Intraosseous Nerve Sheath Tumors in the Jaws
Identifieur interne : 001969 ( Ncbi/Merge ); précédent : 001968; suivant : 001970Intraosseous Nerve Sheath Tumors in the Jaws
Auteurs : Zhongmin Che [Corée du Sud] ; Woong Nam [Corée du Sud] ; Won-Se Park [Corée du Sud] ; Hyung-Jun Kim [Corée du Sud] ; In-Ho Cha [Corée du Sud] ; Hyun-Sil Kim [Corée du Sud] ; Jong-In Yook [Corée du Sud] ; Jin Kim [Corée du Sud] ; Sang-Hwy Lee [Corée du Sud]Source :
- Yonsei Medical Journal [ 0513-5796 ] ; 2006.
Abstract
Although the head and neck region is recognized as the most common location for peripheral nerve sheath tumors, central involvement, particularly in the jaw bones, is quite unusual. Neurofibroma is one of the most common nerve sheath tumors occurring in the soft tissue and generally appears in neurofibromatosis 1 (NF1 or von Recklinghausen's disease). Malignant peripheral nerve sheath tumors (MPNSTs) are uncommon sarcomas that almost always arise in the soft tissue. Here, we report four cases of intraosseous peripheral nerve sheath tumors occurring in the jaw bones and compare the clinical, radiologic, and pathologic findings in order to make a differential diagnosis.
Url:
DOI: 10.3349/ymj.2006.47.2.264
PubMed: 16642559
PubMed Central: 2687639
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<front><div type="abstract" xml:lang="en"><p>Although the head and neck region is recognized as the most common location for peripheral nerve sheath tumors, central involvement, particularly in the jaw bones, is quite unusual. Neurofibroma is one of the most common nerve sheath tumors occurring in the soft tissue and generally appears in neurofibromatosis 1 (NF1 or von Recklinghausen's disease). Malignant peripheral nerve sheath tumors (MPNSTs) are uncommon sarcomas that almost always arise in the soft tissue. Here, we report four cases of intraosseous peripheral nerve sheath tumors occurring in the jaw bones and compare the clinical, radiologic, and pathologic findings in order to make a differential diagnosis.</p>
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<pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Yonsei Med J</journal-id>
<journal-id journal-id-type="publisher-id">YMJ</journal-id>
<journal-title-group><journal-title>Yonsei Medical Journal</journal-title>
</journal-title-group>
<issn pub-type="ppub">0513-5796</issn>
<issn pub-type="epub">1976-2437</issn>
<publisher><publisher-name>Yonsei University College of Medicine</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">16642559</article-id>
<article-id pub-id-type="pmc">2687639</article-id>
<article-id pub-id-type="doi">10.3349/ymj.2006.47.2.264</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group><article-title>Intraosseous Nerve Sheath Tumors in the Jaws</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Che</surname>
<given-names>Zhongmin</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nam</surname>
<given-names>Woong</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Park</surname>
<given-names>Won-Se</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kim</surname>
<given-names>Hyung-Jun</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Cha</surname>
<given-names>In-Ho</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kim</surname>
<given-names>Hyun-Sil</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Yook</surname>
<given-names>Jong-In</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kim</surname>
<given-names>Jin</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Lee</surname>
<given-names>Sang-Hwy</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A3">3</xref>
<xref ref-type="aff" rid="A4">4</xref>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University, Seoul, Korea.</aff>
<aff id="A2"><label>2</label>
Department of Oral Pathology, College of Dentistry, Yonsei University, Seoul, Korea.</aff>
<aff id="A3"><label>3</label>
Oral Science Research Center, College of Dentistry, Yonsei University, Seoul, Korea.</aff>
<aff id="A4"><label>4</label>
Oral Cancer Research Institute, College of Dentistry, Yonsei University, Seoul, Korea.</aff>
<aff id="A5"><label>5</label>
Medical Research Center, College of Dentistry, Yonsei University, Seoul, Korea.</aff>
<author-notes><corresp>Reprint address: requests to Dr. Sang-Hwy Lee, Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University, Seoul, Korea. Tel: 82-2-2228-8750, Fax: 82-2-364-0992, <email>sanghwy@yumc.yonsei.ac.kr</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><day>30</day>
<month>4</month>
<year>2006</year>
</pub-date>
<pub-date pub-type="epub"><day>30</day>
<month>4</month>
<year>2006</year>
</pub-date>
<volume>47</volume>
<issue>2</issue>
<fpage>264</fpage>
<lpage>270</lpage>
<history><date date-type="received"><day>25</day>
<month>5</month>
<year>2004</year>
</date>
<date date-type="accepted"><day>01</day>
<month>6</month>
<year>2005</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2006 The Yonsei University College of Medicine</copyright-statement>
<copyright-year>2006</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0">http://creativecommons.org/licenses/by-nc/3.0</ext-link>
) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><p>Although the head and neck region is recognized as the most common location for peripheral nerve sheath tumors, central involvement, particularly in the jaw bones, is quite unusual. Neurofibroma is one of the most common nerve sheath tumors occurring in the soft tissue and generally appears in neurofibromatosis 1 (NF1 or von Recklinghausen's disease). Malignant peripheral nerve sheath tumors (MPNSTs) are uncommon sarcomas that almost always arise in the soft tissue. Here, we report four cases of intraosseous peripheral nerve sheath tumors occurring in the jaw bones and compare the clinical, radiologic, and pathologic findings in order to make a differential diagnosis.</p>
</abstract>
<kwd-group><kwd>Nerve sheath tumor</kwd>
<kwd>malignant peripheral nerve sheath tumor (MPNST)</kwd>
<kwd>jaw</kwd>
<kwd>neurofibroma</kwd>
<kwd>neurofibromatosis</kwd>
</kwd-group>
</article-meta>
</front>
<floats-group><fig id="F1" position="float"><label>Fig. 1</label>
<caption><p>Preoperative panoramic images (A) and CT scan (B, and C) show the expansile radiolucent intraosseous lesions in the mandible (indicated by arrows in A & B) and maxilla (indicated by arrow heads in A & C). The elongated tumor cells in the interlacing bundles with surrounding collagen bundles can be seen in H-E staining (D) and they are positive for the S-100 protein (E).</p>
</caption>
<graphic xlink:href="ymj-47-264-g001"></graphic>
</fig>
<fig id="F2" position="float"><label>Fig. 2</label>
<caption><p>Preoperative panoramic (A), CT scan (B) and dental periapical image (C) shows an ill-defined radiolucent lesion (indicated by arrows) in the mandible with root resorption of the adjacent tooth. The tumor cells do not show a palisading arrangement of the nuclei (D and E). However, there are multinucleated giant cells (indicated by arrow heads) with abnormal mitosis (indicated by arrow).</p>
</caption>
<graphic xlink:href="ymj-47-264-g002"></graphic>
</fig>
<fig id="F3" position="float"><label>Fig. 3</label>
<caption><p>A clinical intraoral picture (A) shows a bony depression, gingival recession and root exposure (indicated by arrow) on the right maxillary incisors. A dental radiographic image (B) and maxillary CT (C) reveal an extensive osseous defect and external root resorption of the right maxillary incisors and canine. The elongated tumor cells in the interlacing bundles with surrounding collagen bundles and multinucleated giant cells with abnormal mitoses are seen in H-E staining (D) and they are positive for S-100 protein (E).</p>
</caption>
<graphic xlink:href="ymj-47-264-g003"></graphic>
</fig>
<table-wrap id="T1" position="float"><label>Table 1</label>
<caption><p>Summary of the Clinical and Radiographic Features of the Four Case Studies</p>
</caption>
<graphic xlink:href="ymj-47-264-i001"></graphic>
</table-wrap>
</floats-group>
</pmc>
<affiliations><list><country><li>Corée du Sud</li>
</country>
<region><li>Région capitale de Séoul</li>
</region>
<settlement><li>Séoul</li>
</settlement>
</list>
<tree><country name="Corée du Sud"><region name="Région capitale de Séoul"><name sortKey="Che, Zhongmin" sort="Che, Zhongmin" uniqKey="Che Z" first="Zhongmin" last="Che">Zhongmin Che</name>
</region>
<name sortKey="Cha, In Ho" sort="Cha, In Ho" uniqKey="Cha I" first="In-Ho" last="Cha">In-Ho Cha</name>
<name sortKey="Cha, In Ho" sort="Cha, In Ho" uniqKey="Cha I" first="In-Ho" last="Cha">In-Ho Cha</name>
<name sortKey="Kim, Hyun Sil" sort="Kim, Hyun Sil" uniqKey="Kim H" first="Hyun-Sil" last="Kim">Hyun-Sil Kim</name>
<name sortKey="Kim, Hyung Jun" sort="Kim, Hyung Jun" uniqKey="Kim H" first="Hyung-Jun" last="Kim">Hyung-Jun Kim</name>
<name sortKey="Kim, Jin" sort="Kim, Jin" uniqKey="Kim J" first="Jin" last="Kim">Jin Kim</name>
<name sortKey="Kim, Jin" sort="Kim, Jin" uniqKey="Kim J" first="Jin" last="Kim">Jin Kim</name>
<name sortKey="Lee, Sang Hwy" sort="Lee, Sang Hwy" uniqKey="Lee S" first="Sang-Hwy" last="Lee">Sang-Hwy Lee</name>
<name sortKey="Lee, Sang Hwy" sort="Lee, Sang Hwy" uniqKey="Lee S" first="Sang-Hwy" last="Lee">Sang-Hwy Lee</name>
<name sortKey="Lee, Sang Hwy" sort="Lee, Sang Hwy" uniqKey="Lee S" first="Sang-Hwy" last="Lee">Sang-Hwy Lee</name>
<name sortKey="Lee, Sang Hwy" sort="Lee, Sang Hwy" uniqKey="Lee S" first="Sang-Hwy" last="Lee">Sang-Hwy Lee</name>
<name sortKey="Nam, Woong" sort="Nam, Woong" uniqKey="Nam W" first="Woong" last="Nam">Woong Nam</name>
<name sortKey="Park, Won Se" sort="Park, Won Se" uniqKey="Park W" first="Won-Se" last="Park">Won-Se Park</name>
<name sortKey="Yook, Jong In" sort="Yook, Jong In" uniqKey="Yook J" first="Jong-In" last="Yook">Jong-In Yook</name>
<name sortKey="Yook, Jong In" sort="Yook, Jong In" uniqKey="Yook J" first="Jong-In" last="Yook">Jong-In Yook</name>
</country>
</tree>
</affiliations>
</record>
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