Schwannomas are benign, encapsulated, submucosal, neural sheath tumors derived from
Schwann's cells. (1-7) They are generally solitary and they can occur along any somatic or sympathetic nerve in the body except the olfactory and optic nerves, which lack
Schwann's cell sheaths and which are part of the central nervous system.
They are believed to originate in the ectodermal Schwann's cells of the nerve sheath.
Antoni A areas are solid, with the Schwann's cells lying in rows, resulting in palisading of the nuclei.
They can arise in all peripheral nerve elements, including
Schwann's cells, neurons, fibroblasts, and perineural cells.
Neurilemmomas are peripheral nerve sheath tumors derived from Schwann's cells. They are significantly more likely to affect sensory nerves than motor nerves.
Pathologically, neurilemmomas are made up almost entirely of Schwann's cells. Three criteria are necessary to establish a histopathologic diagnosis: the presence of a capsule, the identification of Antoni A and B areas, and positivity of the tumor cells for S-100 protein.
(1) These tumors arise from the cells of the peripheral nerve, including
Schwann's cells, perineural cells, and fibroblasts, and they can produce schwannomas and neurofibromas.
Malignant peripheral nerve sheath tumor--also known as neurogenic sarcoma, malignant neurilemoma, malignant schwannoma, and neurofibrosarcoma--is an uncommon neoplasm that originates in
Schwann's cells of the nerve sheath.
(4) Neuromas are uncommon benign parotid tumors; they include schwannomas (neurilemmomas) and neurofibromas, although both originate in Schwann's cells. A schwannoma is a solitary encapsulated tumor; a neurofibroma is not capsulated and contains nerve fibers within the lesion.
An Antoni A pattern is characterized by elongated and spindle-shaped Schwann's cells arranged in short bundles or interlacing fascicles with nuclear palisading, whorling of the cells, and Verocay' s bodies.
Granular cell tumors are relatively uncommon soft tissue lesions that originate in
Schwann's cells. Although these tumors can occur at any site, their presence in the parotid gland is very unusual.
Schwann's cells have often been identified as the cells of origin.