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Background <p>Schwannoma is a benign tumour involving the central, peripheral, or autonomic nerves of the body. Although 25–45% of schwannomas are found in the head-neck region, multiple schwannomas are rare in clinical practice.</p> Case Report <p>A 61-year-old man presented with a firm, non-tender, and mobile swelling over right side of neck for the past two years and a right-side parotid swelling for the past 7&#xa0;months (Fig. 1). On contrast-enhanced MRI, a T2 hyperintense/T1 hypointense heterogenous lesion of size 8.4 × 8.2 × 7.5&#xa0;cm was found on the right side of the neck and over the parotid (2.8 × 3.2 × 3.3&#xa0;cm), involving the superficial and deep lobe and showing extension to the stylomastoid foramen. Repeated aspiration cytology of both swellings showed a benign spindle cell tumour. The patient underwent transcervical and trans parotid excision of the tumour.</p> Conclusion <p>Multiple schwannomas in the head &amp; neck are quite unusual in clinical practice. Consenting to the patients before the surgery is vital, especially not only for the excision of the tumour but also for the impending injury of the facial trunk, where the reconstruction of the facial nerve is often not feasible. Intracapsular dissection of the tumour can ensure complete removal of the tumour, and close follow-up is a must in each case for early detection of recurrence.</p>

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Multiple Cervical Schwannoma: A Rare Presentation

  • 期刊论文

  • 发表日期：

    2025年12月8日

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  • Pradeep Pradhan,
  • P. A. Anwer Shah,
  • Vishal Chaurasia,
  • Swagatika Samal

摘要

Background

Schwannoma is a benign tumour involving the central, peripheral, or autonomic nerves of the body. Although 25–45% of schwannomas are found in the head-neck region, multiple schwannomas are rare in clinical practice.

Case Report

A 61-year-old man presented with a firm, non-tender, and mobile swelling over right side of neck for the past two years and a right-side parotid swelling for the past 7 months (Fig. 1). On contrast-enhanced MRI, a T2 hyperintense/T1 hypointense heterogenous lesion of size 8.4 × 8.2 × 7.5 cm was found on the right side of the neck and over the parotid (2.8 × 3.2 × 3.3 cm), involving the superficial and deep lobe and showing extension to the stylomastoid foramen. Repeated aspiration cytology of both swellings showed a benign spindle cell tumour. The patient underwent transcervical and trans parotid excision of the tumour.

Conclusion

Multiple schwannomas in the head & neck are quite unusual in clinical practice. Consenting to the patients before the surgery is vital, especially not only for the excision of the tumour but also for the impending injury of the facial trunk, where the reconstruction of the facial nerve is often not feasible. Intracapsular dissection of the tumour can ensure complete removal of the tumour, and close follow-up is a must in each case for early detection of recurrence.