intramuscular hemangioma is a rare, slow-growing, angiomatous tumor. We report a rare case of an Intramuscular Hemangioma of Right sternocleidomastoid muscle in a six years old girl presenting for four years and with extensive involvement necessitating excision. Microscopic excision reduces the risk of recurrence.


2021 ◽  
Vol 10 (22) ◽  
pp. 1735-1738
Author(s):  
Geetha Rajendran ◽  
Karthik Ragupathy ◽  
Sanjay Pasupathy ◽  
Ganesh Ramakrishnan ◽  
Kiruthika Shriranjani

Schwannomas are relatively rare benign neoplasms of neurogenic origin from the neural sheath of peripheral nerves occurring more commonly in the head and neck. Mandibular bone is the commonest site of occurrence of these nerve lesions. Radiographically, intraosseous schwannoma of mandible is very difficult to differentiate from other bony pathologies such as neurofibroma, ameloblastoma, fibrous dysplasia, myxoma, central giant cell lesion, or periapical lesion, so it should be included in the differential diagnosis of lower jaw swelling. Schwannoma as a pathologic entity was first reported in 1910 by Verocay. Schwannoma (also known as neurinoma, neurolemmoma, neurilemmoma, perineural fibroblastoma, and peripheral nerve sheath tumour) is a rare, slowgrowing, benign neurogenic neoplasm that originated from Schwann cells. Schwann cells cover myelinated sheath of nerve fibres.1 These intraosseous schwannomas account for not more than 1 % of the central neoplasms. More than one third of all schwannomas are found in the head and neck region. 2 Most of these originate from the lower cranial nerve and sympathetic nervous system. Schwannomas from the upper cranial nerves such as trigeminal nerve and its branches are less common. Other commonly reported sites include the vertebra, clavicle, ribs, sacrum, humerus, ulna radius, etc. This painless slow-growing neoplasm may develop at any age.


Author(s):  
Mohd Shaiful Nizam Mamat Nasir ◽  
Bathma Dhevi Susibalan ◽  
Mohd Najeb Md Soleh ◽  
Nor Hafliza Md Salleh ◽  
Irfan Mohamad

Schwannomas are benign tumors arising from Schwann cells of the sheaths of peripheral nerves. Although vagus nerve and sympathetic chain composed of sympathetic fibers is one of the most common sites of schwannomas in extracranial head and neck region, many cases of origin unknown schwannomas were reported. We report an unusual rare case of a submandibular gland schwannoma in a 67-year-old lady, who was successfully treated by surgical excision with no cranial nerve deficits and complete resolution of the symptoms postoperatively. In this report, we establish a rare findings of schwannoma of the submandibular gland and to the best of our knowledge, this is the first case-report of schwannoma of submandibular gland reported from a tertiary hospital in the east coast of Malaysia.International Journal of Human and Health Sciences Vol. 02 No. 01 Jan’18. Page : 38-40


Author(s):  
Shalini Jain ◽  
Sahil Maingi ◽  
Ancy S. Sofia ◽  
A. K. Rai

<p class="abstract">Lipoma is a benign mesenchymal tumor with a thirteen percent incidence in head and neck region. Posterior triangle is the most common location while anterior neck lipoma is a rare one. Giant lipomas &gt;10 cm have been reported in different parts of the body but rarely in the anterior neck. Surgical excision remains the treatment of choice. We here report a case of giant anterior neck lipoma in a 50 year old male managed surgically.</p>


2020 ◽  
Vol 10 (3) ◽  
pp. 106-108
Author(s):  
Geha Raj Dahal

Lymphangioma is a common pediatric problem. Most of the lymphangiomas occur in head and neck region. Lymphangioma arising from omentum is extremely rare. It is a benign condition butis locally invasive. Symptoms usually arise from its mass effect or complications. Complete excision including removal of all loculi is necessary for cure. We report such a case of omental lymphangiomain a six-year boy.


2010 ◽  
Vol 67 (7) ◽  
pp. 596-599
Author(s):  
Milan Jovanovic ◽  
Ljiljana Cvorovic ◽  
Rastislav Poljovka ◽  
Aleksandar Oroz ◽  
Ljubomir Pavicevic

Introduction. Schwannomas are tumors of neurogenic origin, that arise from Schwann cells which surround peripheral, cranial and autonomic nerves. Schwannomas account for only 5% of all benign soft tissue tumors, and 25-45% of extracranial schwannomas are present in the head and neck region. They are usually classified according to the nerve of origin and the site within the head and neck. Case report. We presented extremely rare extracranial localizations of schwannomas and discussed about diagnosis and management of these tumors. Conclusion. Schwannomas are slow-growing tumors and late symptoms appearance may cause a delay in diagnosis and treatment of patients with these tumors. An appropriate diagnostic protocol is indispensable tool in performing a differential diagnosis of malignant from benign lesions. Choice of surgical approach depends on schwannomas localization.


2011 ◽  
Vol 05 (03) ◽  
pp. 340-343 ◽  
Author(s):  
Ozkan Miloglu ◽  
Sare Sipal Altas ◽  
Mustafa Cemil Buyukkurt ◽  
Burak Erdemci ◽  
Oguzhan Altun

ABSTRACTRhabdomyosarcoma (RMS), a tumor of skeletal muscle origin, is the most common soft tissue sarcoma encountered in childhood and adolescence. The common sites of occurrence are the head and neck region, genitourinary tract, retroperitonium, and, to a lesser extent, the extremities. In the head and neck region, the most commonly affected sites are the orbit, paranasal sinuses, soft tissues of the cheek, and the neck. RMS is relatively uncommon in the oral cavity, and the involvement of the jaws is extremely rare. Here, we report a case of oral RMS in a 13-year-old child and describe the clinical, radiological, histopathological, and immunohistochemical findings. (Eur J Dent 2011;5:340-343)


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