上唇に発生した Antoni A ・B 混在型神経鞘腫の1例

Schwannoma is a benign neoplasm arising from the Schwann cells of the neural sheath. It is a relatively rare tumor in the oral region. Schwannoma of the upper lip is extremely rare. We report a case of schwannoma of the upper lip. A 77-year-old woman visited our hospital because of a painless swelli...

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Published in日本口腔外科学会雑誌 Vol. 55; no. 11; pp. 571 - 574
Main Authors 鈴木, りな, 上田, 愛, 仲盛, 健治, 安倍, 聖人, 出張, 裕也, 平塚, 博義
Format Journal Article
LanguageJapanese
Published 社団法人 日本口腔外科学会 20.11.2009
Subjects
MR 所見
上唇
神経鞘腫
Online AccessGet full text
ISSN0021-5163
2186-1579
DOI10.5794/jjoms.55.571

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Abstract Schwannoma is a benign neoplasm arising from the Schwann cells of the neural sheath. It is a relatively rare tumor in the oral region. Schwannoma of the upper lip is extremely rare. We report a case of schwannoma of the upper lip. A 77-year-old woman visited our hospital because of a painless swelling of the left side of the upper lip. Magnetic resonance images showed a well-defined, liquiform lesion that was hypointense on T1-weighted images and hyperintense on T2-weighted images. The lesion was surgically resected. Histopathological examination of the resected tumor revealed a schwannoma, which was mixture of Antoni type A and B. As of 18 months after the operation, there is no evidence of recurrence.
AbstractList Schwannoma is a benign neoplasm arising from the Schwann cells of the neural sheath. It is a relatively rare tumor in the oral region. Schwannoma of the upper lip is extremely rare. We report a case of schwannoma of the upper lip. A 77-year-old woman visited our hospital because of a painless swelling of the left side of the upper lip. Magnetic resonance images showed a well-defined, liquiform lesion that was hypointense on T1-weighted images and hyperintense on T2-weighted images. The lesion was surgically resected. Histopathological examination of the resected tumor revealed a schwannoma, which was mixture of Antoni type A and B. As of 18 months after the operation, there is no evidence of recurrence.
Author 安倍, 聖人
鈴木, りな
仲盛, 健治
平塚, 博義
上田, 愛
出張, 裕也
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References 15) Rawlings, N.G., Brownstein, S., et al.: Orbital schwannoma: histopathologic correlation with magnetic resonance imaging. Can J Ophthalmol 42: 326-328 2007.
2) Yang, S.W. and Lin, C.Y.: Schwannoma of the upper lip: case report and literature review. Am J Otolaryngol 24: 351-354 2003.
16) Gundus, K., Shields, C.L., et al.: Orbital schwannoma: correlation of magnetic resonance imaging and pathologic findings. Graefe's Arch Clin Exp Ophthalmol 241: 593-597 2003.
4) 佐藤由実, 伊藤治夫, 他：上唇に生じた神経鞘腫の1例. 皮膚科の臨床 42: 1250-1251 2000.
5) 石井純一, 神谷貴充, 他：口腔顎顔面領域の神経鞘腫　臨床的病理組織学的検討. 日口外誌 47: 89-92 2001.
13) Hashiba, Y., Nozaki, S., et al.: Recurrent multinodular neurilemmoma of the female upper lip. Int J Oral Maxillofac Surg 36: 171-173 2007.
6) Verocay, J.: Zur Kenntnis der“neurofibrome”. Zieglers Beitrage Zur Path Ant 48: 1-69 1910.
1) 小島　潔, 熊谷茂宏, 他：小児の口腔に発生した神経鞘腫の3例. 口科誌 42: 336-340 1993.
12) Kano, T., Sunakawa, H., et al.: Neurilemmoma of the upper lip: literature review. 琉球医学会誌 22: 59-62 2003.
10) Asaumi, J., Konouchi, H., et al.: Schwannoma of the upper lip: ultrasound, CT, and MRI findings. J Oral Maxillofac Surg 58: 1173-1175 2000.
7) 石橋利文：神経鞘腫. 内田安信, 河合　幹, 他監修；顎口腔外科診断治療体系　講談社　東京, 1991, 438-439 頁
11) Iida, S., Aikawa, T., et al.: Spheric mass beneath the alar base: MR images of nasolabial cyst and schwannoma. Am J Neuroradiol 27: 1826-1829 2006.
17) Liu, E.S. and Kridel, R.W.: Evaluation of nasoalveolar cysts for the facial plastic surgeon. Arch Facial Plast Surg 5: 185-188 2003.
3) 鈴木眞理, 浦　博伸, 他：結節・腫瘤　良性腫瘍臨床例　上唇の皮膚神経鞘腫. 皮膚病診療 20: 895- 898 1998.
18) 村田 勝, 柴田敏之, 他：鼻歯槽嚢胞の1例と文献的考察. 口科誌49: 184-188 2000.
19) 森永大作, 古賀千尋, 他：鼻歯槽嚢胞を疑った血管平滑筋腫の1例. 日口診誌17: 43-45 2004.
8) 渡辺仁資, 伊東大典, 他：口腔内に発症した神経鞘腫の6例. 昭和歯学会雑誌 24: 267-272 2004.
14) Koga, H., Matsumoto, S., et al.: Definition of the target sign and its use for the diagnosis of schwannomas. Clin Orthop Relat Res 464: 224-229 2003.
9) Tanimoto, K., Kakimoto, N., et al.: MRI of nasoalveolar cyst: case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 99: 221-224 2005.
References_xml – reference: 17) Liu, E.S. and Kridel, R.W.: Evaluation of nasoalveolar cysts for the facial plastic surgeon. Arch Facial Plast Surg 5: 185-188 2003.
– reference: 4) 佐藤由実, 伊藤治夫, 他：上唇に生じた神経鞘腫の1例. 皮膚科の臨床 42: 1250-1251 2000.
– reference: 6) Verocay, J.: Zur Kenntnis der“neurofibrome”. Zieglers Beitrage Zur Path Ant 48: 1-69 1910.
– reference: 14) Koga, H., Matsumoto, S., et al.: Definition of the target sign and its use for the diagnosis of schwannomas. Clin Orthop Relat Res 464: 224-229 2003.
– reference: 12) Kano, T., Sunakawa, H., et al.: Neurilemmoma of the upper lip: literature review. 琉球医学会誌 22: 59-62 2003.
– reference: 15) Rawlings, N.G., Brownstein, S., et al.: Orbital schwannoma: histopathologic correlation with magnetic resonance imaging. Can J Ophthalmol 42: 326-328 2007.
– reference: 8) 渡辺仁資, 伊東大典, 他：口腔内に発症した神経鞘腫の6例. 昭和歯学会雑誌 24: 267-272 2004.
– reference: 2) Yang, S.W. and Lin, C.Y.: Schwannoma of the upper lip: case report and literature review. Am J Otolaryngol 24: 351-354 2003.
– reference: 3) 鈴木眞理, 浦　博伸, 他：結節・腫瘤　良性腫瘍臨床例　上唇の皮膚神経鞘腫. 皮膚病診療 20: 895- 898 1998.
– reference: 10) Asaumi, J., Konouchi, H., et al.: Schwannoma of the upper lip: ultrasound, CT, and MRI findings. J Oral Maxillofac Surg 58: 1173-1175 2000.
– reference: 5) 石井純一, 神谷貴充, 他：口腔顎顔面領域の神経鞘腫　臨床的病理組織学的検討. 日口外誌 47: 89-92 2001.
– reference: 13) Hashiba, Y., Nozaki, S., et al.: Recurrent multinodular neurilemmoma of the female upper lip. Int J Oral Maxillofac Surg 36: 171-173 2007.
– reference: 9) Tanimoto, K., Kakimoto, N., et al.: MRI of nasoalveolar cyst: case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 99: 221-224 2005.
– reference: 1) 小島　潔, 熊谷茂宏, 他：小児の口腔に発生した神経鞘腫の3例. 口科誌 42: 336-340 1993.
– reference: 7) 石橋利文：神経鞘腫. 内田安信, 河合　幹, 他監修；顎口腔外科診断治療体系　講談社　東京, 1991, 438-439 頁．
– reference: 16) Gundus, K., Shields, C.L., et al.: Orbital schwannoma: correlation of magnetic resonance imaging and pathologic findings. Graefe's Arch Clin Exp Ophthalmol 241: 593-597 2003.
– reference: 11) Iida, S., Aikawa, T., et al.: Spheric mass beneath the alar base: MR images of nasolabial cyst and schwannoma. Am J Neuroradiol 27: 1826-1829 2006.
– reference: 18) 村田 勝, 柴田敏之, 他：鼻歯槽嚢胞の1例と文献的考察. 口科誌49: 184-188 2000.
– reference: 19) 森永大作, 古賀千尋, 他：鼻歯槽嚢胞を疑った血管平滑筋腫の1例. 日口診誌17: 43-45 2004.
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上唇
神経鞘腫
Title 上唇に発生した Antoni A ・B 混在型神経鞘腫の1例
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