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口腔内神经鞘瘤:病例报告及文献综述

Intra-oral schwannoma: case report and literature review.

作者信息

Martins Manoela Domingues, Anunciato de Jesus Luciane, Fernandes Kristianne Porta Santos, Bussadori Sandra Kalil, Taghloubi Saad Ahmad, Martins Marco Antonio Trevizani

机构信息

Department of Rehabilitation Science, Post-Graduation Program, Nove de Julho University, São Paulo-SP, Brazil.

出版信息

Indian J Dent Res. 2009 Jan-Mar;20(1):121-5. doi: 10.4103/0970-9290.49059.

Abstract

Schwannoma is a relatively uncommon, slow-growing benign tumor that is derived apparently from the Schwann cells. The tongue is the most common site, followed by the palate, floor of mouth, buccal mucosa, lips, and jaws. It can present itself at any age. Usually, this lesion is not taken into account during clinical practice and the differential diagnosis includes numerous benign neoformations based on epithelial and connective tissues. Immunohistochemical features can be useful in determining the neural differentiation. Anti-S100 protein is probably the most used antibody to identify this lesion. The schwannoma is usually a solitary lesion, and can be multiple when associated with neurofibromatosis. In the current study, authors report a case of an intraoral schwannoma situated at the vestibule with 20 years of evolution treated by complete surgical excision. The diagnosis was established based on clinical, histopathological, and immunohistochemical aspects. The patient is under clinical control, with no signs of recurrence even after four years.

摘要

施万细胞瘤是一种相对罕见、生长缓慢的良性肿瘤,显然起源于施万细胞。舌是最常见的部位,其次是腭、口底、颊黏膜、唇和颌骨。它可在任何年龄出现。通常,在临床实践中不会考虑到这种病变,鉴别诊断包括许多基于上皮组织和结缔组织的良性新生物。免疫组织化学特征有助于确定神经分化。抗S100蛋白可能是识别这种病变最常用的抗体。施万细胞瘤通常是单发病变,与神经纤维瘤病相关时可呈多发。在本研究中,作者报告了一例位于前庭的口内施万细胞瘤,病程20年,经完全手术切除治疗。诊断基于临床、组织病理学和免疫组织化学方面得以确立。患者处于临床观察中,即使四年后也没有复发迹象。

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