Schwannoma of the submandibular gland: a case report

Journal of Medical Case Reports

Fatmagul Kusku Cabuk²  Fikret Cinar¹  Gaffar Aslan¹ 

[1] Department of Otolaryngology, Florence Nightingale Hospital, Istanbul Bilim University, Abidei Hurriyet Caddesi 290, Caglayan 34381, Istanbul, Turkey;Department of Pathology, Florence Nightingale Hospital, Istanbul Bilim University, Abidei Hurriyet Caddesi 290, Caglayan 34381, Istanbul, Turkey

关键词: Benign tumor;    Treatment;    Submandibular gland;    Neurilemmoma;    Schwannoma;   

Others  :  805749
DOI  :  10.1186/1752-1947-8-231

 received in 2013-12-13, accepted in 2014-05-05,  发布年份 2014

【 摘 要 】

Introduction

Schwannoma is a benign, solitary, and slowly progressive encapsulated tumor originating from the sheath of myelinated nerve fibers. Schwannoma of the salivary gland is a particularly rare form of an extracranial neurogenic tumor. Here, we present an unusual case of a schwannoma of the submandibular gland in a 19-year-old man. Total excision of the submandibular gland resulted in complete resolution of symptoms with no cranial nerve deficits. The details of the histopathologic and immunohistochemical features are presented.

Case presentation

A 19-year-old Caucasian man was admitted to our clinic with a painless mass on the right side of his neck that he had had for the past four months. A neck examination revealed a smooth-surfaced, mobile, firm, and painless mass, 6cm in its greatest diameter, on the right side of the submandibular region. Fine-needle aspiration cytology was suggestive of a submandibular gland schwannoma. After the initial evaluation, our patient was prepared for surgical evaluation and resection with a presumptive diagnosis of a neurogenic tumor of the submandibular gland. The final diagnosis of schwannoma was verified by microscopic and immunohistochemical studies. At one-year follow-up of the case, there was no evidence of recurrence.

Conclusions

Schwannoma of the salivary gland is a particularly rare form of an extracranial neurogenic tumor. Our findings indicate good prognosis in an unusual case of a submandibular gland schwannoma in a 19-year-old man treated by surgical excision with no recurrence within 12 months of follow-up.

【 授权许可】

   
2014 Aslan et al.; licensee BioMed Central Ltd.

【 图 表 】

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