Nodular Swelling of the Neck, Morphologically Diagnosed as a Case of Schwannoma

Introduction: we report a rare case of schwannoma, which appeared as nodular swelling in the neck and caused us the diagnostic dilemma. The fine needle aspiration cytology of a swelling in the neck revealed features of tuberculosis. However, there were no clinical signs and symptoms of tuberculosis and the blood tests were negative for the chronic inflammatory disease. We advised excisional biopsy, the histopathology reported it as schwannoma. It is opined that, the diagnosis of schwannoma should be based on clinical suspicion and histopathological confirmation. Ultrasound and fine needle aspiration cytology may have low sensitivity, which can cause diagnostic dilemma.