# Large Asymptomatic Schwannoma of the Tongue: An Unusual Case Report With Clinical, Radiologic, and Histopathological Correlation

## TL;DR

A rare case of a large, asymptomatic schwannoma on the tongue is reported, emphasizing the importance of accurate diagnosis and successful treatment.

## Contribution

This case report adds to the limited literature on large asymptomatic schwannomas of the tongue and their clinical management.

## Key findings

- A large, asymptomatic schwannoma was successfully excised with no functional deficits or recurrence.
- Histopathological analysis confirmed schwannoma with classic features like Antoni A/B patterns and Verocay bodies.
- The case underscores the need to consider schwannoma in the differential diagnosis of tongue masses.

## Abstract

Schwannomas of the oral cavity are rare benign tumors, with the tongue being the most frequently affected site. This case describes a 22-year-old male presenting with a large, well-circumscribed mass on the dorsum of the tongue that remained entirely asymptomatic despite its considerable size. Clinical examination and non-contrast computed tomography revealed a localized hypodense lesion without infiltration. Complete transoral excision was performed, and histopathological analysis demonstrated classic Antoni A and B patterns with Verocay bodies, confirming the diagnosis of schwannoma. Postoperative healing was uneventful, with no functional deficits or recurrence during follow-up. This case highlights the importance of considering schwannoma in the differential diagnosis of tongue masses, as the clinical features may resemble fibroma, neurofibroma, or other benign soft-tissue tumors. Early identification and complete surgical removal ensure an excellent prognosis and preservation of tongue function.