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Updated: Jun 28, 2026

Surgical Treatment of an Endolymphatic Sac Tumor
Published on: May 26, 2023
Intranodal neurilemmoma presenting as parotid mass
D G Grant1, N Breitenfeldt, N A Shepherd
1Department of Otolaryngology and Head and Neck Surgery, Gloucestershire Royal Hospital, Gloucester, UK.
Objective:
We report a case of benign intranodal neurilemmoma, an extremely rare tumour arising from a nerve sheath within a lymph node.
Case Report:
A 67-year-old woman underwent surgery for a left-sided parotid mass. Histopathological analysis revealed a tumour arising from a lymph node within the superficial lobe of the parotid gland. The tumour demonstrated histological features of an intranodal neurilemmoma.
Conclusions:
This case represents the first report of an intranodal neurilemmoma arising within a parotid lymph node, and supports the proposal that intranodal neurilemmoma be recognised as a distinct histological entity.
