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Lve the lungs, and are associated with intracranial invasion3,5. The role of radiotherapy and chemotherapy remains controversial. However, some authors have indicated radiotherapy in cases in which the tumor cannot be completely resected2. In the present, we indicated radiotherapy to reduce the risk of disease recurrence because it was performed piece meal endoscopic resection and histopathological study evidenced infiltration of adjacent tissue. The five-year survival rate is 65. 7% among individuals presenting malignant schwannoma alone, and falls by 30% when associated with type 1 neurofibromatosis. viagra online Other prognostic factors include the degree of cell pleomorphism, level of mitotic activity and size of the primary tumor2,3,8. The present case did not present type 1 and presented an excellent result from surgery combined with radiation therapy. Currently, the patient does not present any signs of tumor recurrence or distant metastases.   final comments malignant tumors of the peripheral nerves sheath are rare in the head and neck region. The definitive diagnosis is only given through histological and immunohistochemical evaluations, with positive findings of s-100 positive. The standard treatment consists of complete resection of the tumor, with safety margins.   references 1. Ghosh bc, ghosh l, huvos ag, fortner jg. Malignant schwannoma. A clinicopathologic study. Cancer. 1973;31(1):184-90.         [ links ] 2. Mannan aa, singh mk, bahadur s, hatimota p, sharma mc. Solitary malignant schwannoma of the nasal cavity and paranasal sinuses: report of two rare cases. Ear nose throat j. canada pharmacy viagra 2003;82(8):634-6. medication viagra tadalafil         [ links ] 3. Perzin kh, panyu h, wechter s. Nonepithelial tumors of the nasal cavity, paranasal sinuses and nasopharynx. ordering viagra online without visiting a doctors A clinicopathologic study. Xii: schwann cell tumors (neurilemoma, neurofibroma, malignant schwannoma). Cancer. buy generic viagra online 1982; 50(10):2193-202.         [ links ] 4. Sercarz ja, mark rj, tran l, storper i, calcaterra tc. buy viagra online Sarcomas of the nasal cavity and paranasal sinuses. Ann otol rhinol laryngol. 1994;103(9):699-704. viagra sales in india         [ links ] 5. Khademi b, owji sm, khosh kj, mohammadianpanah m, gandomi b. Description of a neural sheath tumor of the trigeminal nerve: immunohistochemical and electron microscopy study. vision loss from viagra São paulo med j. 2006;124(6):333-5. viagra alcohol effects         [ links ] 6. Guimarães res, becker hmg, silva cdle, crossara pftb, ferreira jr ca, saltes pgo, et al. Schwannoma nasal com extensão intracraniana. Relato de caso. Rev bras otorrinolaringol. 2000;66(3):279-82. viagra 100 mg versus viagra 20 mg         [ links ] 7. Pinto ja, pinto hcf, felippu a. Cirurgia combinada craniofacial para tumores malignos do nariz e seios paranasais resultados. viagra buy dublin Rev bras otorrinolaringol. 1996;62(2):112-20.         [ links ] 8. Hamakawa h, kayabara h, sumida t, tanioka h. Mandibular malignant schwannoma with multiple spinal metastases: a case report and a review of the literature. J oral maxillofac surg. viagra buy dublin 1998;56(10):1191-6.         [ links ]     send correspondence to: vít.
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Mosley & Minnesota Self Storage
3004 Minnesota Avenue
Lynn Haven, FL 32444
(850) 785-1300
Fax (850) 563-1695

We are located at the corner of

Minnesota Avenue
Mosley Drive
Lynn Haven, Florida