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Intranodal neurilemmoma presenting as parotid mass

  • D G Grant (a1), N Breitenfeldt (a2), N A Shepherd (a3) and D M Thomas (a1)

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.


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.

Corresponding author
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:
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1 SW Weiss , DR Gnepp , GL Bratthauer . Palisaded myofibroblastoma. A benign mesenchymal tumour of lymph node. Am J Surg Pathol 1989;13:341–6

2 AP Griffiths , JW Ironside , C Gray . True neurilemmoma arising in a lymph node in infancy. Histopathology 1991;18:180–3

3 S Piana , MC Gelli , A Cavazza , L Serra , G Gardini . Ancient schwannoma arising in a lymph node: report of a case and review of the literature. Pathol Res Pract 2002;198:51–4

6 BA Wright , D Jackson . 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;49:509–22

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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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