Schwannome malin primitif du rameaux buccal supérieur du nerf facial

Introduction. - Primary malignant schwannomas are rare neoplasms of nerve sheath origin, especially in the location of the head and neck where few cases are described in the literature. Report case. - We report the case of a 65-year-old male diagnosed with malignant shwannoma in the left cheek. The patient underwent surgery with wide local excision, reconstruction were made later by skin graft. Discussion. - The treatment of choice is radical excision of the lesion with wide margins. In fact, to reduce local tumor recurrence, the use of adjuvant radiation or chemotherapy is still controversial. (C) 2009 Elsevier Masson SAS. All rights reserved.