Oral & Maxillofacial Department, St George's University Hospitals NHS Foundation Trust, London, UK
Oral & Maxillofacial Department, St George's University Hospitals NHS Foundation Trust, London, UK.
BMJ Case Rep. 2021 Feb 19;14(2):e239452. doi: 10.1136/bcr-2020-239452.
Schwannomas or neurilemmomas are slow-growing, benign and often firm lumps that are typically painless. They are extremely rare in the oral cavity, with the tongue and the palate being the most common intraoral sites. This is a case report of this pathology in the floor of the mouth. We present a case of a 28-year-old female patient with a 2-month history of a floor of mouth swelling. On clinical examination this was non-tender and appeared firm. An ultrasound of the lesion was performed which revealed a well-defined, rounded and low reflective soft tissue mass. Following an MRI scan and surgical excision of the lesion, a definitive diagnosis of a schwannoma was made. The presence of schwannoma in the oral cavity is unusual. Based on the literature and the presented case, it should be considered as a differential diagnosis until the final histopathological confirmation.
神经鞘瘤或神经鞘黏液瘤生长缓慢,为良性且通常质地坚硬,通常无触痛。它们在口腔中极为罕见,其中以舌和腭为最常见的口腔内部位。这是一例口腔底部的这种病变的病例报告。我们报告了一例 28 岁女性患者,其口腔底部肿胀病史为 2 个月。临床检查时,触诊无触痛且质地坚硬。对病变进行了超声检查,结果显示为界限清楚、圆形且低反射的软组织肿块。进行 MRI 扫描和病变切除后,最终诊断为神经鞘瘤。口腔内出现神经鞘瘤并不常见。根据文献和所呈现的病例,在最终的组织病理学确认之前,应将其作为鉴别诊断之一。