Angelini Andrea, Bevoni Roberto, Biz Carlo, Cerchiaro Maria Chiara, Girolami Mauro, Ruggieri Pietro
Department of Orthopaedica and Orthopaedic Oncology, University of Padova.
Acta Biomed. 2019 Jan 10;90(1-S):214-220. doi: 10.23750/abm.v90i1-S.8079.
Schwannoma is a soft tissue tumor that rarely presents in the foot. Patients are usually asymptomatic, but in some cases symptoms typically result from the mass effect and direct involvement of the nerve and surrounding tissue. We report on four consecutive cases. The first patient was a 57-years-old female that referred symptoms similar to the Morton's neuroma with a mass arising from the medial plantar nerve. The second patient was treated for a schwannoma in the plantar area. The third case was a female with a schwannoma arising from the sural nerve and the fourth patient had a tumor arising from the medial plantar nerve. All patients underwent surgical excision and histological evaluation. No signs of neurological deficit or recurrence were observed at final follow-up. Purpose of the study was to define clinical features, optimal management and outcome of schwannomas of the foot, through an accurate review of the literature.
施万细胞瘤是一种软组织肿瘤，很少出现在足部。患者通常无症状，但在某些情况下，症状通常由肿块效应以及神经和周围组织的直接受累引起。我们报告了连续4例病例。首例患者为一名57岁女性，表现出类似于 Morton 神经瘤的症状，肿物起源于足底内侧神经。第二例患者接受了足底区域施万细胞瘤的治疗。第三例为一名女性，其施万细胞瘤起源于腓肠神经，第四例患者的肿瘤起源于足底内侧神经。所有患者均接受了手术切除及组织学评估。末次随访时未观察到神经功能缺损或复发迹象。本研究的目的是通过对文献的准确回顾，明确足部施万细胞瘤的临床特征、最佳治疗方法及预后。
