Indian Journal of Ophthalmology

CASE REPORT
Year
: 1980  |  Volume : 28  |  Issue : 3  |  Page : 155--156

Schwannoma of the eye-lid


GC Baijal1, SK Garg1, Shiela Kanhere2, Satya Monga2,  
1 Department of Ophthalmology, G.R. Medical College, Gwalior (M.P.), India
2 Department of Pathology, G.R. Medical College, Gwalior (M.P.), India

Correspondence Address:
G C Baijal
14, J. A. Hospital Campus, Gwalior, 474 009
India




How to cite this article:
Baijal G C, Garg S K, Kanhere S, Monga S. Schwannoma of the eye-lid.Indian J Ophthalmol 1980;28:155-156


How to cite this URL:
Baijal G C, Garg S K, Kanhere S, Monga S. Schwannoma of the eye-lid. Indian J Ophthalmol [serial online] 1980 [cited 2020 Dec 3 ];28:155-156
Available from: https://www.ijo.in/text.asp?1980/28/3/155/28248


Full Text

Schwannomas are circumscribed, encap­sulated usually benign tumours of nerve sheath found in the dermis of the subcutaneous tissue. Lid is an uncommon site, but few cases have been reported.[1],[2] The purpose of this paper is to report a case encountered in our routine surgical material.

 CASE REPORT



A 19 years old Hindu, male presented with a small painless swelling in the left lower lid for the last 8 years. It was gradually incre­asing in size. There was no history of trauma. On examination, visual acuity was recorded as 6,'6 in both the eyes. A dumbel shaped swel­ling measuring about 10 mm x 5 mm was palpable in the left lower lid. It was situated 2 mm away from the ciliary lid margin and was firm, freely mobile and non tender [Figure 1]. The tumour was excised and submitted for histopathologic examination. The post oper­ative period was uneventful. Macroscopically the specimen consisted of an encapsulated dumbel shaped firm mass, measuring 15 x 12 x 10 mms. Cut surface was grayish white with indistinct whorling, punctate haemorrhages and several soft yellowish foci. Microscopically, the tumour was composed of uniform sized spindle-celled interlacing fasciculi with areas which could distinctly be appreciated as Antoni A and Antoni B type of tissues. Foci of microcystic degeneration were also evident.

Regimentation of nuclei was observed in quite a few of the bundles [Figure 2]. Based on the histopathologic features, a diagnosis of benign Schwannoma was made.

 DISCUSSION



Schwannomas usually occur as single and slow growing benign tumours thought to arise from the Schwann cells of the peripheral nerves involving commonly the cranial and spina nerve roots. Other sites involved include the face, neck, scalp and hands. Examples have been recorded in the tongue, palate and larynx[3] While growing, they commonly assume an hour. glass form or the dumbel form as was seen it the present case. This case presented the classical morphologic features characterised by in, terlaced spindle-celled fasciculi, focal palisading of nuclei and the compact and loose textured Antoni `A' and Antoni `B' tissues. Once excised, the benign Schwannomas usually do not recur. Nath and Gogi[2] reported a case which recurred after three years of its first removal, Their malignant counterparts are more rare. There may be pigmentation of the skin in cases of Schwannoma which indicates the close relationship of this tumour with von Reckling-hausen's disease[4],[5] However, there was no associated lesion of any kind in the present case.

 SUMMARY



A case of benign Schwannoma which grew slowly for eight years in an uncommon site, the left lower eye lid, is described and discussed.

References

1Mishra, S.M. and Sharan, J.N., 1960, Brit. J, Ophthalmol. 44: 252.
2Nath, K. and Gogi, R, 1969, Orient Arch Ophthal­mol. 7:254.
3Russel, Dorothy S., and Rubinstein, L.J., 1959, Pathology of tumours of the Nervous system, 1st ed., p. 241, Edward Arnold Ltd., London.
4Mortada, A., 1968, Brit. J. Ophthahmol, 52 : 188.
5Reese, A. B., 1963, Tumours of the Eye, 2nd ed,, p. 190-202, 534-535, Paul B. Hoeber Inc., N.Y.