Skip to main content

Advertisement

Log in

Intraosseous Neurofibroma in the Mandible: Two Rare Case Reports

  • Case Report
  • Published:
SN Comprehensive Clinical Medicine Aims and scope Submit manuscript

Abstract

Neurofibroma is the most common type of peripheral nerve neoplasm arising from a mixture of cell types, including Schwann cells and perineurial fibroblasts. We report two unusual cases where patients presented with intraosseous swelling of the jaw. On clinical examination, both patients presented with swelling of the jaw. Imaging showed ill-defined radiolucency in one case and well-defined corticated radiolucency with a soap-bubble appearance in the other case. Biopsy with adjuvant immunohistochemistry revealed features suggestive of neurofibroma. Both cases were managed surgically. The second case in the male patient was recurrent and transformed into atypical neurofibroma. Despite being a benign tumor, neurofibroma is locally aggressive. Commonly found in soft tissues of the body, neurofibromas are rare in the head and neck region. But the intraosseous location of this tumor in the mandible is an exceptional case.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12
Fig. 13
Fig. 14
Fig. 15
Fig. 16
Fig. 17
Fig. 18
Fig. 19
Fig. 20
Fig. 21
Fig. 22
Fig. 23
Fig. 24

Similar content being viewed by others

Data Availability

The data being reported is accurate.

Code Availability

Not applicable.

References

  1. Neville BW, Damm DD, Allen  CM, Chi AC JE. Oral  and  Maxillofacial  Pathology  4th  ed.  StLouis: Elsevier. 2016. p. 494–5.

  2. Bruce KW. Solitary neurofibroma (neurilemmoma, schwannoma) of the oral cavity. Oral Surg Oral Med Oral Pathol Oral Radiol. 1954;7(11):1150–9.

    Article  CAS  Google Scholar 

  3. Thompson LD, Bullerdiek J, Flucke U, Franchi A, et al. WHO classification of head and neck tumors. Benign soft tissue tumours, 4th edn. International Agency on research on cancer, Lyon Cedex 08: 2017; p. 498–509.

  4. Iqbal A, Tamgadge S, Tamgadge A, Chande M. Intraosseous neurofibroma in a 13-yearold male patient: a case report with review of the literature. J Cancer Res Ther. 2018;14(3):712.

    Article  PubMed  Google Scholar 

  5. Papadopoulos H, Zachariades N, Angelopoulos AP. Neurofibroma of the mandible Review of the literature and report of a case. Int J Oral Surg. 1981;10(4):293–7.

    Article  CAS  PubMed  Google Scholar 

  6. Rajendran R. Shafer’s textbook of oral pathology. 7th edn. Elsevier India; 2009.

  7. Campos MS, Fontes A, Marocchio LS, Nunes FD, de Sousa SC. Clinicopathologic and immunohistochemical features of oral neurofibroma. Acta Odontol Scand. 2012;70(6):577–82.

    Article  CAS  PubMed  Google Scholar 

  8. Polak M, Polak G, Brocheriou C, Vigneul J. Solitary neurofibroma of the mandible: case report and review of the literature. J Oral Maxillofac Surg. 1989;47(1):65–8.

    Article  CAS  PubMed  Google Scholar 

  9. Gogri AA, Kadam SG, Umarji HR, Shinde PR. Central neurofibroma: a rare pathology at a rare site. J Indian Acad Oral Med Radiol. 2014;26(1):77.

    Article  Google Scholar 

  10. Gujjar PK, Hallur JM, Patil ST, Dakshinamurthy SM, Chande M, Pereira T, Zingade J. The solitary variant of mandibular intraosseous neurofibroma: report of a rare entity. Case Rep Dent. 2015;6:2015.

    Google Scholar 

  11. Vivek N, Manikandhan R, James PC, Rajeev R. Solitary intraosseous neurofibroma of mandible. Indian J Dent Res. 2006;17(3):135.

    Article  CAS  PubMed  Google Scholar 

  12. Sharma P, Narwal A, Rana AS, Kumar S. Intraosseous neurofibroma of maxilla in a child. J Indian Soc Pedodont Prev Dent. 2009;27(1):62.

    Article  Google Scholar 

  13. Friedrich RE, Scheuer HT. Non-odontogenic intraosseous radiolucent lesions of the mandibular body are rare findings on panoramic views of patients with neurofibromatosis type 1. Anticancer Res. 2019;39(4):1971–85.

    Article  PubMed  Google Scholar 

  14. Gothe P, Deore S, Shinde N, Holikatti K. Neurofibroma of the buccal mucosa: a case report. Natl J Med Dent Res. 2014;2(3):66.

    Google Scholar 

  15. Viskochil DH. It takes two to tango: mast cell and Schwann cell interactions in neurofibromas. J Clin Investig. 2003;112(12):1791–3.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Behrad S, Sohanian S, Ghanbarzadegan A. Solitary intraosseous neurofibroma of the mandible: report of an extremely rare histopathologic feature. Indian J Pathol Microbiol. 2020;63(2):276.

    Article  PubMed  Google Scholar 

  17. Miettinen MM, Antonescu CR, Fletcher CD, Kim A, Lazar AJ, Quezado MM, et al. Histopathologic evaluation of atypical neurofibromatous tumors and their transformation into malignant peripheral nerve sheath tumor in patients with neurofibromatosis 1—a consensus overview. Hum Pathol. 2017;1(67):1.

    Article  Google Scholar 

Download references

Acknowledgements

The authors wish to thank all postgraduate students of GDCH Nagpur.

Author information

Authors and Affiliations

Authors

Contributions

Dr. Riya Jain, Dr. Suchitra Gosavi, and Dr. Abhay Datarkar formulated the manuscript and data collection.

Corresponding author

Correspondence to Riya Jain.

Ethics declarations

Ethics Approval

All relevant ethical guidelines have been followed.

Consent to Participate

The authors declare that they have no conflict of interest.

Consent for Publication

Written consent was taken from both the patients and is enclosed with the manuscript.

Conflict of Interest

The authors declare no competing interests.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This article is part of the Topical Collection on Surgery

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Jain, R., Gosavi, S. & Datarkar, A. Intraosseous Neurofibroma in the Mandible: Two Rare Case Reports. SN Compr. Clin. Med. 5, 102 (2023). https://doi.org/10.1007/s42399-023-01441-z

Download citation

  • Accepted:

  • Published:

  • DOI: https://doi.org/10.1007/s42399-023-01441-z

Keywords

Navigation