Üst dudağın sinir kılıfı miksoması: Olgu sunumu

Sinir kılıfı miksoması dudak bölgesinde nadiren ortaya çıkan benign bir tümördür. Bu yazıda üst dudakta ağrısız şişlik yakınması ile başvuran 28 yaşında kadın olgu sunuldu. Lezyon eksize edildi ve histopatolojik ve immünohistokimyasal ince- lemeler yapıldı. Ulaşılabilir literatürde bildirilmiş sadece beş olgu vardır. Sinir kılıfı miksoması dudak kitleleri her ne kadar nadir olsa da ayırıcı tanıda akılda bulundurulmalı ve yerel nükslerden kaçınmak için geniş bir şekilde çıkarılmalıdır. Hasta 16 ay sonra nüks belirtisi olmaksızın klinik kontrol altındadır

Anahtar Kelimeler:

Dudak, tümör, sinir kılıfı miksoması

Nerve sheath myxoma of the upper lip: a case report

Nerve sheath myxoma is a benign tumor that rarely occurs in the lip area. In this article, a 28-year-old woman admitted with a complaint of painless swelling in the upper lip is presented. The lesion was excised, and histopathological and immunohistochemical examinations were performed. There are only five reported cases in the available literature. Although very rare, nerve sheath myxoma should be considered in the differential diagnosis of lip mass and widely excised to avoid local recurrence. The patient is under clinical control with no signs of recurrence after 16 months.

Keywords:

Lip, neoplasm, nerve sheath myxoma,

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1. Fetsch JF, Laskin WB, Miettinen M. Nerve sheath myxoma: a clinicopathologic and immunohistochemical analysis of 57 morphologically distinctive, S-100 protein- and GFAP-positive, myxoid peripheral nerve sheath tumors with a predilection for the extremities and a high local recurrence rate. Am J Surg Pathol 2005;29:1615-24.
2. Nishioka M, Aguirre RL, Ishikawa A, Nagumo K, Wang LH, Okada N. Nerve sheath myxoma (neurothekeoma) arising in the oral cavity: histological and immunohistochemical features of 3 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 107:e28-33.
3. Mason MR, Gnepp DR, Herbold DR. Nerve sheath myxoma (neurothekeoma): a case involving the lip. Oral Surg Oral Med Oral Pathol 1986;62:185-6.
4. Terrier JP, Cantaloube D, Brocheriou C. Myxoma of the nerve sheath. Apropos of a case. Rev Stomatol Chir Maxillofac 1990;91:379-84. [Abstract]
5. Tiffee JC, Pulitzer DR. Nerve sheath myxoma of the oral cavity: case report and review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996;82:423-5.
6. Katsourakis M, Kapranos N, Papanicolaou SI, Patrikiou A. Nerve-sheath myxoma (neurothekeoma) of the oral cavity: a case report and review of the literature. J Oral Maxillofac Surg 1996;54:904-6.
7. Cıncık H, Güngör A, Baloğlu H, Çolak A, Candan H. Nerve sheath tumours localized on head and neck: report of three cases. Turkısh Archives of Otolaryngology 2004;42:220-4.
8. Gallager RL, Helwig EB. Neurothekeoma-a benign cutaneous tumor of neural origin. Am J Clin Pathol 1980;74:759-64.
9. Makino T, Utsunomiya T, Kamino Y, Kobayashi R, Fukumoto M, Yamamoto H, et al. Nerve sheath myxoma of the tongue in a child. Int J Oral Maxillofac Surg 2002;31:451-4.