Restrepo Carlos E, Spinner Robert J, Howe B Matthew, Jentoft Mark E, Markovic Svetomir N, Lachance Daniel H
Departments of 1 Neurosurgery.
J Neurosurg. 2015 Apr;122(4):784-90. doi: 10.3171/2014.12.JNS14852. Epub 2015 Jan 23.
Perineural spread is a well-known mechanism of dissemination of head and neck malignancies. There are few reports of melanoma involving the brachial plexus in the literature. To their knowledge, the authors report the first known case of perineural spread of malignant melanoma to the brachial plexus. Clinicoradiological and anatomopathological correlation is presented, highlighting the importance of peripheral nerve communications in perineural spread.
神经周围扩散是头颈部恶性肿瘤常见的播散机制。文献中鲜有关于黑色素瘤累及臂丛神经的报道。据作者所知，本文报道了首例已知的恶性黑色素瘤神经周围扩散至臂丛神经的病例。本文展示了临床放射学与解剖病理学的相关性，强调了周围神经交通支在神经周围扩散中的重要性。
