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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)
Abstract
AbstractObjective:

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.

Copyright
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: mike.d.thomas@glos.nhs.uk
References
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2 Griffiths AP, Ironside JW, Gray C. True neurilemmoma arising in a lymph node in infancy. Histopathology 1991;18:180–3
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;198:51–4
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;1111–1207
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;435526
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;49:509–22
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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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