PLEXIFORM SCHWANNOMA OF THE LOWER LIP, TREATMENT AND MANAGEMENT AND A REVIEW OF LITERATURE
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 33
Abstract
To treat and manage a swelling on the lower lip which was insidious in onset and as gradually progressive on a 18 year old female. This has been a rare case and could be the first one in India as it was located on the lower lip with very few cases reported in the literature. MATERIALS AND METHODS: An 18 year old female was referred to our Out Patients Department (OPD). The patient was apparently normal 10 years back when she developed a swelling of the lower lip which was insidious in on-set gradually progressive. Initially, it was of the size of 1x1 cm and gradually increased to 3x3cms. OBSERVATION: It was noted that in the Antoni A area typical verocay bodies composed of palisading nuclei and surrounding spaces filled with eosinophilic filaments. No necrosis was noted and there were no atypical mitotic figures. In the Antoni B region a closely textured matrix with areas of edema, myxomatous changes cystic degeneration and dilated vessels were noted, Fig. 4a, b & c. On the basis of these histopathologic findings a diagnosis of Plexiform Schwannoma was inferred. On the basis of histopathologic findings and immunohistochemical profiles, a diagnosis of Plexiform Schwannoma was confirmed. CONCLUSION: The excised mass revealed benign microscopic features and confirmed complete removal. Malignant transformation of a benign Plexiform Schwannoma which has been controversial by some authors was not considered. Surgical removal of the mass is considered to be the best course of treatment.
Authors and Affiliations
Subha Dhua, Sekhar . D. R.
Keywords
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- EP ID EP229758
- DOI 10.18410/jebmh/2015/693
- Views 93
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