Schwannoma, otherwise known as neurilemmoma, is a benign tumor that originatesfrom Schwann cells. Ancient Schwannoma is a long-standing Schwannoma withdegenerative and xanthomatous changes. The Head and neck region is one of themost common sites for nerve sheath tumors but Involvement of the jaw is aconsiderably infrequent event. We report a rare case of intraosseous ancientSchwannoma of the mandible in a 24-year-old male patient which was initiallymisdiagnosed with carcinoma. The clinical features, radiographic findings, andtreatment plan are discussed. Furthermore, a thorough literature reviewdemonstrated nine published cases of intra-osseous ancient Schwannoma with theirsummarized features. Recognition of various histopathologic features of ancientSchwannoma is essential to prevent over-treatment.
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