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颈部手术后的截肢神经瘤。

Amputation neuromas after neck surgery.

作者信息

Serrano Falcón Cristina, Serrano Falcón Maria del Mar, Ruiz Villaverde Ricardo, Linares Solano Juan, Serrano Ortega Salvio

机构信息

Department of Dermatology, Hospital Universitario San Cecilio, University of Granada, Spain.

出版信息

Dermatol Online J. 2005 Aug 1;11(2):24.

PMID:16150232
Abstract

Traumatic or amputation neuromas are benign tumours formed by a proliferation of Schwann cells, axons and connective tissue elements. They are secondary to the partial or total section of a nerve pathway due to an accidental or surgical trauma. They can form at any site and affect any type of nerve. The presence of amputation neuromas is very frequent in major surgery but rare in simple excisions of skin tumours. We report two cases with neuroma localized in the neck, one after lymph node dissection for melanoma metastasis and the other after excision of a cutaneous melanoma with 3-cm margin on lateral neck. In both cases, the presence of the neuroma mandated a surgical excision to rule out a possible recurrence of melanoma.

摘要

创伤性或截肢性神经瘤是由施万细胞、轴突和结缔组织成分增生形成的良性肿瘤。它们继发于因意外或手术创伤导致的神经通路部分或完全切断。它们可在任何部位形成,影响任何类型的神经。截肢性神经瘤在大手术中很常见,但在皮肤肿瘤的单纯切除术中很少见。我们报告两例神经瘤位于颈部的病例,一例是在因黑色素瘤转移进行淋巴结清扫术后,另一例是在外侧颈部切除边缘为3厘米的皮肤黑色素瘤后。在这两例病例中,神经瘤的存在都需要进行手术切除以排除黑色素瘤可能的复发。

相似文献

1
Amputation neuromas after neck surgery.颈部手术后的截肢神经瘤。
Dermatol Online J. 2005 Aug 1;11(2):24.
2
Surgical management of melanoma-in-situ using a staged marginal and central excision technique.采用分期边缘和中央切除技术对原位黑素瘤进行手术治疗。
Ann Surg Oncol. 2009 Jun;16(6):1526-36. doi: 10.1245/s10434-008-0239-x. Epub 2008 Dec 3.
3
Traumatic neuromas of the head and neck.头颈部创伤性神经瘤
Ear Nose Throat J. 1998 Aug;77(8):670-4, 676.
4
[Scar neuroma following tumor operations of the head and neck. Immunohistologic studies, differential diagnosis, therapy].
HNO. 1987 Feb;35(2):84-7.
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Melanoma of the ear: prognostic factors and surgical strategies.耳部黑色素瘤:预后因素与手术策略
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Amputation neuroma following radical neck dissection--report of 3 cases.根治性颈清扫术后截肢性神经瘤——3例报告
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Parotid metastasis--an independent prognostic factor for head and neck cutaneous squamous cell carcinoma.腮腺转移——头颈部皮肤鳞状细胞癌的一个独立预后因素。
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Sciatic neuroma presenting forty years after above-knee amputation.坐骨神经瘤在膝上截肢术后四十年出现。
Open Orthop J. 2009 Dec 30;3:125-7. doi: 10.2174/1874325000903010125.