Melo Cristinne Andrade, Almeida-Júnior Paulo, de Carvalho Melo Allan Ulisses, Ribeiro Cyntia Ferreira, Siqueira de Lira Cláudio Élcio, Melo da Fonte Juliana Batista, Batista de Melo Maria Fátima, Takeshita Wilton Mitsunari, Cavalcanti de Albuquerque-Júnior Ricardo Luiz
Gen Dent. 2018 Jan-Feb;66(1):62-65.
Schwannomas (also known as neurilemomas) are benign tumors that arise from the Schwann cells of the nerve sheath. While they seldom occur in the oral cavity, the tongue is the most common site. Palatal schwannomas are extremely rare. This article reports a case of a large, slowly developing schwannoma that caused bone erosion in the hard palate of an 18-year-old man. The diagnosis was based on histopathologic and immunohistochemical findings. The tumor was completely excised, and no recurrence was observed at a 1-year follow-up. This case is notable for the large dimensions, long period of evolution, and the uncommon anatomical site of the tumor. A review of the main clinical and histologic characteristics of palatal schwannomas reported in the last 40 years is also provided.
施万细胞瘤(也称为神经鞘瘤)是起源于神经鞘雪旺细胞的良性肿瘤。虽然它们很少发生在口腔,但舌头是最常见的部位。腭部施万细胞瘤极为罕见。本文报告了一例发生在一名18岁男性硬腭的大型、生长缓慢的施万细胞瘤,该肿瘤导致了骨质侵蚀。诊断基于组织病理学和免疫组化结果。肿瘤被完全切除,在1年的随访中未观察到复发。该病例因其尺寸大、病程长以及肿瘤罕见的解剖部位而值得关注。本文还对过去40年报道的腭部施万细胞瘤的主要临床和组织学特征进行了综述。