Skip to main content

Advertisement

Log in

Schwannoma of the Cheek: Clinical Case and Literature Review

  • Clinical Paper
  • Published:
Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

Introduction

Schwannoma is a relatively uncommon benign tumor that apparently originates from Schwann cells of peripheral nerves. The most common intraoral site is the tongue followed by the palate, floor of mouth, buccal mucosa, lips and the jaws. The preoperative diagnosis is often difficult, and in the majority of cases, the diagnosis can only be made during surgery and by histological study. The immunohistochemistry reveals that the schwannoma cells test positive for S-100 protein.

Case Report

The authors report here a case of an intraoral schwannoma situated in the cheek, treated by complete surgical excision. In the present case the schwannoma presented as a slow growing, circumscribed swelling without any particular features to distinguish it from other benign soft-tissue lesions. The final diagnosis was established based on the clinical, histopathologic and immunohistochemical findings.

Conclusion

The presence of schwannoma calls for the careful search for nerve tumors in other parts of the body, although in most cases none may be found. The differentiation of schwannoma from neurofibroma is essential, because an apparently solitary neurofibroma may be a manifestation of neurofibromatosis.

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

Similar content being viewed by others

References

  1. Katz AD, Passy V, Kaplan N (1971) Neurogenous neoplasms of major nerves of head and neck. Arch Surg 103:51–56

    Article  CAS  PubMed  Google Scholar 

  2. Lopez JI, Ballestein C (1993) Intraoral schwannoma: a clinico-pathologic and immunohistochemical study of nine cases. Arch Anat Cytol Pathol 41:18–23

    CAS  PubMed  Google Scholar 

  3. Weiss SW, Goldblum JR (2001) Benign tumors of peripheral nerves. In: Soft tissue tumors, 4th edn. Mosby-Year Book, St. Louis, pp. 1111–1200

  4. Wright BA, Jckson D (1980) Neural tumors of the oral cavity. A review of the spectrum of benign and malignant oral tumors of the cavity and jaws. Oral Surg Oral Med Oral Pathol 49:509–522

    Google Scholar 

  5. López-Carriches C, Baca-Pérez-Bryan R, Montalvo-Montero S (2009) Schwannoma located in the palate: clinical case and literature review. Med Oral Patol Oral Cir Bucal 14:e465–468

    Google Scholar 

  6. Chrysomali E, Papanicolaou SI, Dekker NP, Regezi JA (1997) Benign neural tumors of the oral cavity. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 84:381–390

    Google Scholar 

  7. Marx RE, Stern D (2003) Oral & maxilllofacial pathology. A rationale for diagnosis. Quintessence Publishing, Surrey, p 408–410

  8. Martins MD, de Jesus LA, Fernandes KPS, Bussadori SK, Taghloubi SA, Martins MAT (2009) Intra-oral schwannoma: case report and literature review. Indian J Dent Res 20:121–125

    Article  PubMed  Google Scholar 

  9. Llewelyn J, Sugar AW (1989) Neurilemmoma of the mandible: report of a case. Br J Oral Maxillofac Surg 127:512–516

    Article  Google Scholar 

  10. Passador-Santos F, Turatti E, Gorisch MR, Santos E, Sousa SC (2002) Estudoimuno-histoquÌmico de tumores de origem neural nacavidade oral. RPG Rev PÛs Grad 9:277

    Google Scholar 

  11. Asaumi JI, Konouchi H, Kishi K (2000) Schwannoma of the upper lip: ultrasound, CT and MRT findings. J Oral Maxillofac Surg 58:1173–1175

    Article  CAS  PubMed  Google Scholar 

  12. Mucke K, Mitchell H (2009) Schwannomas of the head and neck. Oncol Rev 3:107–111

    Google Scholar 

  13. Langner E, Del Negro A, Akashi HK, Araújo PPC, Tincani AJ, Martins, AS (2007) Schwannomas in the head and neck: retrospective analysis of 21 patients and review of the literature. Sao Paulo Med J 125(4):220–222

    Google Scholar 

  14. Hamakawa H, Kayahara H, Sumida T, Tanioka H (1998) Mandibular malignant schwannoma with multiple spinal metastases: a case report and a review of the literature. J Oral Maxillofac Surg 56:1191–1196

    Article  CAS  PubMed  Google Scholar 

  15. Kun Z, Qi DY, Zhang KH (1993) A comparison between the clinical behavior of neurilemmomas in the neck and oral and maxillofacial region. J Oral Maxillofac Surg 51:769–771

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Pravin N. Lambade.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lambade, P.N., Palve, D. & Lambade, D. Schwannoma of the Cheek: Clinical Case and Literature Review. J. Maxillofac. Oral Surg. 14, 327–331 (2015). https://doi.org/10.1007/s12663-013-0488-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12663-013-0488-5

Keywords

Navigation