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一例罕见的前臂近端神经鞘瘤:病例报告

An Unusual Schwannoma in the Proximal Forearm: A Case Report.

作者信息

Hakan Tayfun, Kılıç Yusuf, Çelikoğlu Erhan, Ekemen Süheyla

机构信息

Neurosurgery, Private Practice, Intermed Çiftehavuzlar Outpatient Clinics, İstanbul, TUR.

Surgery, Intermed Çiftehavuzlar Outpatient Clinics, İstanbul, TUR.

出版信息

Cureus. 2019 Nov 25;11(11):e6231. doi: 10.7759/cureus.6231.

Abstract

Schwannomas are common, well-encapsulated benign tumors of the peripheral nerves. They rarely emerge from the median nerve in the forearm. Here we report a case of an unusual schwannoma measuring 3 × 4 × 3 cm originating from the median nerve in the proximal forearm of a 49-year-old man. The mass was painless, but Tinel's sign was positive. Ultrasonography showed a solid, hypoechoic mass with central cystic areas in the flexor muscle group in the left forearm. Magnetic resonance imaging with contrast enhancement in T1 sequences revealed that it originated from the median nerve. Surgical resection was performed by separating the nerve fibers from the tumor without any complications. Histological examination confirmed it as a schwannoma.

摘要

施万细胞瘤是常见的、有完整包膜的周围神经良性肿瘤。它们很少起源于前臂的正中神经。在此,我们报告一例罕见的施万细胞瘤病例,该肿瘤大小为3×4×3厘米,起源于一名49岁男性前臂近端的正中神经。肿块无痛,但Tinel征呈阳性。超声检查显示左前臂屈肌肌群内有一个实性、低回声肿块,中央有囊性区域。T1序列增强磁共振成像显示其起源于正中神经。通过将神经纤维与肿瘤分离进行手术切除,未出现任何并发症。组织学检查证实为施万细胞瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3473/6935331/20d895f9db67/cureus-0011-00000006231-i01.jpg

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本文引用的文献

1
Atypical schwannoma of the median nerve. A case report.
Hand Surg Rehabil. 2019 Sep;38(4):273-275. doi: 10.1016/j.hansur.2019.05.001. Epub 2019 May 9.
2
Risk factors for neurological complications after operative treatment for schwannomas.
J Clin Neurosci. 2017 Dec;46:136-140. doi: 10.1016/j.jocn.2017.09.002. Epub 2017 Sep 30.
5
Results of surgical treatment of schwannomas arising from extremities.
Biomed Res Int. 2015;2015:547926. doi: 10.1155/2015/547926. Epub 2015 Feb 22.
6
Schwannomas of the upper extremity: analysis of 34 cases.
Acta Neurochir (Wien). 2014 Dec;156(12):2325-30. doi: 10.1007/s00701-014-2218-2. Epub 2014 Sep 17.
7
Pathology of peripheral nerve sheath tumors: diagnostic overview and update on selected diagnostic problems.
Acta Neuropathol. 2012 Mar;123(3):295-319. doi: 10.1007/s00401-012-0954-z. Epub 2012 Feb 12.
8
Benign solitary schwannomas: a review of 234 cases.
J Bone Joint Surg Br. 2007 Mar;89(3):382-7. doi: 10.1302/0301-620X.89B3.18123.
9
Imaging of peripheral nerve sheath tumors with pathologic correlation: pictorial review.
Eur J Radiol. 2004 Dec;52(3):229-39. doi: 10.1016/j.ejrad.2003.12.001.

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