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Submandibular neurilemmoma; a diagnostic dilemma
Robert Almeyda1, Prasad Kothari, Ha Chau
1Department of Otolaryngology, West Middlesex Hospital, Isleworth, UK.
The Journal of Laryngology and Otology
|February 26, 2004
Summary
Neurilemmomas, benign nerve sheath tumors, can present in the head and neck. This case highlights diagnostic challenges and the importance of considering these tumors in head and neck soft tissue lesions.
Area of Science:
- Neurosurgery
- Oncology
- Pathology
Background:
- Neurilemmomas are benign neoplasms originating from Schwann cells of neural crest origin.
- They typically affect peripheral, spinal, or cranial nerves, excluding olfactory and optic nerves.
- While often asymptomatic, they can cause neurological symptoms due to nerve compression.
Observation:
- Approximately one-third of neurilemmomas occur in the head and neck region.
- A case of a submandibular neurilemmoma is presented, which was initially misdiagnosed pre-operatively.
- Diagnostic challenges associated with this presentation are discussed.
Findings:
- The case underscores the potential for misdiagnosis of neurilemmomas in the head and neck.
- Review of current literature on neurilemmoma diagnosis and management is provided.
- Nerve sheath tumors should be included in the differential diagnosis for head and neck soft tissue lesions.
Implications:
- Accurate and timely diagnosis of neurilemmomas is crucial for appropriate management.
- Increased awareness among clinicians can improve diagnostic accuracy for these rare tumors.
- This case emphasizes the need for a comprehensive differential diagnosis in head and neck pathology.