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1例罕见的正中神经神经内神经鞘瘤酷似腕管综合征

A Rare Case of Intraneural Neurothekeoma of Median Nerve Mimicking Carpal Tunnel Syndrome.

作者信息

Sharma Ayush, Kamble Prashant Chandrakant, Singh Vijay

机构信息

Department of Orthopedic and Spine Surgeries Dr. B R Ambedkar Central Railway Hospital, Byculla [East], Mumbai. Maharashtra, India.

Department of Orthopedics, King Edward Memorial Hospital, Mumbai. Maharashtra, India.

出版信息

J Orthop Case Rep. 2017 Nov-Dec;7(6):73-75. doi: 10.13107/jocr.2250-0685.956.

DOI:10.13107/jocr.2250-0685.956
PMID:29600216
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5868890/
Abstract

INTRODUCTION

Neurothekeomas are uncommon benign soft tissue tumors of the peripheral nerves. It is commonly found in the upper extremities and in the head and the neck region as a small, asymptomatic, and superficial nodule.

CASE REPORT

We report a rare case of intraneural neurothekeoma (2.8 χ 2.4 x 1.8 cm) of the median nerve at the wrist in a 56-year-old female, which presented with clinical features of carpal tunnel syndrome.

CONCLUSION

Carpal tunnel syndrome caused by intraneural neurothekeoma has been rarely reported. Clinicians should be aware of this rare cause of carpal tunnel syndrome.

摘要

引言

神经鞘黏液瘤是周围神经罕见的良性软组织肿瘤。它通常在上肢以及头颈部发现，表现为一个小的、无症状的浅表结节。

病例报告

我们报告一例罕见的腕部正中神经内神经鞘黏液瘤（2.8×2.4×1.8厘米），患者为一名56岁女性，表现为腕管综合征的临床特征。

结论

由神经鞘黏液瘤引起的腕管综合征鲜有报道。临床医生应知晓这种导致腕管综合征的罕见病因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03ad/5868890/fa3057ed9f6e/JOCR-7-73-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03ad/5868890/16e73d2bddec/JOCR-7-73-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03ad/5868890/17681887e4ee/JOCR-7-73-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03ad/5868890/62417faf6632/JOCR-7-73-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03ad/5868890/fa3057ed9f6e/JOCR-7-73-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03ad/5868890/16e73d2bddec/JOCR-7-73-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03ad/5868890/17681887e4ee/JOCR-7-73-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03ad/5868890/62417faf6632/JOCR-7-73-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03ad/5868890/fa3057ed9f6e/JOCR-7-73-g004.jpg

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本文引用的文献

1
Neurothekeoma of the median nerve: case report.正中神经神经鞘瘤：病例报告
J Hand Surg Am. 2012 Jun;37(6):1184-6. doi: 10.1016/j.jhsa.2012.03.005. Epub 2012 May 1.
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Immunohistochemical expression of S100A6 in cellular neurothekeoma: clinicopathologic and immunohistochemical analysis of 31 cases.S100A6在细胞性神经鞘瘤中的免疫组化表达：31例临床病理及免疫组化分析
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Neurothekeoma: an analysis of 178 tumors with detailed immunohistochemical data and long-term patient follow-up information.
神经鞘黏液瘤：178例肿瘤的分析，包含详细免疫组化数据及患者长期随访信息
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Dermatol Surg. 2006 Apr;32(4):582-7; discussion 587. doi: 10.1111/j.1524-4725.2006.32120.x.
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Nerve sheath myxoma: a clinicopathologic and immunohistochemical analysis of 57 morphologically distinctive, S-100 protein- and GFAP-positive, myxoid peripheral nerve sheath tumors with a predilection for the extremities and a high local recurrence rate.神经鞘黏液瘤：57例形态独特、S-100蛋白和GFAP阳性、黏液样外周神经鞘瘤的临床病理及免疫组化分析，这些肿瘤好发于四肢且局部复发率高。
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J Am Acad Dermatol. 2004 Jan;50(1):129-34. doi: 10.1016/s0190-9622(03)00886-7.
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Studies on the cellular origin of neurothekeoma: clinical, light microscopic, immunohistochemical, and ultrastructural observations.神经鞘黏液瘤细胞起源的研究：临床、光镜、免疫组化及超微结构观察
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