Korhan KILIÇ, Bülent AKTAN, Harun ÜÇÜNCÜ, Özgür YÖRÜK, Sare ALTAŞ

Sublingual Schwannom

Schwannomalar, periferik, kranial ve otonomik sinir kılıflarındaki schwann hücrelerinden kaynaklanan benign tümörlerdir. Schwann hücresi içeren sinir liflerinin bulunduğu her yerde görülebilmekle beraber, %25-45 kadarı baş-boyun bölgesinde görülür. İntraoral yerleşimleri daha nadirdir. Ancak, preoperatif tanı koymadaki zorluk nedeniyle, bu bölge kitlelerinde ayırıcı tanıda akılda tutulmalıdır. Biz, 14 yaşında sublingual bölgede 6 aydır büyüme gösteren ve dil hareketlerinde kısıtlılığa sebep olan ağrısız kitle şikâyeti başvuran hastada görüntüleme yöntemleri ve ince iğne aspirasyon biyopsi sonucu tanı koymada yetersiz olması nedeniyle insizyonel biyopsi ile schwannoma tanısı konulan bir olgu sunuyoruz. Kitle intraoral yaklaşımla total eksize edilmiş ve bir yıllık takibinde nükse rastlanmamıştır.

Anahtar Kelimeler:

Schwannoma, Sublingual, Çocuk

SUBLINGUAL SCHWANNOMA

Schwannomas are benign tumors that originate from the schwann cells surrounding periferic, cranial and autonomic nerves. Although it can occur at any location where there are nerve fibers with schwann cells, about %25 to 45 of schwannomas occur in the head and neck region. Intraoral localization is more rare. However, because of the potential difficulties associated with preoperative diagnosis, schwannoma should be considered for differential diagnosis of head and neck masses. In the present case, we presented a 14 year old patient who had a painless mass at his sublingual region that was progressively growing for 6 months and blocking tongue movements. The patient was diagnosed as schwannoma upon incisional biopsy because imaging methods and fine neddle aspiration biopsies were inadequate. The mass was totally excised by intraoral approach and there was no relapse in his 1 year follow up

Keywords:

Neurilemmoma, Sublingual, Child,

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