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        <datestamp>2026-09-23T05:39:56Z</datestamp>
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          <dc:title>Supplemental Material for: Orbital schwannomatosis –two interesting cases</dc:title>
          <dc:creator>figshare admin karger (2628495)</dc:creator>
          <dc:creator>Sumeya Ali Khan (25094271)</dc:creator>
          <dc:creator>Tayyab Afghani (9987181)</dc:creator>
          <dc:subject>Medicine</dc:subject>
          <dc:subject>Medicine</dc:subject>
          <dc:description>&lt;p dir="ltr"&gt;Introduction:&lt;/p&gt;&lt;p dir="ltr"&gt;Orbital schwannomas are a rare subtype of peripheral nerve sheath tumors that occur in cranial and peripheral nerves throughout the body.Their location in the orbit accounts for only 1%-4% of all head and neck tumors.Indolent growth delays diagnosis till pressure effects on the delicate neuro-ophthalmic structures within the bony orbit appear. Complete surgical excision is the preferred treatment modality.&lt;/p&gt;&lt;p dir="ltr"&gt;Case reports:&lt;/p&gt;&lt;p dir="ltr"&gt;Our two cases shared the typical clinical picture of long-standing progressive proptosis. However, the intraoperative finding of two discrete, well-encapsulated schwannomas in the same orbit is highly unusual. In both patients, removal of the first lesion did not fully relieve the mass effect, prompting further exploration that revealed a second lesion. Histologically, both lesions were identical, showing the classic biphasic spindle cell pattern with strong S100 positivity. Importantly, neither patient had neurofibromatosis type 1 or 2, excluding syndromic association.&lt;/p&gt;&lt;p dir="ltr"&gt;Conclusion:&lt;/p&gt;&lt;p dir="ltr"&gt;Our cases were diagnosed radiologically to have single intraorbital masses but peroperatively ,two distinct masses were seen.Later ,histologically alike.Such cases are very few in published literature.&lt;/p&gt;</dc:description>
          <dc:date>2026-09-23T05:39:56Z</dc:date>
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