A Rare Malignant Peripheral Nerve Sheath Tumor of the Maxilla Mimicking a Periapical Lesion

Malignant peripheral nerve sheath tumor is a malignant neoplasm that is rarely found in the oral cavity. About 50% of this tumor occurs in patients with neurofibromatosis type I and comprises approximately 10% of all soft tissue sarcomas of head and neck region. Intraosseous malignant peripheral ner...

Full description

Saved in:
Bibliographic Details
Main Authors: José Alcides Arruda, Pamella Álvares, Luciano Silva, Alexandrino Pereira dos Santos Neto, Cleomar Donizeth Rodrigues, Antônio Caubi, Marcia Silveira, Sandra Sayão, Ana Paula Sobral
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2016/4101423
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832555417505366016
author José Alcides Arruda
Pamella Álvares
Luciano Silva
Alexandrino Pereira dos Santos Neto
Cleomar Donizeth Rodrigues
Antônio Caubi
Marcia Silveira
Sandra Sayão
Ana Paula Sobral
author_facet José Alcides Arruda
Pamella Álvares
Luciano Silva
Alexandrino Pereira dos Santos Neto
Cleomar Donizeth Rodrigues
Antônio Caubi
Marcia Silveira
Sandra Sayão
Ana Paula Sobral
author_sort José Alcides Arruda
collection DOAJ
description Malignant peripheral nerve sheath tumor is a malignant neoplasm that is rarely found in the oral cavity. About 50% of this tumor occurs in patients with neurofibromatosis type I and comprises approximately 10% of all soft tissue sarcomas of head and neck region. Intraosseous malignant peripheral nerve sheath tumor of the maxilla is rare. This article is the first to address malignant peripheral nerve sheath tumor of the maxilla presenting as a periapical radiolucency on nonvital endodontically treated teeth in the English medical literature. Surgical approaches to malignant soft tissue tumor vary based on the extent of the disease, age of the patient, and pathological findings. A rare case of intraosseous malignant peripheral nerve sheath tumor is reported in a 16-year-old woman. The patient presented clinically with a pain involving the upper left incisors region and with defined unilocular periapical radiolucency lesion involved between the upper left incisors. An incisional biopsy was made. Histological and immunohistochemical examination were positive for S-100 protein and glial fibrillary acidic protein showed that the lesion was an intraosseous malignant peripheral nerve sheath tumor of the maxilla. Nine years after the surgery, no regional recurrence was observed.
format Article
id doaj-art-41d1b444f2644c07ba3edbfdff3c838c
institution Kabale University
issn 2090-6447
2090-6455
language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Case Reports in Dentistry
spelling doaj-art-41d1b444f2644c07ba3edbfdff3c838c2025-02-03T05:48:17ZengWileyCase Reports in Dentistry2090-64472090-64552016-01-01201610.1155/2016/41014234101423A Rare Malignant Peripheral Nerve Sheath Tumor of the Maxilla Mimicking a Periapical LesionJosé Alcides Arruda0Pamella Álvares1Luciano Silva2Alexandrino Pereira dos Santos Neto3Cleomar Donizeth Rodrigues4Antônio Caubi5Marcia Silveira6Sandra Sayão7Ana Paula Sobral8Faculdade de Odontologia de Pernambuco, Universidade de Pernambuco, Avenida General Newton Cavalcante, 1650 Aldeia dos Camarás, 54.753-020 Camaragibe, PE, BrazilFaculdade de Odontologia de Pernambuco, Universidade de Pernambuco, Avenida General Newton Cavalcante, 1650 Aldeia dos Camarás, 54.753-020 Camaragibe, PE, BrazilFaculdade de Odontologia de Pernambuco, Universidade de Pernambuco, Avenida General Newton Cavalcante, 1650 Aldeia dos Camarás, 54.753-020 Camaragibe, PE, BrazilFaculdade de Odontologia de Pernambuco, Universidade de Pernambuco, Avenida General Newton Cavalcante, 1650 Aldeia dos Camarás, 54.753-020 Camaragibe, PE, BrazilFaculdades Integradas da União Educacional do Planalto Central, SIGA Área Especial para Indústria, no 2, Setor Leste, 72.445-020, Gama, DG, BrazilFaculdade de Odontologia de Pernambuco, Universidade de Pernambuco, Avenida General Newton Cavalcante, 1650 Aldeia dos Camarás, 54.753-020 Camaragibe, PE, BrazilFaculdade de Odontologia de Pernambuco, Universidade de Pernambuco, Avenida General Newton Cavalcante, 1650 Aldeia dos Camarás, 54.753-020 Camaragibe, PE, BrazilFaculdade de Odontologia de Pernambuco, Universidade de Pernambuco, Avenida General Newton Cavalcante, 1650 Aldeia dos Camarás, 54.753-020 Camaragibe, PE, BrazilFaculdade de Odontologia de Pernambuco, Universidade de Pernambuco, Avenida General Newton Cavalcante, 1650 Aldeia dos Camarás, 54.753-020 Camaragibe, PE, BrazilMalignant peripheral nerve sheath tumor is a malignant neoplasm that is rarely found in the oral cavity. About 50% of this tumor occurs in patients with neurofibromatosis type I and comprises approximately 10% of all soft tissue sarcomas of head and neck region. Intraosseous malignant peripheral nerve sheath tumor of the maxilla is rare. This article is the first to address malignant peripheral nerve sheath tumor of the maxilla presenting as a periapical radiolucency on nonvital endodontically treated teeth in the English medical literature. Surgical approaches to malignant soft tissue tumor vary based on the extent of the disease, age of the patient, and pathological findings. A rare case of intraosseous malignant peripheral nerve sheath tumor is reported in a 16-year-old woman. The patient presented clinically with a pain involving the upper left incisors region and with defined unilocular periapical radiolucency lesion involved between the upper left incisors. An incisional biopsy was made. Histological and immunohistochemical examination were positive for S-100 protein and glial fibrillary acidic protein showed that the lesion was an intraosseous malignant peripheral nerve sheath tumor of the maxilla. Nine years after the surgery, no regional recurrence was observed.http://dx.doi.org/10.1155/2016/4101423
spellingShingle José Alcides Arruda
Pamella Álvares
Luciano Silva
Alexandrino Pereira dos Santos Neto
Cleomar Donizeth Rodrigues
Antônio Caubi
Marcia Silveira
Sandra Sayão
Ana Paula Sobral
A Rare Malignant Peripheral Nerve Sheath Tumor of the Maxilla Mimicking a Periapical Lesion
Case Reports in Dentistry
title A Rare Malignant Peripheral Nerve Sheath Tumor of the Maxilla Mimicking a Periapical Lesion
title_full A Rare Malignant Peripheral Nerve Sheath Tumor of the Maxilla Mimicking a Periapical Lesion
title_fullStr A Rare Malignant Peripheral Nerve Sheath Tumor of the Maxilla Mimicking a Periapical Lesion
title_full_unstemmed A Rare Malignant Peripheral Nerve Sheath Tumor of the Maxilla Mimicking a Periapical Lesion
title_short A Rare Malignant Peripheral Nerve Sheath Tumor of the Maxilla Mimicking a Periapical Lesion
title_sort rare malignant peripheral nerve sheath tumor of the maxilla mimicking a periapical lesion
url http://dx.doi.org/10.1155/2016/4101423
work_keys_str_mv AT josealcidesarruda araremalignantperipheralnervesheathtumorofthemaxillamimickingaperiapicallesion
AT pamellaalvares araremalignantperipheralnervesheathtumorofthemaxillamimickingaperiapicallesion
AT lucianosilva araremalignantperipheralnervesheathtumorofthemaxillamimickingaperiapicallesion
AT alexandrinopereiradossantosneto araremalignantperipheralnervesheathtumorofthemaxillamimickingaperiapicallesion
AT cleomardonizethrodrigues araremalignantperipheralnervesheathtumorofthemaxillamimickingaperiapicallesion
AT antoniocaubi araremalignantperipheralnervesheathtumorofthemaxillamimickingaperiapicallesion
AT marciasilveira araremalignantperipheralnervesheathtumorofthemaxillamimickingaperiapicallesion
AT sandrasayao araremalignantperipheralnervesheathtumorofthemaxillamimickingaperiapicallesion
AT anapaulasobral araremalignantperipheralnervesheathtumorofthemaxillamimickingaperiapicallesion
AT josealcidesarruda raremalignantperipheralnervesheathtumorofthemaxillamimickingaperiapicallesion
AT pamellaalvares raremalignantperipheralnervesheathtumorofthemaxillamimickingaperiapicallesion
AT lucianosilva raremalignantperipheralnervesheathtumorofthemaxillamimickingaperiapicallesion
AT alexandrinopereiradossantosneto raremalignantperipheralnervesheathtumorofthemaxillamimickingaperiapicallesion
AT cleomardonizethrodrigues raremalignantperipheralnervesheathtumorofthemaxillamimickingaperiapicallesion
AT antoniocaubi raremalignantperipheralnervesheathtumorofthemaxillamimickingaperiapicallesion
AT marciasilveira raremalignantperipheralnervesheathtumorofthemaxillamimickingaperiapicallesion
AT sandrasayao raremalignantperipheralnervesheathtumorofthemaxillamimickingaperiapicallesion
AT anapaulasobral raremalignantperipheralnervesheathtumorofthemaxillamimickingaperiapicallesion