The diagnostic dilemma of a parasympathetic schwannoma in the submandibular gland

Ann R Coll Surg Engl. 2015 Mar;97(2):e13-4. doi: 10.1308/003588414X14055925059994.

Abstract

Schwannomas are benign soft tissue tumours that arise from nerve sheath cells. They are rare in the salivary glands and are thought to arise from the parasympathetic nerves. We report the case of a 69-year-old man who presented with a painless right submandibular mass that appeared to resemble a pleomorphic adenoma on ultrasonography and, on this basis, proceeded to surgical excision of the gland. We review the relevant literature and highlight the diagnostic pitfalls.

Publication types

  • Case Reports

MeSH terms

  • Adenoma, Pleomorphic / diagnosis
  • Adenoma, Pleomorphic / surgery
  • Aged
  • Diagnosis, Differential
  • Humans
  • Male
  • Neurilemmoma / pathology*
  • Neurilemmoma / surgery
  • Submandibular Gland Neoplasms / pathology*
  • Submandibular Gland Neoplasms / surgery