scholarly journals The Diagnostic Dilemma of a Parasympathetic Schwannoma in the Submandibular Gland

2015 ◽  
Vol 97 (2) ◽  
pp. e13-e14 ◽  
Author(s):  
M Patel ◽  
B Srinivasan ◽  
S Sharma

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.

2021 ◽  
Vol 14 (5) ◽  
pp. e237775
Author(s):  
Shahul Hameed Poondiyar Sirajuddin ◽  
Rayappa Chunnusamy

The objective of this article is to elucidate on our experience with the first case reported in the literature of a synchronous presentation of pleomorphic adenoma (PA) in infratemporal fossa as well as the contralateral submandibular gland. PA most commonly arises from the major salivary glands but has also been reported to arise from minor salivary glands in unusual sites such as the nasal septum, main stem bronchus, trachea, lacrimal gland, external auditory canal, etc. However, it seldom involves the infratemporal fossa and extremely few cases are reported in the literature and coexistent contralateral synchronous PA is nowhere reported in literature. The infratemporal fossa tumour posed a diagnostic dilemma and therapeutic challenge because of its concealed location which we dealt successfully with endoscopic sublabial trans maxillary approach.


2019 ◽  
Vol 18 (1) ◽  
pp. 145-148
Author(s):  
Devesh Sanjeev Ballal ◽  
Balaji Jayasankar ◽  
Gabriel Rodrigues ◽  
Ranjini Kudva

Background: Morel-Lavallée Lesion (MLL) or Morel-Lavallée Seroma (MLS) is a posttraumatic seroma that occurs following a closed degloving injury. It is very important for trauma surgeons to be aware of this relatively rarely reported entity as early diagnosis increases the likelihood of successful management. Case report: We present a patient, wherein the patient had no history of trivial trauma and presented with a gradually growing swelling of left thigh, that was clinically and radiologically diagnosed as a soft tissue neoplasm, successfully managed by surgical excision and were reported to be a MLS. The clinical diagnostic dilemma was solved by the histopathologist! Conclusion: A differential diagnosis of MLL should be kept in mind in patients presenting with soft tissue swellings. Bangladesh Journal of Medical Science Vol.18(1) 2019 p.145-148


2003 ◽  
Vol 117 (12) ◽  
pp. 1001-1002 ◽  
Author(s):  
Fumio Ide ◽  
Kenji Mishima ◽  
Ichiro Saito

Angiomyoma is a common soft tissue tumour of the head and neck that sometimes presents to the otolaryngologist; however, it seldom occurs in the major salivary glands. We present a case of angiomyoma arising in the submandibular gland, a tumour not described previously in the English literature.


Open Medicine ◽  
2010 ◽  
Vol 5 (5) ◽  
pp. 538-540
Author(s):  
R Siddharth ◽  
SN Mehra

AbstractPrimary soft tissue tumours of the penis, such as leiomyomas, are very rare. Most present as small and painless but gradually increasing swellings on the penis. To the best of our knowledge, only 9 cases have been reported in the literature so far. This rare pathologic finding, which usually mimics a malignant lesion, should be included in the differential diagnosis of penile neoplasm. Surgical excision of the lesion provides both the histological diagnosis and an effective therapy. We report a case of a large leiomyoma on the shaft of the penis measuring 8x5 cm, which possibly represents the largest reported leiomyoma of the penis in English literature till date.


In the production and flow of saliva, sympathetic and parasympathetic nerves generally cooperate, although variations between the different salivary glands are considerable, particularly in the sympathetic innervation. In the submandibular gland of the dog, sympathetic impulses cause secretion via β-adrenoceptors, and since sympathetic motor effects are elicited via α-adrenoceptors it is possible to study separately motor and secretory effects in this gland. Such experiments indicate that myoepithelial contractions serve to accelerate the salivary flow and to support the secreting acinar cells and prevent back-flow of fluid from the luminal system into the glandular tissues. The contractions are elicited reflexly from the oral mucosa together with secretion. A potentiation interaction between sympathetic and parasympathetic nerves occurs in the formation of the primary saliva. In parotid glands of rabbits and rats such an interaction has been demonstrated in the secretion of amylase.


Hand Surgery ◽  
2005 ◽  
Vol 10 (02n03) ◽  
pp. 311-317 ◽  
Author(s):  
E. K. Y. Woo ◽  
T. K. H. Lim ◽  
S. H. Tan

Neurothekeomas are rare, benign soft tissue tumours that are considered to be of nerve sheath origin. We present a case series of three patients who have neurothekeomas of the upper limb. There was a remarkably high tumour recurrence rate. The factors contributing to this outcome were studied and a clinicopathological review was performed.


1998 ◽  
Vol 112 (1) ◽  
pp. 106-109 ◽  
Author(s):  
C. G. Mahnke ◽  
U. Jänig ◽  
J. A. Werner

AbstractMalignant oncocytomas are extremely rare tumours of the salivary glands. Fewer than 50 cases have been reported in the world literature so far, 34 of which were located in the parotid gland. Only three of these tumours have been located in the submandibular gland. We report one further case of a malignant oncocytoma of the submandibular gland in a 47-year-old man. Since a definite histological diagnosis of malignant oncocytoma can rarely be made both clinical and histopathological findings are essential in establishing the diagnosis. Treatment consists of wide surgical excision, neck dissection and post-operative radiotherapy. The prognosis with regard to five-year survival is poor becauseof metastatic disease.


2019 ◽  
pp. 71-73
Author(s):  
Guru Dutta Satyarthee ◽  
Luis Rafael Moscote-Salazar ◽  
Sanjeev Lalwani

Schwannoma is a benign, solitary nerve sheath tumour and accounting for about 5% of soft tissue tumours. It can occur along the peripheral nervous system in any part of body. It presents as a painless, swelling. We report an adult male presented with tibial nerve schwanoma underwent successful surgical excision. However, differentiation with neurofibroma is very important as surgical planning and prognosis is quite different. In lower limb usually incidence of neurofibroma is higher in contrast of upper limb. Pertinent literature and management are briefly discussed.


2020 ◽  
Vol 13 (11) ◽  
pp. e238110
Author(s):  
Muhammad Ibaad ur rehman Alvi ◽  
Richard Pilkington ◽  
Raguwinder S Sahota ◽  
James Adams

Malignant peripheral nerve sheath tumours (MPNSTs) are tumours that arise from or differentiate towards cells of the peripheral nerve sheath. They are extremely rare with an incidence of 0.001% in the general population. The most common association is with neurofibromatosis 1—an incidence of 5%–42% in this subset of the population is quoted in the literature. These tumours are aggressive with a high rate of local recurrence. Complete surgical excision remains the mainstay of treatment. A literature search found only three case reports of MPNSTs originating in the salivary glands—in all other cases the parotid gland. We present here the first documented case of a patient presented with an MPNST of the submandibular gland managed surgically by a specialty centre.


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