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VOLUME 20 , ISSUE 7 ( July, 2019 ) > List of Articles


Solitary Large Intraoral Neurilemmoma of the Maxillary Vestibule: A Rare Case with Brief Literature Review

Amar Sholapurkar, Maxim Philip Milosevic, Varun R Mallela, Keerthilatha M Pai

Keywords : Antoni types A and B tissues, Buccal vestibule, Neurilemmoma, Schwannoma

Citation Information : Sholapurkar A, Milosevic MP, Mallela VR, Pai KM. Solitary Large Intraoral Neurilemmoma of the Maxillary Vestibule: A Rare Case with Brief Literature Review. J Contemp Dent Pract 2019; 20 (7):847-850.

DOI: 10.5005/jp-journals-10024-2609

License: CC BY-NC 4.0

Published Online: 01-08-2019

Copyright Statement:  Copyright © 2019; The Author(s).


Aim: This current report aimed at presenting a rare case of a large solitary intraoral neurilemmoma of the buccal vestibule followed by a brief review of literature of neurilemmoma published between 1997 and 2017. Background: The diagnosis of slow-growing intraoral lesions requires a thorough patient history and clinical examination. Despite the best efforts of even the most experienced oral medicine expert, a definitive diagnosis may sometimes only be reached through excisional biopsy and histopathological evaluation. Case description: To the best of our knowledge, there have been only two cases of neurilemmoma of the buccal vestibule reported in the literature till date and, looking at the size of the lesion, our case is the largest among the ones reported. Conclusion: In the present case, a rare presentation of solitary buccal vestibular neurilemmoma establishes the need for the consideration of a wide range of pathologies in the differential diagnosis. Clinical significance: Clinicians should include neurilemmoma in their differential diagnosis for asymptomatic, slow-growing intraoral growths and ensure complete excision to prevent tumor recurrence. The reader should be able to recognize the clinical features of neurilemmoma and describe the histopathological features and management of the condition.

  1. Martins MD, Anunciato de Jesus L, et al. Intra-oral schwannoma: case report and literature review. Indian J Dent Res 2009 Jan–Mar;20(1):121–125.
  2. Handschel J, Heikaus S, et al. Intraoral schwannoma: review of the literature and presentation of a rare case. Cranio 2012;30(2):150–153. DOI: 10.1179/crn.2012.022.
  3. Parhar S, Singh HP, et al. Intra-oral schwannoma—a case report. J Clin Diagn Res 2014 Mar;8(3):264–265. DOI: 10.7860/JCDR/2014/7466. 4181.
  4. Kavči J. Schwannoma of the tongue. BMJ Case Rep 2016;2016, DOI: 10.1136/bcr-2016-215799.
  5. Kandasamy S, Nathan RS, et al. Neurilemmoma of maxillary alveolus: a rare case report and review of literature. J Pharm Bioallied Sci 2017;9(Suppl 1):S285–S288. DOI: 10.4103/jpbs.JPBS_114_17.
  6. Shim S-K, Myoung H. Neurilemmoma in the floor of the mouth: a case report. J Korean Assoc Oral Maxillofac Surg 2016;42(1):60–64. DOI: 10.5125/jkaoms.2016.42.1.60.
  7. Alim BM, Jomah M, et al. Maxillary sinus schwannoma. BMJ Case Rep 2018 May 30;2018, DOI: 10.1136/bcr-2017-223946.
  8. Kurup S, Thankappan K, et al. Intraoral schwannoma—a report of two cases. BMJ Case Rep 2012;2012. DOI: 10.1136/bcr.12.2011. 5389.
  9. Butler RT, Patel RM, et al. Head and neck schwannomas: 20-year experience of a single institution excluding cutaneous and acoustic sites. Head Neck Pathol 2016;10(3):286–291. DOI: 10.1007/s12105- 016-0680-2.
  10. Subhashraj K, Balanand S, et al. Ancient schwannoma arising from mental nerve. A case report and review. Med Oral Patol Oral Cir Bucal 2009 Jan 1;14(1):E12–E14.
  11. Purwar P, Dixit J, et al. Conflation of gingival overgrowth and schwannoma. BMJ Case Rep 2014;2014, DOI: 10.1136/bcr-2014-205879.
  12. Rathore AS, Srivastava D, et al. Neurilemmoma of retromolar region in the oral cavity. Case Rep Dent 2015;2015:320830. DOI: 10.1155/2015/320830.
  13. Shim SK, Myoung H. Neurilemmoma in the floor of the mouth: a case report. J Korean Assoc Oral Maxillofac Surg 2016 Feb;42(1):60–64. DOI: 10.5125/jkaoms.2016.42.1.60.
  14. Hashiba Y, Nozaki S, et al. Recurrent multinodular neurilemmoma of the female upper lip. Int J Oral Maxillofac Surg 2007;36(2):171–173. DOI: 10.1016/j.ijom.2006.07.001.
  15. Guglielmotti MB, Peña C, et al. Malignant schwannoma of the gingiva. Int J Oral Maxillofac Surg 1987;16(4):492–495.
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