2013
DOI: 10.1093/jscr/rjs029
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Solitary isolated neurofibroma of the soft palate

Abstract: Neurofibroma of the soft palate is an unusual tumor and probably only two cases have been reported in English literature previously. Solitary isolated neurofibroma of the soft palate not associated with von Recklinghausen's disease is even more infrequent. To the best of our knowledge, this case represents the third reported in English literature. Complete surgical excision was achieved after tracheostomy due to envisaged difficulty in intubation. We present a 40-year-old man with an uncommon soft palatal neur… Show more

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Cited by 7 publications
(5 citation statements)
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“…Surgical excision is considered as the gold standard treatment for neurofibroma,11 especially when it causes dysphagia and respiratory obstruction. A similar case has been reported by Kodiya et al where a soft palate neurofibroma was successfully excised after the patient being tracheostomised 12. Microscopic examination usually revealed a non-encapsulated, spindle cell lesion in the subepithelium with intact overlying stratified squamous epithelium and the wavy nuclei in the spindle cells are arranged in loose fascicles admixed with bundles of collagen without cellular atypia.…”
Section: Discussionsupporting
confidence: 73%
“…Surgical excision is considered as the gold standard treatment for neurofibroma,11 especially when it causes dysphagia and respiratory obstruction. A similar case has been reported by Kodiya et al where a soft palate neurofibroma was successfully excised after the patient being tracheostomised 12. Microscopic examination usually revealed a non-encapsulated, spindle cell lesion in the subepithelium with intact overlying stratified squamous epithelium and the wavy nuclei in the spindle cells are arranged in loose fascicles admixed with bundles of collagen without cellular atypia.…”
Section: Discussionsupporting
confidence: 73%
“…[9] Its occurrence is between the age of 10 months and 70 years old, but it is common mostly during the third decade of life. [14] In a case reported by Dalili et al (2012) there was mandible, maxilla, and orbit concurrent involvement. Radiographically, the lesion showed bone destruction in the maxilla, and the walls of right maxillary sinus displacement into the antral cavity.…”
Section: Discussionmentioning
confidence: 97%
“…[1] The gold standard treatment of solitary neurofibroma is complete surgical excision; similar to the one we performed for our case. [14] Radiotherapy alone is not adequate, but it can reduce the tumor size and growth. [14,18] Diode lasers presented good results for small and accessible tumors.…”
Section: Discussionmentioning
confidence: 99%
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“…Some pedunculated lesions were not included in clinical diagnostic hypothesis, as fibroma and hyperplasia (12), because of the fast-growing enlargement of the nodule. Neural tumors also occur on the palate, and only in rare occasions can be pedunculated, as solitary neurofibroma (13). Moreover, the pedunculated morphology was decisive to rule out all salivary gland tumors from the list of differential clinical diagnoses.…”
Section: Discussionmentioning
confidence: 99%