Ulcerated bleeding palisaded encapsulated neuroma of the tongue
- Author:
Shreyans Dhanuka
1
Author Information
1. Departments of Oral and Maxillofacial Pathology, Manipal College of Dental Sciences, Manipal, India
- Collective Name:Shreyans Dhanuka; Gabriel Rodrigues; Sunitha Carnelio
- Publication Type:Case Reports
- Keywords:
Neuroma;
cutaneous;
tongue
- MeSH:
Neuroma
- From:The Malaysian Journal of Pathology
2019;41(2):229-232
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Palisaded encapsulated neuroma (PEN) is a benign lesion of Schwann cells and its occurrence in the oral mucosa especially the tongue is very rare. Case Report: This article describes a case of a 41-year-old male, a chronic smoker with an actively bleeding, ulcerated, solitary, firm lesion on the lateral border of the tongue which had bled thrice before. A differential diagnosis of pyogenic granuloma, haemangioma, fibroma, nerve sheath tumour, salivary gland tumour and malignancy was made and surgically excised. Histopathology of the excised specimen revealed a well-circumscribed lesion with spindle-shaped cells arranged in interlacing fascicles and with the help of immunohistochemical markers confirmed it to be a PEN. Discussion: To our knowledge, this is the first description of an ulcerated PEN presented with an active bleed.
- Full text:5.2019my01016.pdf