Schwannoma of the Tongue: A Rare Presentation and Diagnostic Challenge – A Case Report

Schwannomas are benign peripheral nerve sheath tumors arising from Schwann cells. Intraoral schwannomas are rare, particularly on the ventral surface of the tongue. It could often be misdiagnosed due to nonspecific clinical features. This report presents a case of a 60-year-old female with a 3–4-month history of a painless swelling on the ventral tongue. An intraoral examination revealed a firm, submucosal 3 × 3 cm mass with mild dysphonia. MRI demonstrated a well-encapsulated lesion with internal cystic changes suggestive of neural origin. A complete surgical excision was performed. Histopathology confirmed schwannoma with Antoni A and B areas and Verocay bodies. This is a rare case report of ventral tongue schwannoma, highlighting the importance of clinico-radiological and histopathological correlation. Awareness of such atypical presentations prevents misdiagnosis and ensures appropriate management.