하악에 발생한 주변성 및 중심성 신경초종의 치험례

A PERIPHERAL AND CENTRAL NEURILEMMOMA OF THE LOWER JAW

  • 김일규 (인하대학교 의과대학 구강악안면외과학교실) ;
  • 김재우 (인하대학교 의과대학 구강악안면외과학교실) ;
  • 차상권 (인하대학교 의과대학 구강악안면외과학교실) ;
  • 유장배 (인하대학교 의과대학 구강악안면외과학교실) ;
  • 곽현종 (인하대학교 의과대학 구강악안면외과학교실)
  • Kim, Il-Kyu (Department of OMFS, Medical College, Inha University) ;
  • Kim, Jae-Woo (Department of OMFS, Medical College, Inha University) ;
  • Cha, Sang-Kweon (Department of OMFS, Medical College, Inha University) ;
  • Yoo, Jang-Bae (Department of OMFS, Medical College, Inha University) ;
  • Kwak, Hyun-Jong (Department of OMFS, Medical College, Inha University)
  • 발행 : 2005.02.28

초록

Intraosseous neurilemmoma(Schwannoma) is an extremely rare benign neoplasm. The site most commonly involved is the mandible. This occurrence is understandable because of the length of the inferior alveolar canal through the mandible. No other bone contains a canal that transmits a neurovascular bundle of such size and length. We report on a peripheral and central neurilemmoma along pathway of inferior alveolar nerve of the lower lip and mandible in a 28-year old man. A panoramic radiograph of the mandible showed a well-defined bilocular lesion with a thin uniform sclerotic margin located in the ramus and body of the mandible. The CT scan confirmed a well-defined lesion with thinning of the cortex of the body of the left side of the mandible. Histologically, the lesion was a cellular neoplasm with distinct palisading and numerous Verocay bodies. Complete excision was achieved by removing the tumor with the inferior alveolar nerve.

키워드

참고문헌

  1. Rubin MM, Koll TJ: Central neurile-mmoma(Schwannoma) of the mandible. NY State Dent J 1993;59:43-45
  2. Shklar G, Meyer I: Neurogenic tumors of the mouth and jaws. Oral surg1963;16:1075-93 https://doi.org/10.1016/0030-4220(63)90223-8
  3. Hatziotis JC, Aspride H: Neurilemmoma (schwannoma) of the oral cavity. Oral Surg Oral Med. Oral Pathol 1967;24:510-526 https://doi.org/10.1016/0030-4220(67)90431-8
  4. Zachariades N: Schwannoma of the oral cavity. Review of the literature and report of a case. J Oral Med 1984;39:41-43
  5. Park YK, Kim YW, Yang MH. et al : Neurilemmoma of the mandible. Skeletal Radiol 1999;28:536-539 https://doi.org/10.1007/s002560050559
  6. Satterfield SD, Elzay RP, Mercuri L., et al: Mandibular central schwannoma : report of case. J Oral Surg 1981;39:776-777
  7. 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 1980;49:509-22 https://doi.org/10.1016/0030-4220(80)90075-4
  8. Eversole LR: Central benign and malignant neural neoplasms of jaws. J Oral Surg 1969;27:716-721 https://doi.org/10.1016/0030-4220(69)90138-8
  9. Ide F, Kani Y, Hara K. et al: Central neurilemmoma of the jaws. Report of a case and review of the literature. J Nihon Univ Sch Dent 1981;19:59-65
  10. Murphy J, Giunta JL: Atypical central neurilemmoma of the mandible. Oral Surg. Oral Med. Oral Pathol 1984;59:275-278 https://doi.org/10.1016/0030-4220(85)90166-5
  11. Musgrove BT, Moody GH: Central neurilemmoma of the mandible. Br Dent J 1990;169:206-207 https://doi.org/10.1038/sj.bdj.4807327
  12. Schofield IDF, Gardner DG: Central neurile-mmoma of the mandible. J Can Dent Assoc 1981;47:175-177
  13. Hietanen J, Mattila K, Calonius PEB, et al: Central neurilemmomas of the mandible. Int J Oral Surg 1984;13:166-171 https://doi.org/10.1016/S0300-9785(84)80083-6
  14. Llewelyn J, Sugar AW: Neurilemmoma of the mandible. Report of a case. Br J Oral Maxillofac Surg 1989;27:512-516 https://doi.org/10.1016/S0266-4356(89)80011-7
  15. Robertson I, Cook MG, Wilson DF, et al : Malignant schwannoma of cranial nerves. Pathology 1983;15:421-9 https://doi.org/10.3109/00313028309085169
  16. Dewan SK, Bihani VK, Mehta PA: Malignant schwannoma of the inferior alveolar nerve: Report of a case. J Oral Med 1983;38:90-93
  17. Eversole LR, Schwartz WD, Sabes WR: Central and peripheral fibrogenic and neurogenic sarcoma of the oral region. Oral Surg 1973;3:49-62
  18. Shirasuna K, Fukuda Y, Kitamura R. et al: Malignant schwannoma of the mandible. Int J Oral Maxillofac 1986;15:772-776 https://doi.org/10.1016/S0300-9785(86)80122-3
  19. Sciubba JJ. Sachs SA: Schwannoma of the inferior alveolar nerve in association with the organ of chievitz. J Oral Pathol 1980;9:16-28 https://doi.org/10.1111/j.1600-0714.1980.tb01384.x
  20. Marzola C, Borguetti MJ, consolaro A: Neurilemmoma of the mandible. J Oral Maxillofac Surg 1988; 6:330-334
  21. Shimura K, Allen EC, Kinoshita Y, et al: Central neurilemmoma of the mandible: report of case and review of the literature. J Oral Surg 1973;31:363-367
  22. Ellis GL, Abrams AM, Melrose RJ: Intraosseous benign neural sheath neoplasms of the jaws. Oral Surg Oral Med Oral Pathol 1977;44:731- 743 https://doi.org/10.1016/0030-4220(77)90383-8