AN UNUSUAL PRESENTATION OF SCHWANNOMA NECK

62 yr old male patient presented with (R) sided painless neck swelling for past 5 months with no pressure symptoms. On examination 6x5 cm swelling present in upper part of (R) side of neck which is well defined, mobile, variable in consistency. Examination of lower cranial nerves and oral cavity examination was normal. Provisional diagnosis of secondaries neck (R). But panendoscopy was normal. CT Neck showed possibility of metastatic node in (R) carotid space.1st FNAC showed carcinomatous deposits from thyroid but thyroid FNAC was normal. Hence Trucut biopsy taken from node shows spindle cell tumour with possibility of fibromatosis . So planned for excision biopsy. Intraoperatively tumor was wedged between ICA and ECA and found to be arising from nerve sheath of vagus nerve. Post op uneventful. HPE showed Schwannoma