A bilateral cervical swelling and it is not a malignancy

Background. This case report is about a patient with 2 synchronous bilateral cervical schwannomas. Patients and Methods. A 59-year-old white man presented a 6-month history of painless bilateral cervical swelling. Magnetic resonance imaging revealed 2 tumors in the carotid sheath. Both tumors, which derived from the cervical sympathetic chain, were surgically removed. Results. Histopathologically, both tumors were diagnosed as schwannomas. Conclusions. Commonly, a bilateral cervical swelling is not caused by 2 schwannomas. It is unusual for 2 schwannomas to appear in a patient synchronously without any evidence of neurofibromatosis or schwannomatosis. Differential diagnosis of a bilateral cervical swelling includes malignancy, carotid body tumor, and chronic infection. (Oral Surg Oral Med Oral Pathol Oral Radiol 2012;113:e19-e21)