Schwannoma arising from intramasseteric region.

J Craniofac Surg

Department of Oral and Maxillofacial Surgery, School of Medicine,Shanghai Jiao-tong University, Shanghai Ninth People's Hospital, Shanghai, China.

Published: November 2010

Schwannoma in the head and neck is usually arising in the parapharyngeal space, but intramasseteric schwannoma is very rare. We report a schwannoma arising from masseter muscle in a middle-aged woman, who presented with a history of a painless right cheek mass for 3 years. Computed tomography scan suggested that the mass was located within the masseter muscle. Fine-needle aspiration was performed and showed spindle neoplastic cells, which were suspected to be of mesenchymal tissue origin. The mass was completely resected under general anesthesia. It was a well-circumscribed and lobulated mass, 4 × 3 × 2 cm in size. Histological examination gave the diagnosis of schwannoma, which was also confirmed by immunohistochemical stainings for S-100 and vimentin. Neurologic sequelae and recurrence were not found at 2 years after surgery.

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http://dx.doi.org/10.1097/SCS.0b013e3181f504ddDOI Listing

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