RESUMO
AIM: This is a case of Ancient schwannoma, an uncommon schwannoma variant, of clinical interest for the unusual site of the lesion, the diagnostic complexity and the surgical approach. CASE REPORT: We present a 40-year-old patient with intramural swelling of the lingual belly. Surgical removal was performed, and the diagnosis was confirmed by histopathological examination. DISCUSSION: We discuss the clinical findings and therapeutic strategies for treating and diagnosing ancient schwannoma. CONCLUSIONS: The specific diagnosis is difficult and frequently late. Growth is slow and only at a distance of time symptoms arise. These tumors must be treated surgically in the prevention of a possible recurrence. KEY WORDS: Ancient schwannoma, Intramural tongue mass, Antoni A and Antoni B bodies, Neurinoma, Neurilemoma.