Abstract：
BACKGROUND: Schwannomas are benign, slow-growing encapsulated nodular lesions. As for the most benign encapsulated lesions, the treatment of choice is complete removal of the entire tissue with preservation of surrounding tissue.
RESULTS: The case presented is that of a 35-year-old female with the chief complaint of swelling on her gums in the lower left posterior region. Through intraoral and extraoral examinations the benign nature of the lesion was established. The excisional biopsy was carried out under local anesthesia, and the specimen was sent for histological examination, which gave a definite diagnosis of oral schwannoma. The patient was recalled at regular intervals so as to check for any recurrence of the lesion or occurrence of new lesions elsewhere in the body.
CONCLUSIONS: The present case reemphasizes the importance of thorough clinical examination along with appropriate investigations, especially histopathological and immunohistochemical, for establishing a definitive diagnosis, which eventually plays an important role in the choice and execution of appropriate treatment at the earliest for the best prognosis and outcomes.
CONCLUSIONS: Why is this case new information? To the best of the author\'s knowledge, this the first case report of oral schwannoma diagnosed in gingiva in Indian population. This case presented a diagnostic dilemma due to its unusual location. What are the keys to successful management of this case? Schwannomas when completely excised have low rate of recurrence. Accurate diagnosis of the lesion along with complete physical examination and follow-up at regular interval to rule out any recurrences are the keys to successful management of this case. What are the primary limitations to success in this case? Lack of data regarding residual tumor postoperative is a primary limitations to success of the case, as recurrence is associated with subtotal tumor removal.
RESULTS: The case presented is that of a 35-year-old female with the chief complaint of swelling on her gums in the lower left posterior region. Through intraoral and extraoral examinations the benign nature of the lesion was established. The excisional biopsy was carried out under local anesthesia, and the specimen was sent for histological examination, which gave a definite diagnosis of oral schwannoma. The patient was recalled at regular intervals so as to check for any recurrence of the lesion or occurrence of new lesions elsewhere in the body.
CONCLUSIONS: The present case reemphasizes the importance of thorough clinical examination along with appropriate investigations, especially histopathological and immunohistochemical, for establishing a definitive diagnosis, which eventually plays an important role in the choice and execution of appropriate treatment at the earliest for the best prognosis and outcomes.
CONCLUSIONS: Why is this case new information? To the best of the author\'s knowledge, this the first case report of oral schwannoma diagnosed in gingiva in Indian population. This case presented a diagnostic dilemma due to its unusual location. What are the keys to successful management of this case? Schwannomas when completely excised have low rate of recurrence. Accurate diagnosis of the lesion along with complete physical examination and follow-up at regular interval to rule out any recurrences are the keys to successful management of this case. What are the primary limitations to success in this case? Lack of data regarding residual tumor postoperative is a primary limitations to success of the case, as recurrence is associated with subtotal tumor removal.
摘要：
背景：神经鞘瘤是良性的，缓慢生长的包裹性结节性病变。至于最良性的包囊性病变，选择的治疗方法是完全切除整个组织并保留周围组织。
方法：该病例为一名35岁女性，主诉为左后下牙龈肿胀。通过口腔内和口外检查，确定了病变的良性性质。在局部麻醉下进行切除活检，并将标本送去组织学检查，明确诊断为口腔神经鞘瘤。定期召回患者，以检查病变是否复发或身体其他部位出现新病变。
结论：本案再次强调了全面临床检查以及适当调查的重要性，尤其是组织病理学和免疫组织化学，用于确定明确的诊断；最终在尽早选择和执行适当的治疗以获得最佳预后和结果方面发挥重要作用。本文受版权保护。保留所有权利。
方法：该病例为一名35岁女性，主诉为左后下牙龈肿胀。
结论：本案再次强调了全面临床检查以及适当调查的重要性，
