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March 10, 2026Case Reports in Dentistry0 citationsOpen Access

Neurilemmoma Masquerading a Dermoid Cyst at the Inferior Mandibular Margin: An Unusual Clinical Occurrence

BKBibek KattelASAkunchan ShresthaSRSiddhartha Rai

Key Points

  • This case aims to highlight the diagnostic difficulties of identifying neurilemmomas in the submental and submandibular region.
  • Case analysis of a 65-year-old male with a 1.5-cm mass over 18 months.
  • Initial diagnosis via ultrasonography as a dermoid cyst.
  • Histopathological examination of the excised tissue confirmed the diagnosis.
  • The lesion was confirmed as a neurilemmoma post-excision.
  • The mass was encapsulated and easily detachable from surrounding tissue.
  • Successful excision was performed without postoperative neurological deficits.

Abstract

Key Clinical Message Neurilemmomas in the submental and submandibular region represent a diagnostic challenge, often mimicking more common superficial cysts. This is a case of neurilemmoma of the marginal mandibular branch of the facial nerve, initially diagnosed as a dermoid cyst via ultrasonography in a 65‐year‐old male with an 18‐month history of a painless 1.5‐cm mass. Histopathological examination of the excised lesion confirmed neurilemmoma. The mass was encapsulated and easily detached from the surrounding tissue; thus, successful excision without postoperative neurological deficits was ensured.

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Cite This Study

Kattel et al. (2026) studied this question.

synapsesocial.com/papers/69af944f70916d39fea4b56chttps://doi.org/10.1155/crid/9976255
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