Hostname: page-component-cd9895bd7-gvvz8 Total loading time: 0 Render date: 2024-12-25T21:01:37.705Z Has data issue: false hasContentIssue false

Intranodal neurilemmoma presenting as parotid mass

Published online by Cambridge University Press:  08 March 2017

D G Grant
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Gloucestershire Royal Hospital, Gloucester, UK
N Breitenfeldt
Affiliation:
Department of Surgery, Royal Devon and Exeter Hospital, Exeter, UK
N A Shepherd
Affiliation:
Department of Histopathology, Gloucestershire Royal Hospital, Gloucester, UK
D M Thomas*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Gloucestershire Royal Hospital, Gloucester, UK
*
Address for correspondence: Mr D M Thomas, Department of Otolaryngology and Head and Neck Surgery, Gloucestershire Royal Hospital, Great Western Road, Gloucester GL1 3NN, UK. E-mail: [email protected]

Abstract

Objective:

We report a case of benign intranodal neurilemmoma, an extremely rare tumour arising from a nerve sheath within a lymph node.

Case report:

A 67-year-old woman underwent surgery for a left-sided parotid mass. Histopathological analysis revealed a tumour arising from a lymph node within the superficial lobe of the parotid gland. The tumour demonstrated histological features of an intranodal neurilemmoma.

Conclusions:

This case represents the first report of an intranodal neurilemmoma arising within a parotid lymph node, and supports the proposal that intranodal neurilemmoma be recognised as a distinct histological entity.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Weiss, SW, Gnepp, DR, Bratthauer, GL. Palisaded myofibroblastoma. A benign mesenchymal tumour of lymph node. Am J Surg Pathol 1989;13:341–6CrossRefGoogle ScholarPubMed
2 Griffiths, AP, Ironside, JW, Gray, C. True neurilemmoma arising in a lymph node in infancy. Histopathology 1991;18:180–3CrossRefGoogle Scholar
3 Piana, S, Gelli, MC, Cavazza, A, Serra, L, Gardini, G. Ancient schwannoma arising in a lymph node: report of a case and review of the literature. Pathol Res Pract 2002;198:51–4Google Scholar
4 Weiss, SW, Gold blum, JR. Benign tumours of peripheral nerves. In: Weiss, SW, Goldblum, JR, eds. Enzinger and Weiss's Soft Tissue Tumors, 4th edn. St Louis, Missouri: Mosby, 2001;1111–1207Google Scholar
5 Warnke, RA, Weiss, LM, Chan, JKC, Cleary, ML, Dorfman, RF. Nonhematolymphoid tumors and tumor-like lesions of lymph node and spleen. In: Tumors of the Lymph Nodes and Spleen. Atlas of Tumor Pathology, 3rd series, fascicle 14. Washington DC: Armed Forces Institute of Pathology, 1995;435526Google Scholar
6 Wright, BA, Jackson, D. Neural tumors of the oral cavity. A review of the spectrum of benign and malignant oral tumors of the oral cavity and jaws. Oral Surg Oral Med Oral Pathol 1980;49:509–22CrossRefGoogle ScholarPubMed