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Das „ancient schwannoma“

Die seltene Form eines Mundbodentumors

The “ancient schwannoma”

A rare tumor of the mouth floor

  • Kasuistiken
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Zusammenfassung

„Ancient schwannomas“ des Mundbodens sind gutartige Tumoren, die sich von den Nervenscheiden peripherer Nerven ableiten. Histopathologisch weisen sie zahlreiche degenerative Veränderungen, wie z. B. Nekrosen und thrombosierte Gefäße, auf. Charakteristische mikroskopische Eigenschaften sind nukleäre Atypien und große pleomorphe und hyperchromatische Zellkerne. Unter den histologischen Formen der Schwannome stellen die „ancient schwannomas“ eine Rarität dar. In der Differenzialdiagnostik können sie Schwierigkeiten in der Abgrenzung von malignen Tumoren bereiten. Wegweisend ist die bildgebende Diagnostik, im Bereich des Mundbodens besonders die B-Scan-Sonographie. Die Magnetresonanztomographie kann in Ergänzung wichtige Hinweise geben. In dieser Kasuistik soll über die Exstirpation eines „ancient schwannoma“ des Mundbodens berichtet werden.

Abstract

“Ancient schwannomas” of the mouth floor are rare, benign neoplasms derived from the nerve sheath of peripheral nerves. They show many degenerative changes such as necrosis and vascular thrombosis. Ancient schwannomas show histopathological features, such as degenerative changes and atypical nuclei, and may easily be confused with malignant neoplasms. B-scan sonography for the mouth floor and MRT imaging may be helpful in differential diagnosis. Here, we report on a patient with ancient schwannoma of the floor of the mouth.

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Literatur

  1. Ackermann LV, Taylor FH (1951) Neurogenic tumors within the thorax: a clinicopathological evaluation of fortyeight cases. Cancer 4: 669–691

    PubMed  Google Scholar 

  2. Argenyi ZB, Balogh K, Abraham AA (1993) Degenerative („ancient“) changes in benign cutaneus schwannoma. A light microscopic, histochemical and immunohistochemical study. J Cutan Pathol 20: 148–153

    CAS  PubMed  Google Scholar 

  3. Biggner DD, Mc Lendon RE, Bruner JM (1998) Russel and Rubinstein’s pathology of tumors of the nervous system, vol 2. Arnold, London, pp 145–160

  4. Bondy PC, Block RM, Green J (1996) Ancient schwannoma of the submandibular gland: a case report. Ear Nose Throat J 75: 781–783

    CAS  PubMed  Google Scholar 

  5. Cherrick HM, Eversole LR, (1971) Ancient neurilemoma of the oral cavity. Oral Surg 32: 900–909

    CAS  PubMed  Google Scholar 

  6. Dahl I (1977) Ancient neurilemmoma (Schwannoma). Acta Pathol Mikrobiol Scand Sect A 85: 812–818

    CAS  Google Scholar 

  7. Dahl I, Hagmar B, Idvall I (1984) Benign solitary neurilemmoma (Schwannoma). A correlative cytological and histological study of 28 cases. Acta Pathol Microbiol Immunol Scand (A) 92(2): 91–101

    CAS  Google Scholar 

  8. Decurtins C, Wey W, Moll C (1988) Schwannome und Neurinome im Halsbereich. HNO 36: 437–444

    CAS  PubMed  Google Scholar 

  9. Dodd LG, Marom EM, Dash RC, Matthews MR, McLendon RE (1999) Fine-needle aspiration cytology of „ancient“ schwannoma. Diagn Cytopathol 20(5): 307–311

    Article  CAS  PubMed  Google Scholar 

  10. Dreher A, Gutmann R, Grevers G (1997) Extracranial schwannoma of the ENT region. Review of the literature with a casereport of benign schwannoma of the base of the tongue. HNO 45: 468–471

    CAS  PubMed  Google Scholar 

  11. Enzinger FM, Weiss WW (1988) Soft tissue tumors. Mosby, St. Louis, pp 725–735

  12. Gartmann H, Michel R, Parussis E (1989) Degenerativ verändertes Schwannom (Neurilemmom). Ancient Schwannoma. Z Hautkrankh 65: 70–76

    Google Scholar 

  13. Jayaraj SM, Levine T, Path MRC, Frosh AC, Almeyda JS (1997) Ancient schwannoma masquerading as parotid pleomorphic adenoma. J Laryngol Otol 111: 1088–1090

    CAS  PubMed  Google Scholar 

  14. Jecker P, Maurer J, Mann WJ (2001) Ultrasound characteristics of lateral cervical space-occupying lesions. Ultraschall Med 22(3): 130–135

    Article  CAS  PubMed  Google Scholar 

  15. Khwarg S, Lucarelli MJ, Lemke BN, Smith ME, Albert DM (1999) Ancient schwannoma of the orbit. Arch Ophthalmol 117: 262–264

    CAS  PubMed  Google Scholar 

  16. King AD, Ahuja AT, King W, Metreweli C (1997) Sonography of peripheral nerve tumors of the neck. Am J Roentgenol 169(6): 1695–1698

    CAS  Google Scholar 

  17. Kragh LV, Soule EH, Masson JK (1960) Benign and malignant neurilemmomas of the head and neck. Surg Gynecol Obstset 111: 211–218

    CAS  Google Scholar 

  18. Maniglia AJ, Chandler JR, Goodwin WJ, Parker JC (1979) Schwannomas of the parapharyngeal space and the jugular foramen. Laryngoskope 89: 1405–1414

    CAS  Google Scholar 

  19. Moore CE, Putzi M, Mc Clatchey KD, Terrell J (1977) Ancient schwannoma of the postolateral pharynx: A bening lesion commonly mistaken for a sarcoma. Otolaryngol Head Neck Surg 117: 125–128

    Google Scholar 

  20. Nakayama H, Gobara R, Shimamoto F, Kajihara H (1996) Ancient schwannoma of the oral floor and ventricular portion of the tongue: a case report and review of the literature. Jpn J Clin Oncol 26: 185–188

    CAS  PubMed  Google Scholar 

  21. Ryd W, Mugal S, Ayyash K (1986) Ancient neurilemmomas: a pitfall in the cytologic diagnosis of soft-tissue tumors. Diagn Cytopathol 2(3): 244–247

    CAS  PubMed  Google Scholar 

  22. Vilanova JR, Burgos-Bretones JJ, Alvarez JA et al. (1982) Benign schwannomas: a histopathological and morphometric study. Pathology 137: 281

    CAS  Google Scholar 

  23. Vogl TJ, Balzer J, Grevers G (1992) Magnetic resonance tomography in questionable lesions of the ENT area. Examination technique and results of a prospective study of 1493 patients. Laryngorhinootologie 71(9): 439–452

    CAS  PubMed  Google Scholar 

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  1. Abteilung für Hals-, Nasen-, Ohrenheilkunde, Kopf-, Halschirurgie, Bundeswehrkrankenhaus Hamburg

    T. Zehlicke, M. Lessle & L. Gramer

  2. Universitätsklinik und Poliklinik für Hals- Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie „Otto Körner“, Doberaner Straße 137–139, 18057, Rostock

    T. Zehlicke

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  1. T. Zehlicke
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  2. M. Lessle
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Correspondence to T. Zehlicke.

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Zehlicke, T., Lessle, M. & Gramer, L. Das „ancient schwannoma“. HNO 54, 307–311 (2006). https://doi.org/10.1007/s00106-005-1287-1

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  • DOI: https://doi.org/10.1007/s00106-005-1287-1

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