Malignant schwannoma

Case contributed by Dr MohammadTaghi Niknejad

Presentation

Neck swelling.

Patient Data

Age: 66
Gender: Male
Modality: CT

Well defined large mass located in left side of neck, specially in carotid and submandibular spaces and causing airway midline shift. On non-contrast images mild calcification is noted at inner portion of the mass.

After contrast injection, marked enhancement of the mass is seen with some areas of hypodensity which can be due to necrotic changes. Common carotid artery and main branches encased with the mass, but there is no evidence of vascular invasion. Several lymphadenopathies also is seen at adjacent neck spaces.

Fatty replacement of left half of the tongue is consistent of hypoglossal nerve involvement.

Case Discussion

Main differential diagnosis for hypervascular large neck mass in 66 year old patient include:

Histopathology findings compatible with malignant schwannoma.

PlayAdd to Share

Case Information

rID: 37810
Case created: 23rd Jun 2015
Last edited: 11th Oct 2016
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.