Solitary Circumscribed Neuroma of Masticatory Mucosa of Hard Palate-A Case Report

硬顎咀嚼粘膜孤立局限性神經瘤－病例報告

陳叙良(Shiu-Liang Chen) ； 余尚陽(Shang-Yang Yu) ； 許彤年(Tung-Nien Hsu) ； 黃茂栓(Mao-Suan Huang) ； 黃金聲(Chin-Sheng Huang)

《臺灣口腔顎面外科學會雜誌》 32卷1期 (2021/03) Pp. 57-66

摘要

Solitary circumscribed neuroma is a relatively rare peripheral nerve sheath tumor. The tumor is usually asymptomatic, with a predilection for facial skin and lip. This is often misdiagnosed pathology in the head and neck region. The differential diagnosis from other peripheral nerve sheath tumors counts on immunohistochemical stain. Generally, GFAP stain may be of help to distinguish SCN from other peripheral nerve sheath tumors. Surgical excision is recommended for treating this tumor. We reported a case of solitary circumscribed neuroma at masticatory mucosa of hard palate. The incisional biopsy proved the diagnosis. She was soon admitted for tumor excision and the wound healed well.

關鍵字

Solitary circumscribed neuroma ； Peripheral nerve sheath tumor

並列摘要

孤立局限性神經瘤是一種相對罕見的周邊神經髓鞘瘤，臨床上通常無症狀，主要出現在臉部皮膚或嘴唇。此腫瘤在頭頸部區域，病理特徵容易與其他的周邊神經髓鞘瘤混淆，因此鑑別診斷有賴於特殊的免疫化學染色，GFAP染色有助於與其他周邊神經髓鞘瘤做分辨；治療方面，以手術切除為主。在本文的報告裡，病灶出現在上顎硬腭粘膜，經由切片檢查證實為孤立局限性神經瘤，後續安排腫瘤切除，術後傷口癒合良好。

並列關鍵字

孤立局限性神經瘤 ； 周邊神經髓鞘瘤