Rare Presentations of Schwannoma in the Head and Neck Region: Case Report and Literature Review
DOI:
https://doi.org/10.21276/apalm.3919Keywords:
schwannoma, tongue, parotid glandAbstract
Background: Schwannomas are benign tumours which originate from Schwann cells. They are typically encapsulated, slow growing and predominantly seen in the head and neck region, in association with cranial nerves. The parotid gland and the tongue represent rare sites for schwannomas, leading to diagnostic challenges.
Case summary: We present two cases of Scwannoma in rare locations, one being a 60-year-old male with a painless slow growing mass in the left preauricular region, and the other a 26-year-old male with a painless mass on the right lateral border of the tongue. Both cases were reported as Schwannoma on histopathology, confirmed by Immunohistochemistry.
Conclusion: Head and neck Schwannomas are closely associated with cranial nerves, and if undetected, may result in neurological deficits due to compression of neural structures. Thus awareness about this entity being an important differential diagnosis of any slow-growing, painless mass in the head and neck is needed, as failure to recognize it may result in inappropriate surgical planning.
References
1. Thompson LD, Koh SS, Lau SK. Tongue schwannoma: a clinicopathologic study of 19 cases. Head and neck pathology. 2020 Sep;14(3):571-6.
2. Biswas D, Marnane CN, Mal R, Baldwin D. Extracranial head and neck schwannomas—a 10-year review. Auris Nasus Larynx. 2007 Sep 1;34(3):353-9.
3. Bansal R, Trivedi P, Patel S. Schwannoma of the tongue. Oral Oncology Extra. 2005 Feb 1;41(2):15-7.
4. Cohen M, Wang MB. Schwannoma of the tongue: two case reports and review of the literature. European Archives of Oto-Rhino-Laryngology. 2009 Nov;266:1823-9.
5. Yun CB, Kim YM, Choi JS, Kim JW. Pediatric schwannoma of the tongue: a case report and review of literature. World Journal of Clinical Cases. 2021 Aug 26;9(24):7212.
6. Simone M, Vesperini E, Viti C, Camaioni A, Lepanto L, Raso F. Intraparotid facial nerve schwannoma: two case reports and a review of the literature. Acta Otorhinolaryngologica Italica. 2018 Feb;38(1):73.
7. Pfeifle R, Baur DA, Paulino A, Helman J. Schwannoma of the tongue: report of 2 cases. Journal of oral and maxillofacial surgery. 2001 Jul 1;59(7):802-4.
8. Arda H, Akdogan O, Arda N, Sarikaya Y. An unusual site for an intraoral schwannoma: a case report. American journal of otolaryngology. 2003 Sep 1;24(5):348-50.
9. Butler RT, Patel RM, McHugh JB. Head and neck schwannomas: 20-year experience of a single institution excluding cutaneous and acoustic sites. Head and neck pathology. 2016 Sep;10:286-91.
10. Yasumatsu R, Nakashima T, Miyazaki R, Segawa Y, Komune S. Diagnosis and management of extracranial head and neck schwannomas: a review of 27 cases. International journal of otolaryngology. 2013;2013(1):973045.
11. Saravakos P, Papapetropoulos N, Vgenopoulou S, Karamatzanis E, Saravakos K. Intraparotid facial nerve schwannoma in a 12-year-old child. Report of a case and review of the literature. International Journal of Pediatric Otorhinolaryngology Extra. 2015 Sep 1;10(3):45-8.
12. Whitney A, McCarthy WA. Intraparotid schwannoma. Arch Pathol Lab Med. 2014;7(138):982-3.
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Copyright (c) 2026 Yogeshwari Mane, Abhijit Bhanji, Pranay Pardeshi, Amrita Neelakantan

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