Clinical and radiological approach to neurogenic tumor base of tongue: A case report

Dr. Maria Mathachan, Dr. Harikrishnan T, Dr. Ragitha Binu Krishnan
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Abstract

Schwannoma or neurilemmoma is a benign peripheral nerve sheath tumor that comes under the broad category of neurogenic tumors. Schwannoma is a relatively uncommon slow-growing, solitary, smooth, painless tumor and its intraoral location makes it even rarer. Occurrence of intraoral Schwannoma goes in the order -tongue followed by the palate, floor of the mouth, buccal mucosa, lips, and jaws comprising 1% of all head and neck tumors. Here we discuss a case of Schwannoma base of tongue in a young female who presented with complaints of facial asymmetry, snoring, mouth breathing, and occasional sleep apnea for a year. Clinical and imaging findings were suggestive of a Schwannoma. Complete transoral resection and histopathological examination proved the same.
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舌底神经源性肿瘤的临床及影像学检查1例
神经鞘瘤或神经鞘瘤是一种良性周围神经鞘肿瘤,属于广义的神经源性肿瘤。神经鞘瘤是一种相对罕见的生长缓慢、孤立、光滑、无痛的肿瘤,其口腔内的位置使其更加罕见。口腔内神经鞘瘤的发生顺序为舌头,其次是上颚、口腔底、颊粘膜、嘴唇和颌骨,占头颈部肿瘤的1%。我们在此讨论一位年轻女性患舌根神经鞘瘤的病例,她表现为面部不对称、打鼾、口呼吸和偶尔的睡眠呼吸暂停一年。临床和影像学表现提示神经鞘瘤。经口全切除及组织病理学检查均无明显差异。
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