Tongue base schwannoma: case presentation and literature review

Background Schwannoma, also known as perineural fibroblastoma, neuroma, or neurilemmoma, is a slow growing benign tumor that exceptionally raises in oral cavity. It mainly affects the second and third decade and can be life-threatening if it becomes large. Developing in youth is unusual. Case presen...

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Published in:The Egyptian journal of otolaryngology 2023-12, Vol.39 (1), p.17-5, Article 17
Main Authors: Ouattassi, Naouar, Labiyed, Mehdi, Toubi, Zakaria, Zaki, Zouheir, El Alami, Mohamed Nouredine El Amine
Format: Article
Language:English
Subjects:
Anesthesia
Case Report
Dysphagia
Dyspnea
Immunohistochemistry
Literature reviews
Magnetic resonance imaging
Medical imaging
Medicine
Medicine & Public Health
Schwannoma
Surgery
Tongue
Tongue base tumors
Transoral surgery
Tumors
Citations: Items that this one cites
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Summary:Background Schwannoma, also known as perineural fibroblastoma, neuroma, or neurilemmoma, is a slow growing benign tumor that exceptionally raises in oral cavity. It mainly affects the second and third decade and can be life-threatening if it becomes large. Developing in youth is unusual. Case presentation A 16-year-old teenager presenting with relatively rapidly growing tongue base tumor which radiologic investigations revealed features of benign tumor, surgery was performed through a standard transoral approach and pathology with immunohistochemistry examination confirmed the diagnosis of schwannoma with no evidence of malignant transformation. Conclusion Oral cavity schwannoma is rare, and the prevailing oral location is the tongue. This particular site holds many risks related to impact symptoms or to anesthesia and securing airways. We performed a trans-oral resection of a tongue base schwannoma using a cold instrument. As the tumor is well encapsulated, this approach seems convenient and less invasive for complete surgical excision.
ISSN:2090-8539
1012-5574
2090-8539
DOI:10.1186/s43163-022-00355-2