Tamiolakis P, Kalyvas D, Arvanitidou I, Vlachaki A, Tosios K I, Sklavounou-Andrikopoulou A
Department of Oral Medicine and Pathology, School of Dentistry, National and Kapodistrian University of Athens, 2 Thivon Str, Goudi, 115 27, Athens, Greece.
Department of Oral and Maxillofacial Surgery, School of Dentistry, National and Kapodistrian University of Athens, 2 Thivon Str, Goudi, 115 27, Athens, Greece.
Eur Arch Paediatr Dent. 2018 Aug;19(4):279-285. doi: 10.1007/s40368-018-0349-5. Epub 2018 Jun 7.
A few cases of oral schwannomas in paediatric patients have appeared in the literature so far; however, there are no studies focusing solely on paediatric oral schwannomas. The aim of this study is to report a case of palatal schwannoma in a young female patient and review the pertinent literature on oral schwannomas in paediatric patients.
A 12-year-old girl presented with a growing swelling of 2 weeks duration on the hard palate. With a provisional diagnosis of a salivary gland neoplasm an incisional biopsy was performed under local anesthesia and the histologic examination disclosed an Antony A type schwannoma.
Complete surgical resection of the lesion was performed under local anaesthesia through a palatal mucosa incision and paraffin gauze was sutured on the surgical area for protection during secondary healing. The bone underlying the tumor was normal. The postoperative period was uneventful and 2 weeks after excision the gauze were removed.
FOLLOW-UP: There have been no signs of recurrence during a 18-month follow up period.
A palatal swelling in a child or adolescent may represent a neoplasm, such as a schwannoma and requires careful clinical and radiographic evaluation of the dentition.
迄今为止,文献中已出现少数小儿口腔施万细胞瘤病例;然而,尚无仅专注于小儿口腔施万细胞瘤的研究。本研究的目的是报告一例年轻女性患者的腭部施万细胞瘤病例,并回顾小儿患者口腔施万细胞瘤的相关文献。
一名12岁女孩硬腭出现持续2周的进行性肿胀。初步诊断为涎腺肿瘤,在局部麻醉下进行了切开活检,组织学检查显示为Antony A型施万细胞瘤。
在局部麻醉下通过腭黏膜切口对病变进行了完整手术切除,并在手术区域缝合石蜡纱布以在二期愈合期间提供保护。肿瘤下方的骨质正常。术后过程顺利,切除术后2周取出纱布。
在18个月的随访期内无复发迹象。
儿童或青少年的腭部肿胀可能代表一种肿瘤,如施万细胞瘤,需要对牙列进行仔细的临床和影像学评估。