A Large Intraoral Sublingual Schwannoma in a Pediatric Patient: A Case Report

Document Type : Case Report

Authors

1 Department of Otorhinolaryngology, IMS and SUM Hospital, Siksha “O” Anusandhan University (Deemed to be), K8, Kalinga Nagar, Bhubaneswar-751003, Odisha, India.

2 Central Research Laboratory, IMS and SUM Hospital, Siksha “O” Anusandhan University (Deemed to be), K8, Kalinga N.

Abstract

Introduction:
Schwannoma is a benign neoplasm that arises from Schwannoma cells found in the peripheral nerve sheath. It's a frequent neoplasm in the head and neck area, but it's exceedingly unusual to find it in the mouth. It's a rare occurrence in the oral cavity of the pediatric age group. 
 
Case Report:
We present a 12-year-old kid who has had a smooth, firm, and non-tender mass in the sublingual region for the past year. The mass was removed completely using a transoral technique. The diagnosis of sublingual schwannoma was confirmed by histopathological and immunohistochemical testing.
 
Conclusion:
Schwannomas are typically benign and have a good prognosis with a low risk of malignant change. It should be used as a differential diagnostic for sublingual diseases such as ranula and salivary gland lesions. In the case of lingual schwannoma, surgical removal of the tumor is the preferred therapy. The transoral method is the most popular treatment option for sublingual schwannoma.

Keywords

References

  1. Cohen M, Wang B. Schwannoma of the tongue: two case reports and review literature. Eur Arch Otorhinolaryngol. 2009; 266:1823-9.
  2. Ferner RE. Neurofibromatosis 1 and neurofibromatosis 2: a twenty firstcentury perspective, Lancet Neurol. 2007(6): 340–51.
  3. Lira RB, Gonçalves Filho J, Carvalho GB, Pinto CA, Kowalski LP. Lingual schwannoma:
  4. case report and review of the literature. Acta Otorhinolaryngol Ital. 2013;33:137-40.
  5. Kavˇciˇc J, Boˇziˇc M. Schwannoma of the tongue. BMJ Case Rep. 2016; bcr2016215799.
  6. Lollar WK, Pollak N, Liess DB, Miick R, Zitsch R. Schwannoma of the hard palate. Am J Otolaryngol. 2010; 31(2):139-40.
  7. Butler RT, Patel RM, McHugh JB. Head and neck schwannomas: 20-yearexperience of a single institution excluding cutaneous and acoustic sites, Head Neck Pathol.2016; 10: 286-91.
  8. Stull MA, Moser Jr RP, Kransdorf MJ, Bogumill GP, Nelson MC. Magnetic resonance appearance of peripheral nerve sheath tumors. Skeletal Radiol. 1991;20(1):9-14.
  9. Cohen M, Wang MB. Schwannoma of the tongue: two case reports and review of the literature. Eur Arch Otorhinolaryngol. 2009;266(11):1823-9.
  10. Leu YS, Chang KC. Extracranial head and neck schwannomas: a review of 8 years experience. Acta Oto Laryngol. 2002;122(4):435–7.
  11. Robert P, Dale AB, Augusto P, Joseph H. Schwannoma of the tongue: report of 2 cases. J Oral Maxillofac Surg. 2001;59: 802-4.
  12. Enzinger FM, Weiss SW. Benign tumors of peripheral nerves. In: Enzinger FM, Weiss SW, editors. Soft tissue tumors. 4th ed. Mosby: St. Louis; 1995. p. 821–88.
  13. Bansal R, Trivedi P, Patel S. Schwannoma of the tongue. Oral Oncol Extra. 2005;41:15-7.
  14. Robert P, Dale AB, Augusto P, Joseph H. Schwannoma of the tongue: report of 2 cases. J Oral Maxillofac Surg. 2001; 59: 802-4.
  15. Mevio E, Gorini E, Lenzi A, Migliorini L. Schwannoma of the tongue: one case report. Rev Laryngol Otlol Rhinol. 2002; 123(4):259-61.
  16. Martins DM, Jesus LA, Fernandes SPK, Bussadori KS, Taghloubi AS, Martins M. Intraoral schwannoma: case report and literature review. Indian J Dent Res. 2009; 20(1):121-5.
  17. Fang WS, Wiggins III RH, Illner A, Hamilton BE, Hedlund GL, Hunt JP, et al. Primary lesions of the root of the tongue. Radiographics. 2011;31 (7):1907-22.
  18. Abreu I,  Roriz D, Rodrigues P, Moreira  A, Marques C,  Alves FC. European Schwannoma of the tongue-A common tumour in a rare location: A case report..Journal of Radiology Open. 2017( 4):
    1–3.
  19. Rathore AS, Srivastava D, Narwal N, Shetty DC. Neurilemmoma of Retromolar Region in the oral cavity. Case Rep Dent. 2015; 2015: 320830.
  20. Kandasamy S, Nathan RS, John RR. Neurilemmoma of maxillary alveolus: a rare case report and review of literature. J Pharm Bioallied Sci. 2017; 9(1):285-8.
  21. Sethi D, Sethi A, Nigam S, Agarwal A. Schwannoma of oral tongue: a rare benign neoplasm. The International Journal of Head and Neck Surgery. 2008;3(1):8496.
  22. Gupta P, Garg A, Dhingra KK, Jain D, Kohli K, Khurana N. Schwannoma tongue: a rare entity. ANZ journal of surgery. 2009;79(1-2):93.
  23. Cigdem T, Tulay E, Baris N, Mehmet H, Cagatay O, Erol E, et al. Schwannoma of the tongue in a child. Am J Otolaryngol Head and Neck Med and Surg2010; 31:46–48.
  24. Moreno-García C, Pons-García MA, González-García R, Monje-Gil F. Schwannoma of tongue. Journal of maxillofacial and oral surgery. 2014;13(2):217-21.
  25. Schwannoma of the tongue in a paediatric patient: a case report and 20-year review. Case Rep Dent. 2014;2014:780762.
  26. Kavčič J, Božič M. Schwannoma of the tongue. BMJ Case Rep.2016:1-4.

 

 

Iranian Journal of Otorhinolaryngology
Volume 33, Issue 5
September and October 2021
Pages 333-337

Files

Share

How to cite

Statistics