Massive Neurilemoma of the Hard Plate in Which Preoperative Diagnosis Was Difficult
The patient was an 84-year-old man who was referred to our hospital in mid-December 2012 for a close examination of a mass arising from the left side of the hard palate that was found by a local dentist. The initial examination revealed the presence of a 3.0-cm elastic soft, dome-shaped mass in the...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2015/638025 |
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| _version_ | 1832559443646087168 |
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| author | Masanori Kudoh Hiroyuki Harada Koshi Matsumoto Yuriko Sato Ken Omura Yoshimasa Ishii |
| author_facet | Masanori Kudoh Hiroyuki Harada Koshi Matsumoto Yuriko Sato Ken Omura Yoshimasa Ishii |
| author_sort | Masanori Kudoh |
| collection | DOAJ |
| description | The patient was an 84-year-old man who was referred to our hospital in mid-December 2012 for a close examination of a mass arising from the left side of the hard palate that was found by a local dentist. The initial examination revealed the presence of a 3.0-cm elastic soft, dome-shaped mass in the left hard palate. CE-CT showed a lesion of size 1.8 × 1.4 cm in the right hard palate, which extended upward and invaded the nasal cavity. The mass was a solid tumor associated with resorption of surrounding bone and expansion of the greater palatine canal. CE-MRI indicated that the mass extended upward and invaded the nasal cavity, and the mass showed hypointensity on T1-weighted images, hyperintensity on T2-weighted images, and an irregular margin with internal enhancement. Abnormal uptake of FDG on PET-CT (SUVmax = 5.2) was observed in the left hard palate. The biopsy site lesion rapidly increased in size and biopsy was performed again in January 2013 due to suspicion of a malignant tumor. The histopathological diagnosis was a suspected malignant neurogenic tumor. Therefore, the patient underwent partial maxillectomy and a split-thickness skin graft in late February 2013. No recurrence was noted 29 months after the operation. |
| format | Article |
| id | doaj-art-bdd0e6c0d0a6466991b52855730c013a |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-bdd0e6c0d0a6466991b52855730c013a2025-02-03T01:30:10ZengWileyCase Reports in Surgery2090-69002090-69192015-01-01201510.1155/2015/638025638025Massive Neurilemoma of the Hard Plate in Which Preoperative Diagnosis Was DifficultMasanori Kudoh0Hiroyuki Harada1Koshi Matsumoto2Yuriko Sato3Ken Omura4Yoshimasa Ishii5Division of Oral and Maxillofacial Surgery, Ebina General Hospital, 1320 Kawaraguchi, Ebina City, Kanagawa 243-0433, JapanOral and Maxillofacial Surgery, Department of Oral Restitution, Division of Oral Health Sciences, Graduate School, Tokyo Medical and Dental University, JapanDivision of Diagnostic Pathology, Ebina General Hospital, JapanDivision of Oral and Maxillofacial Surgery, Ebina General Hospital, 1320 Kawaraguchi, Ebina City, Kanagawa 243-0433, JapanDivision of Oral and Maxillofacial Surgery, Ebina General Hospital, 1320 Kawaraguchi, Ebina City, Kanagawa 243-0433, JapanDivision of Oral and Maxillofacial Surgery, Ebina General Hospital, 1320 Kawaraguchi, Ebina City, Kanagawa 243-0433, JapanThe patient was an 84-year-old man who was referred to our hospital in mid-December 2012 for a close examination of a mass arising from the left side of the hard palate that was found by a local dentist. The initial examination revealed the presence of a 3.0-cm elastic soft, dome-shaped mass in the left hard palate. CE-CT showed a lesion of size 1.8 × 1.4 cm in the right hard palate, which extended upward and invaded the nasal cavity. The mass was a solid tumor associated with resorption of surrounding bone and expansion of the greater palatine canal. CE-MRI indicated that the mass extended upward and invaded the nasal cavity, and the mass showed hypointensity on T1-weighted images, hyperintensity on T2-weighted images, and an irregular margin with internal enhancement. Abnormal uptake of FDG on PET-CT (SUVmax = 5.2) was observed in the left hard palate. The biopsy site lesion rapidly increased in size and biopsy was performed again in January 2013 due to suspicion of a malignant tumor. The histopathological diagnosis was a suspected malignant neurogenic tumor. Therefore, the patient underwent partial maxillectomy and a split-thickness skin graft in late February 2013. No recurrence was noted 29 months after the operation.http://dx.doi.org/10.1155/2015/638025 |
| spellingShingle | Masanori Kudoh Hiroyuki Harada Koshi Matsumoto Yuriko Sato Ken Omura Yoshimasa Ishii Massive Neurilemoma of the Hard Plate in Which Preoperative Diagnosis Was Difficult Case Reports in Surgery |
| title | Massive Neurilemoma of the Hard Plate in Which Preoperative Diagnosis Was Difficult |
| title_full | Massive Neurilemoma of the Hard Plate in Which Preoperative Diagnosis Was Difficult |
| title_fullStr | Massive Neurilemoma of the Hard Plate in Which Preoperative Diagnosis Was Difficult |
| title_full_unstemmed | Massive Neurilemoma of the Hard Plate in Which Preoperative Diagnosis Was Difficult |
| title_short | Massive Neurilemoma of the Hard Plate in Which Preoperative Diagnosis Was Difficult |
| title_sort | massive neurilemoma of the hard plate in which preoperative diagnosis was difficult |
| url | http://dx.doi.org/10.1155/2015/638025 |
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