Schwannoma of Oropharynx: A Rare Presentation

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.

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Asymptomatic nodule on face: Dermoscopic and histopathological clue for diagnosis

Nepal Journal of Neuroscience ◽

10.3126/njn.v17i1.28369 ◽

2020 ◽

Vol 17 (1) ◽

pp. 63-65

Author(s):

Anisha Joshi ◽

Deeptara Pathak Thapa

Keyword(s):

Head And Neck ◽

Peripheral Nerves ◽

Neck Region ◽

Surgical Excision ◽

Benign Tumors ◽

Complete Excision ◽

Head And Neck Region ◽

The Common ◽

Slow Growing ◽

Rare Diagnosis

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.

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A rare clinical case: schwannoma of tongue

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20191464 ◽

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>

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Novel surgical technique for management of tongue schwannoma: case report

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20191754 ◽

2019 ◽

Vol 5 (3) ◽

pp. 804

Author(s):

Neha Jain ◽

Shama Shishodia ◽

Ruchima Dham ◽

Suparna Roy ◽

Sachin Goel

Keyword(s):

Case Report ◽

Treatment Options ◽

Neck Region ◽

Surgical Excision ◽

Uneventful Recovery ◽

Common Site ◽

Head And Neck Region ◽

Complete Surgical Excision ◽

Oral Approach ◽

Slow Growing

<p class="abstract">Schwannomas are rare, solitary, slow growing, smooth surfaced and well encapsulated tumors. Schwannomas of head and neck region account for 25-40% of all the cases. Approximately 1%–12% of schwannomas occur intraorally, the tongue being the most common site. Complete surgical excision is the treatment of choice. In this article, we describe a case of tongue schwannoma in a child, along with diagnostic and treatment options of tongue lesions. The tongue mass was completely excised via trans-oral approach using coblation method. The patient followed up for 1 year; he had an uneventful recovery and no recurrence.</p>

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Schwannoma of the Lower Lip Mucosa: An Unexpected Finding

International Journal of Head and Neck Surgery ◽

10.5005/jp-journals-10001-1217 ◽

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.

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Mucosal melanoma arising in the eustachian tube

The Journal of Laryngology & Otology ◽

10.1017/s0022215106004762 ◽

2006 ◽

Vol 120 (3) ◽

pp. 1-3 ◽

Cited By ~ 8

Author(s):

Seung Jae Baek ◽

Mee Hyun Song ◽

Beum Jin Lim ◽

Won Sang Lee

Keyword(s):

Literature Review ◽

Eustachian Tube ◽

Adjuvant Radiotherapy ◽

Systemic Chemotherapy ◽

Neck Region ◽

Surgical Excision ◽

Mucosal Melanoma ◽

Complete Excision ◽

Head And Neck Region ◽

Mass Size

Mucosal melanoma is a very rare disease. Most cases have their origins in the head and neck region. To date, only three cases of melanoma originating from the eustachian tube have been reported. We present a case of mucosal melanoma of eustachian tube origin in which a complete excision was performed. In this case, the patient underwent adjuvant radiotherapy and the mass size greatly decreased, which aided subsequent surgical excision. Systemic chemotherapy was not utilized in this case; however, it is often used for palliative purposes. A literature review is also presented.

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Intramuscular Hemangioma of the sternocleidomastoid muscle: A Rare Unusual Neck Mass

Journal of Gandaki Medical College-Nepal ◽

10.3126/jgmcn.v13i1.29038 ◽

2020 ◽

Vol 13 (1) ◽

pp. 78-82

Author(s):

Brihaspati Sigdel ◽

Rajesh Maharjhan ◽

Tulika Dubey ◽

Bhima Neupane

Keyword(s):

Head And Neck ◽

Rare Case ◽

Neck Region ◽

Neck Mass ◽

Sternocleidomastoid Muscle ◽

Benign Tumors ◽

Head And Neck Region ◽

Intramuscular Hemangioma ◽

Slow Growing ◽

Extensive Involvement

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.

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Omental Lymphangioma in Adults—Rare Presentation Report of a Case

Case Reports in Surgery ◽

10.1155/2012/629482 ◽

2012 ◽

Vol 2012 ◽

pp. 1-3 ◽

Cited By ~ 2

Author(s):

T. Narayana Rao ◽

T. Parvathi ◽

A. Suvarchala

Keyword(s):

Case Report ◽

Histopathological Examination ◽

Benign Lesion ◽

Surgical Excision ◽

Histological Findings ◽

Rare Presentation ◽

Complete Excision ◽

Complete Surgical Excision ◽

Biopsy Report

Lymphangioma is an uncommon benign lesion that usually occurs during childhood. Its occurrence in adults is rare. Its presentation in the abdomen is even rare. This case report describes a case of omental lymphangioma presented as retroperitoneal lump. Subsequent imaging, operative, and histological findings revealed omental lymphangioma. Laparotomy done under general anesthesia, a 10 × 12 cm cystic swelling arising from omentum, identified complete excision of the cyst done and send the specimen for histopathological examination. Biopsy report came as omental lymphangioma. Complete surgical excision is the treatment of choice. Prognosis is excellent and recurrence rate is very low if resection is complete. During two years of followup no recurrence was detected. Omental lymphangioma is very rare presentation among abdominal lymphangiomas specifically in adults. Complete excision is the treatment of choice. Long-term followup is required to detect recurrence.

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Malignant Chondroid Syringoma With Nose and Paranasal Sinus Extension: A Case Report

Allergy & Rhinology ◽

10.1177/2152656719893367 ◽

2019 ◽

Vol 10 ◽

pp. 215265671989336

Author(s):

Raghul Sekar ◽

Raja Kalaiarasi ◽

Sivaraman Ganesan ◽

Arun Alexander ◽

Sunil K. Saxena

Keyword(s):

Benign Tumor ◽

Bone Destruction ◽

Neck Region ◽

Surgical Excision ◽

Mixed Tumor ◽

Head And Neck Region ◽

Chondroid Syringoma ◽

Slow Growing ◽

Nose And Sinuses

Chondroid syringoma is a rare, skin appendageal tumor. It is also known as mixed tumor of skin, as it histologically resembles mixed tumor of salivary gland (pleomorphic adenoma). It is most commonly a benign tumor, but a few malignant counterparts have been described in history. It usually presents as a solid, slow-growing, solitary, and painless nodule in the head and neck region. Malignant counterpart is rare and commonly affects trunk and extremities. Early diagnosis and surgery by wide local excision are the most reliable treatments to date. Recurrences are common and hence close follow-up is advised. In this study, we present a case of malignant chondroid syringoma of face with extensive extension into nose and paranasal sinuses, which was recurrent and managed by surgical excision and radiotherapy. To the best of our knowledge, this is the first reported case with extension and bone destruction into nose and sinuses.

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Fibromatosis aggressiva of parapharyngeal space – a case report and review of literature.

Polski Przegląd Otorynolaryngologiczny ◽

10.5604/01.3001.0010.0179 ◽

2017 ◽

Vol 6 (2) ◽

pp. 10-15

Author(s):

Angelika Piotrowska ◽

Anna Rzepakowska ◽

Piotr Chęciński ◽

Kazimierz Niemczyk

Keyword(s):

Parapharyngeal Space ◽

Neck Region ◽

Aggressive Fibromatosis ◽

Surgical Excision ◽

Review Of Literature ◽

Head And Neck Region ◽

Desmoid Fibromatosis ◽

Complete Surgical Excision ◽

High Local Recurrence Rate

Desmoid fibromatosis is defined as a rare fibroblastic proliferation. Although histologically benign, desmoids are locally invasive and associated with a high local recurrence rate. When located in the head and neck region, fibromatosis tends to be more aggressive and associated with significant morbidity, which may be attributed to the proximity of the vital structures. We report a case of 33-year-old woman with aggressive fibromatosis of parapharyngeal space. Complete surgical excision of the lesion was performed and the postoperative period was without complications. The patient remains under careful follow-up and there is no recurrence of the disease.

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