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| Intraparotid Facial Nerve Schwannoma (about one case) |
Afellah M, Tinni O, uattassi N , Oudidi A , El alami MN
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Abstract:
Facial nerve schwannoma occurring within the parotid gland is a rare tumor. We report a case of schwannoma within the parotid gland in a 58 year old patient, who has presented a mass in the region for 10 years. right parotid gland (figure 1) gradually increasing in size, painless, complicated by grade IV Peripheral facial palsy (figure 2).The cervico-facial CT (figure 3) objectified the deep character of the tumor with an L-shaped aspect along the path of the facial. Craniofacial MRI (figure 4) revealed a tumor process at the expense of both lobes with invasion of the posterior cerebral fossa. The patient underwent a biopsy with an anatomo-pathological study completed by an immunohistochemical study confirming the diagnosis of facial schwannoma, the decision to the staff of multidisciplinary consultation meeting was to do exclusive radiotherapy.
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