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1 results

  • Intraosseous mandibular schwannoma mimicking an odontogenic keratocyst, with a postsurgical pathological fracture

  • L Gallego, L Junquera, C Rodríguez-Recio, M F Fresno
  • Journal:
    The Journal of Laryngology & Otology / Volume 123 / Issue 5 / May 2009
    Published online by Cambridge University Press:
    09 June 2008, pp. 560-562
    Print publication:
    May 2009
  • Objective:

    Schwannomas are slowly growing tumours derived from Schwann cells. We present a clinical case of schwannoma in the mandibular angle.

    Method:

    Case report and a review of the world literature concerning intraosseous schwannoma of the maxillofacial region.

    Results:

    Schwannomas or neurilemmomas are slow-growing, benign neoplasms derived from Schwann cells. Intraoral lesions are unusual and intraosseous schwannomas are even rarer, representing less than 1 per cent of benign primary tumours of the bones. We present a clinical case of schwannoma in the mandibular angle mimicking a keratocystic odontogenic tumour, with a complicated posterior evolution.

    Conclusion:

    Clinically, neurilemmomas are slow-growing tumours which may be present for years before becoming symptomatic. Radiographically, the image may be suggestive of a benign process such as an odontogenic keratocyst. Histological analysis of the specimens obtained is extremely important in order to establish the final diagnosis.