Sublingual Schwannoma: A Rare Clinical Entity reported in a Hypothyroid Female

Abstract

ABSTRACTBackgroundSchwannomas are solitary, encapsulated tumor usually attached to, or surrounded by a nerve and are not associated with von Recklinghausen's disease and rarely show malignant degeneration.SettingDepartment of ENT, Head and Neck Surgery, KVG Medical College, Sullia.Case reportA 68-year-old female presented with pain at the left side of the tongue since 1 month. Also a firm to soft 7 × 5 cm sublingual swelling of long-standing duration was seen. FNAC was inconclusive and contrast CT showed a sublingual swelling with mild-contrast enhancement.InterventionSublingual excision of the tumor was done under general anesthesia and the tumor enucleated. No complications were seen and the recovery was uneventful. Histopathological report came as benign schwannoma and immunoreactive to S- 100 protein.ConclusionMost of the intraoral schwannomas are managed by complete surgical excision and recurrence are not reported. Malignant transformation is not seen in any of the intraoral schwannomas but definite preoperative diagnosis is necessary to avoid wide excision when the tumors can be easily enucleated without recurrence.How to cite this articleNaik SM, Goutham MK, Ravishankara S, Appaji MK. Sublingual Schwannoma: A Rare Clinical Entity reported in a Hypothyroid Female. Int J Head and Neck Surg 2012;3(1):33-39.