Department of Radiology, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL, 32224, USA.
Department of Orthopedic Surgery, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL, 32224, USA.
Skeletal Radiol. 2019 Nov;48(11):1815-1820. doi: 10.1007/s00256-019-03199-9. Epub 2019 Mar 22.
Epithelioid schwannoma is an uncommon benign peripheral nerve sheath tumor, with distinct morphological and pathological features. To our knowledge, the imaging features of epithelioid schwannoma have not been described. In this case report, we describe the imaging findings of a pathologically proven case of epithelioid schwannoma presenting as a slowly growing painless mass near the ankle. The MR imaging signs commonly associated with conventional schwannoma were absent. On correlative radiographs, there were intra-tumoral calcifications. Radiographs are an essential tool in the imaging evaluation of soft-tissue masses. Knowledge of soft-tissue tumor types that can be associated with intra-tumoral calcifications is helpful in honing the differential diagnosis.
上皮样 schwann 瘤是一种罕见的良性周围神经鞘瘤,具有独特的形态学和病理学特征。据我们所知,上皮样 schwann 瘤的影像学特征尚未被描述。在本病例报告中,我们描述了一个经病理证实的上皮样 schwann 瘤病例的影像学表现,该病例表现为踝关节附近缓慢生长的无痛性肿块。与常规 schwann 瘤相关的磁共振成像征象均不存在。在相关的 X 线片上,有肿瘤内钙化。X 线片是软组织肿块影像学评估的重要工具。了解可能与肿瘤内钙化相关的软组织肿瘤类型有助于进行鉴别诊断。