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 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 Asymptomatic nodule on face: Dermoscopic and histopathological clue for diagnosis

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.  

scholarly journals Castleman’s Disease Presenting as a Parotid Mass in the Pediatric Population: A Report of 2 Cases

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Sean W. Delaney ◽  
Shengmei Zhou ◽  
Dennis Maceri
Keyword(s):  
Pediatric Population ◽  
Castleman’S Disease ◽  
Neck Region ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Castleman's Disease ◽  
Pathologic Examination ◽  
Diagnostic Challenge ◽  
Angiofollicular Lymph Node Hyperplasia ◽  
Complete Excision

Introduction. Angiofollicular lymph node hyperplasia (Castleman’s disease) is a nonmalignant lymphoproliferative disorder that generally involves the lymph nodes of young adults, most commonly in the mediastinum. Rarely, Castleman’s disease may present in the parotid gland. The disease can be further classified into unicentric or multicentric forms, with considerable differences in presentation, treatment, and prognosis.Case(s). We present cases of two pediatric patients, aged 7 and 11, who both presented with a slow-growing, painless parotid mass. In each case, the mass was excised via a superficial parotidectomy and the diagnosis made postoperatively upon further pathologic examination. At 6 months of follow-up, both had fully intact facial nerve function and no evidence of recurrence.Discussion. Castleman’s disease presents a diagnostic challenge in the head and neck region, as radiographic characteristics and fine needle aspiration results are often inconclusive. Definitive diagnosis requires surgical excision for pathologic examination. The unicentric form generally presents as a painless mass and can be successfully treated with complete excision. The multicentric form is associated with constitutional symptoms and its treatment remains controversial.Conclusion. Although rare, clinicians should be aware of both forms of Castleman’s disease when creating a differential diagnosis for parotid masses.

scholarly journals Large Neurilemmoma of Buccal Mucosa in a Child – A Rare Entity

2016 ◽  
Vol 24 (1) ◽  
pp. 39-42
Author(s):  
Sirshak Dutta ◽  
Neeraj Aggarwal ◽  
Avijit Choudhury ◽  
Ramanuj Sinha
Keyword(s):  
Buccal Mucosa ◽  
Rare Case ◽  
Needle Aspiration ◽  
Rare Entity ◽  
Review Of Literature ◽  
Aspiration Cytology ◽  
Myelinated Nerve ◽  
Nerve Sheath ◽  
Needle Aspiration Cytology ◽  
Head Neck

  Introduction: Neurilemmoma or Schwannomas are benign tumour arising from the nerve sheath of myelinated nerve. Head neck neurilemmomas are not uncommon but intraoral region is very uncommon for this type of tumour. Case Report: A very rare case of buccal neurilemmoma in an eleven year old child, but much larger than other reported case is reported in the present article with review of literature. Discussion: Among the intraoral subsites, very few cases of neurilemmoma are reported to be situated in the buccal mucosa. Diagnostic dilemmas due to Fine needle aspiration cytology with features often resembling that of pleomorphic salivary adenomas are reported. The size of the tumour was larger than the cases reported in literature till date. The age of the patient was also much younger than the other reported cases, which made the present case unique.

scholarly journals Synovial Sarcoma of the Floor of the Mouth: A Rare Clinical Entity with Review of Literature

2015 ◽  
Vol 6 (2) ◽  
pp. 49-52
Author(s):  
Sudhir Naik ◽  
Rajshekar Halkud ◽  
KT Siddappa ◽  
A Nanjundappa ◽  
Siddharth Biswas ◽  
...  
Keyword(s):  
Synovial Sarcoma ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Clinical Entity ◽  
Rare Clinical Entity ◽  
Review Of Literature ◽  
Spindle Cell Neoplasm ◽  
Food Residue ◽  
Floor Of The Mouth ◽  
Needle Aspiration Cytology

ABSTRACT Background Head and neck synovial sarcoma (SS) amounts to 6.8% of all total body SS, with high incidences in the hypopharynx, postpharyngeal region and the parapharyngeal space. Also, incidences of SS in the tongue, soft palate, mandible, buccal mucosa, floor of the mouth, lungs, thymus, trunk and posterior peritoneum are reported. Case report We report a case of 12-year-old girl with swelling in the floor of the mouth for 2 months. The patient had difficulty in speech, tongue movements, poor oral hygiene due to food residue collecting around the tumor in the floor of the mouth. A smooth 4 × 4 cm globular mass arising from the floor of the mouth with the fine needle aspiration cytology (FNAC) as spindle cell neoplasm. Wide excision and immunohistology confirmed it as calcified synovial sarcoma, hence postoperative chemotherapy was given. There is no recurrence for the past 3 years. Conclusion Synovial sarcoma is a rare tumor in the oral cavity, which is slow growing and of variable aggressiveness. Immunohistological analysis confirming the diagnosis and wide surgical excision with adjuvant chemotherapy is the modality preferred in these cases. Recurrence is common in the first 2 years of therapy but can occur later also. How to cite this article Nanjundappa A, Naik SM, Halkud R, Chavan P, Siddappa KT, Biswas S. Synovial Sarcoma of the Floor of the Mouth: A Rare Clinical Entity with Review of Literature. Int J Head Neck Surg 2015;6(2):49-52.

Dermatofibrosarcoma protuberans. A rare case involving the pediatric foot

1999 ◽  
Vol 89 (8) ◽  
pp. 419-423 ◽  
Author(s):  
JA Cione ◽  
B Lynn ◽  
J Boylan
Keyword(s):  
Rare Case ◽  
Malignant Neoplasm ◽  
Neck Region ◽  
Dermatofibrosarcoma Protuberans ◽  
Surgical Excision ◽  
Head And Neck Region ◽  
Pathologic Features ◽  
Pediatric Foot ◽  
Grade Malignancy ◽  
Slow Growing

Dermatofibrosarcoma protuberans is a rare, slow-growing, locally destructive, intermediate-grade malignancy that originates in the dermal layer of the skin. Dermatofibrosarcoma protuberans rarely metastasizes and has a marked tendency to recur following local surgical excision. The lesion is found most commonly on the trunk, on the proximal aspect of both the lower and upper extremities, and in the head and neck region. Dermatofibrosarcoma protuberans occurs most commonly in people between the ages of 20 and 50. This article describes the clinical and pathologic features of this rare, malignant neoplasm and describes a rare case of dermatofibrosarcoma protuberans involving the pediatric foot.

Schwannoma of Oropharynx: A Rare Presentation

2013 ◽  
Vol 5 (2) ◽  
pp. 14-16
Author(s):  
Hemantkumar Onkar Nemade ◽  
Subbalaxmi Atmaram Jaiswal ◽  
Vidhyadhar Rudrappa Borade
Keyword(s):  
Neck Region ◽  
Cost Effective ◽  
Surgical Excision ◽  
Benign Tumors ◽  
Rare Presentation ◽  
Myelinated Nerve ◽  
Complete Excision ◽  
Head And Neck Region ◽  
Complete Surgical Excision ◽  
Slow Growing

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.

scholarly journals Lipofibromatosis: An Unusual Head and Neck Mass in the Paediatric Age Group

2011 ◽  
Vol 26 (1) ◽  
pp. 39-41
Author(s):  
Yogender Singh Kadian ◽  
Kamal Nain Rattan ◽  
Shalini Aggarwal ◽  
Shilpi Modi ◽  
Rajnish Kalra
Keyword(s):  
Head And Neck ◽  
Neck Region ◽  
Surgical Excision ◽  
Needle Aspiration ◽  
Neck Mass ◽  
Soft Tissue Neoplasm ◽  
Complete Excision ◽  
Complete Surgical Excision ◽  
Paediatric Age ◽  
Rare Lesion

Objective: To describe a rare case of lipofibromatosis presenting as a head and neck mass in a 6-year-old child.   Method: Design: Case Report Setting: Tertiary Public General Hospital Patient: One   Result: A six-year-old male child admitted with a large right head and neck region mass underwent complete excision of a possible soft tissue neoplasm following investigations which included Fine Needle Aspiration Cytology, Ultrasonography and Computed Tomography. Histopathological examination yielded lipofibromatosis, a very rare lesion with a distinctive fibrofatty pattern. The patient was well with no recurrence after three months of follow up.   Conclusion: Although lipofibromatosis is a rare lesion in children and has a predilection for distal extremities, it may also present as a mass in the head and neck area. Complete surgical excision is feasible and is the only treatment option available for this rare lesion   Keywords: lipofibromatosis

Schwannoma of Oropharynx: A Rare Presentation

2013 ◽  
Vol 5 (2) ◽  
pp. 104-106
Author(s):  
Hemantkumar Onkar Nemade ◽  
Subbalaxmi Atmaram Jaiswal ◽  
Vidhyadhar Rudrappa Borade
Keyword(s):  
Neck Region ◽  
Cost Effective ◽  
Surgical Excision ◽  
Benign Tumors ◽  
Rare Presentation ◽  
Myelinated Nerve ◽  
Complete Excision ◽  
Head And Neck Region ◽  
Complete Surgical Excision ◽  
Slow Growing

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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