Intraosseous schwannoma of the mandible

Abstract

Schwannomas (neurilemmomas) are slow-growing, benign neoplasms derived from schwann cells, the sheath cells that cover myelinated nerve fibers. These tumors most commonly arise in the soft tissues of the head and neck, as well as on the flexor surfaces of the upper and lower extremities. Intraoral lesions are uncommon, however, and intraosseous schwannomas are even rarer. In the Mayo Clinic series of 11,087 primary bone tumors, 14 cases of intraosseous schwannoma were identified, accounting for less than 1% of these benign primary bone tumors. The most common site of occurrence is the mandible, a characteristic traditionally attributed to the long intraosseous path of the inferior alveolar nerve. In this article, we describe an additional case occurring in the mandible of a 15-year-old boy.

Keywords: Intraosseous schwannoma; mandible; neurilemmoma.

Figure 1

Extraoral photograph with swelling on the left side of the face

Figure 2

Intraoral photograph with lesion on the left side of the jaw

Figure 3

Photograph of orthopantomogram with multilocular radiolucency on the left side of the mandible

Figure 4

Lateral oblique view of the lesion

Figure 5

Photomicrograph, H and E stained section, 10× view of the lesion

Figure 6

Photomicrograph, 40× view of the lesion