Schwannoma arising from intramasseteric region

J Craniofac Surg. 2010 Nov;21(6):1998-2001. doi: 10.1097/SCS.0b013e3181f504dd.

Abstract

Schwannoma in the head and neck is usually arising in the parapharyngeal space, but intramasseteric schwannoma is very rare. We report a schwannoma arising from masseter muscle in a middle-aged woman, who presented with a history of a painless right cheek mass for 3 years. Computed tomography scan suggested that the mass was located within the masseter muscle. Fine-needle aspiration was performed and showed spindle neoplastic cells, which were suspected to be of mesenchymal tissue origin. The mass was completely resected under general anesthesia. It was a well-circumscribed and lobulated mass, 4 × 3 × 2 cm in size. Histological examination gave the diagnosis of schwannoma, which was also confirmed by immunohistochemical stainings for S-100 and vimentin. Neurologic sequelae and recurrence were not found at 2 years after surgery.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Biopsy, Fine-Needle
  • Cheek / pathology
  • Diagnosis, Differential
  • Female
  • Hemangioma / diagnosis
  • Humans
  • Immunohistochemistry
  • Masseter Muscle / pathology*
  • Middle Aged
  • Muscle Neoplasms / diagnosis*
  • Neurilemmoma / diagnosis*
  • S100 Proteins / analysis
  • Tomography, X-Ray Computed
  • Vimentin / analysis

Substances

  • S100 Proteins
  • Vimentin