Lapierre F, Rigoard P, Wager M
Service de neurochirurgie, CHU La Milétrie, 2, rue de La Milétrie, BP 577, 86021 Poitiers cedex, France.
Neurochirurgie. 2009 Oct;55(4-5):413-20. doi: 10.1016/j.neuchi.2009.09.004. Epub 2009 Sep 30.
Peripheral nerve tumors are most often benign tumors of the nerve sheath; uncommonly they come from the nerve cells or are metastatic tumors. A precise diagnosis is required for well-adapted and effective treatment, as is good knowledge of fibromatosis diseases. In some cases, the diagnosis of the nerve tumor will lead to a diagnosis of phakomatosis. Surgical treatment must be clearly discussed, which, in case of schwannomas gives very good functional results. Primitive malignant tumors remain an unsolved therapeutic problem.
周围神经肿瘤大多是神经鞘的良性肿瘤;很少情况下它们起源于神经细胞或为转移性肿瘤。为了进行恰当且有效的治疗,需要精确的诊断,同时也需要对纤维瘤病有充分的了解。在某些情况下,神经肿瘤的诊断会引出错构瘤病的诊断。必须明确讨论手术治疗,对于神经鞘瘤而言,手术能带来非常好的功能恢复结果。原发性恶性肿瘤仍然是一个尚未解决的治疗难题。