Plexiform schwannoma in the maxillary alveolar ridge: a case report

Authors

  • Marcus Vinícius Bueno Universidade de São Paulo https://orcid.org/0000-0002-8886-7172
  • Anna Carolina Coelho Duarte Universidade de São Paulo
  • Patrícia Anaya Sinhorini Universidade de São Paulo
  • Tayná Mendes Inácio de Carvalho Universidade de São Paulo
  • Gustavo Grothe Machado Universidade de São Paulo
  • Marcelo Minharro Ceccheti Universidade de São Paulo
  • Camila Eduarda Zambon Universidade de São Paulo

DOI:

https://doi.org/10.5935/2525-5711.20210010

Keywords:

Neurilemmoma, Neurofibroma Plexiform, Peripheral Nervous System Neoplasms

Abstract

Schwannomas are benign tumors of the peripheral nerve sheath originating from Schwann cells, which can manifest in head and neck regions and are rare in the oral cavity, especially their involvement in the maxillary alveolar ridge, which is even more atypical. Among all its variants, plexiform schwannoma is characterized by an intraneural multinodular growth. Its differential diagnosis of plexiform neurofibroma is justified by the fact that the latter is pathognomonic for neurofibromatosis and carries great risks of malignancy. In this paper, we present a rare clinical case report of a plexiform schwannoma in a gingival alveolar ridge in a 33-year-old male patient, in which we describe his clinical, histopathological, immunohistochemical aspects and his due approach which, after incisional biopsy diagnosed with plexiform schwannoma, was approached for excision of the lesion by the maxillofacial surgery of Hospital das Cínicas, University of São Paulo Medical School, as well as their respective 7, 14 and 30 day postoperative periods, no signs of recurrence so far. Therefore, in these cases, we emphasize the importance of a thorough clinical examination and the need for additional tests, such as histopathological and immunohistochemical analyzes to determine the correct diagnosis and promote the appropriate treatment.

Author Biographies

Marcus Vinícius Bueno, Universidade de São Paulo

Instituto Central do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Serviço de Cirurgia e Traumatologia Bucomaxilofacial

Anna Carolina Coelho Duarte, Universidade de São Paulo

Instituto Central do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Serviço de Cirurgia e Traumatologia Bucomaxilofacial

Patrícia Anaya Sinhorini, Universidade de São Paulo

Instituto Central do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Divisão de Anatomia Patológica

Tayná Mendes Inácio de Carvalho, Universidade de São Paulo

Instituto Central do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Serviço de Cirurgia e Traumatologia Bucomaxilofacial

Gustavo Grothe Machado, Universidade de São Paulo

Instituto Central do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Serviço de Cirurgia e Traumatologia Bucomaxilofacial

Marcelo Minharro Ceccheti, Universidade de São Paulo

Instituto Central do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Serviço de Cirurgia e Traumatologia Bucomaxilofacial

Camila Eduarda Zambon, Universidade de São Paulo

Instituto Central do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Serviço de Cirurgia e Traumatologia Bucomaxilofacial

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Published

2021-01-08

How to Cite

1.
Bueno MV, Duarte ACC, Sinhorini PA, Carvalho TMI de, Machado GG, Ceccheti MM, et al. Plexiform schwannoma in the maxillary alveolar ridge: a case report. J Oral Diagn [Internet]. 2021 Jan. 8 [cited 2025 Apr. 22];6:1-10. Available from: https://joraldiagnosis.com/revista/article/view/49

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Section

Case Report