Intramasseteric Schwannoma Mimicking a Parotid Tumor: Case Report and Review of Literature
Background
Schwannoma is a benign neoplasm originating from Schwan cells of peripheral nerves as well as the cranial and spinal roots. It often occurred in head and neck region involving cranial nerves VII, VIII, and XII. However, schwannoma located in intramasseteric region is extremely uncommon. There have been only ten reported cases documented in English literatures to date.
Case presentation
Here, we report a rare intramasseteric schwannoma case, who presented a painless mass in the left cheek with 2 years evolution and was treated with surgical excision through trans-parotid approach. An uneventful recovery without salivary fistula or facial paralysis was recorded after the surgery. Due to its rarity and clinical significance, we also review intramasseteric schwannoma regarding its clinical characteristics and surgical managements.
Conclusion
In a word, intramasseteric schwannoma is a benign lesion with favorable prognosis. MRI (magnetic resonance imaging) scanning is recommended for evaluation and differential diagnoses for this condition. Surgical excision of the tumor without parotidectomy is considered to be effective.
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Posted 10 Aug, 2020
Intramasseteric Schwannoma Mimicking a Parotid Tumor: Case Report and Review of Literature
Posted 10 Aug, 2020
Background
Schwannoma is a benign neoplasm originating from Schwan cells of peripheral nerves as well as the cranial and spinal roots. It often occurred in head and neck region involving cranial nerves VII, VIII, and XII. However, schwannoma located in intramasseteric region is extremely uncommon. There have been only ten reported cases documented in English literatures to date.
Case presentation
Here, we report a rare intramasseteric schwannoma case, who presented a painless mass in the left cheek with 2 years evolution and was treated with surgical excision through trans-parotid approach. An uneventful recovery without salivary fistula or facial paralysis was recorded after the surgery. Due to its rarity and clinical significance, we also review intramasseteric schwannoma regarding its clinical characteristics and surgical managements.
Conclusion
In a word, intramasseteric schwannoma is a benign lesion with favorable prognosis. MRI (magnetic resonance imaging) scanning is recommended for evaluation and differential diagnoses for this condition. Surgical excision of the tumor without parotidectomy is considered to be effective.
Figure 1
Figure 2