Nagey L, McCabe S J, Wolff T W
Christine M. Kleinert Institute for Hand and Micro Surgery, Louisville, Kentucky.
J Hand Surg Br. 1990 Nov;15(4):489-90. doi: 10.1016/0266-7681(90)90099-p.
This case report describes a previously unreported entity, a neurofibroma of the palmar cutaneous branch of the median nerve. The lesion presented as a palmar mass with an overlying abnormality of the skin. Treatment consisted of excision of the lesion. Infiltration of the terminal branches of the nerve by the tumour prevented nerve reconstruction but provided a previously unknown diagnostic clue: fibrosis of an area of skin innervated by the involved nerve, which had the appearance of a callosity.
本病例报告描述了一种此前未被报道的病变,即正中神经掌皮支神经纤维瘤。该病变表现为手掌肿物,其上方皮肤存在异常。治疗方法为切除该病变。肿瘤对神经终末分支的浸润使得无法进行神经重建,但却提供了一个此前未知的诊断线索:受累神经所支配的皮肤区域出现纤维化,外观类似胼胝。