Ulcerated bleeding palisaded encapsulated neuroma of the tongue

S. Dhanuka, G. Rodrigues, S. Carnello

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Abstract

INTRODUCTION: Palisaded encapsulated neuroma (PEN) is a benign lesion of Schwann cells and its occurrence in the oral mucosa especially the tongue is very rare. CASE REPORT: This article describes a case of a 41-year-old male, a chronic smoker with an actively bleeding, ulcerated, solitary, firm lesion on the lateral border of the tongue which had bled thrice before. A differential diagnosis of pyogenic granuloma, haemangioma, fibroma, nerve sheath tumour, salivary gland tumour and malignancy was made and surgically excised. Histopathology of the excised specimen revealed a well-circumscribed lesion with spindle-shaped cells arranged in interlacing fascicles and with the help of immunohistochemical markers confirmed it to be a PEN. DISCUSSION: To our knowledge, this is the first description of an ulcerated PEN presented with an active bleed.

Original languageEnglish
Pages (from-to)229-232
Number of pages4
JournalThe Malaysian journal of pathology
Volume41
Issue number2
Publication statusPublished - 01-08-2019

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All Science Journal Classification (ASJC) codes

  • Pathology and Forensic Medicine
  • Histology
  • Cell Biology

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