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腋窝臂丛神经丛多囊性许旺细胞瘤:罕见病例报告。

Plexiform Schwannoma of Brachial Plexus in Axilla: A Rare Case Report.

机构信息

Trauma Center, The First People's Hospital of Yunnan Province/The Affiliated Hospital of Kunming University of Science and Technology, Kunming, Yunnan, China.

Ultrasound Center, The First People's Hospital of Yunnan Province/The Affiliated Hospital of Kunming University of Science and Technology, Kunming, Yunnan, China.

出版信息

J Musculoskelet Neuronal Interact. 2023 Sep 1;23(3):371-376.

Abstract

The most common tumours in the brachial plexus are benign schwannomas, followed by neurofibromas and malignancies, originating from the peripheral nerve sheath. The clinical manifestations of brachial plexus tumours are variable according to their location, extension, neurological elements involved and pathology. Brachial plexus tumours are rare in the upper extremity, and axillary schwannoma is uncommon. This case reports a 59-year-old woman with a tumour in her left axilla for two years, gradually enlarging with numbness in her left little finger. Microsurgical interfascicular dissection operation was performed to remove the tumour. Νumbness disappeared after the procedure, and no tumour recurrence was observed during the 30-month follow-up. To the best of our knowledge, plexiform schwannoma of the brachial plexus in the axilla has not been reported so far. In this article, such a case is reported, where this tumour was diagnosed by the histopathological examination and confirmed with immunohistochemistry.

摘要

臂丛中最常见的肿瘤是良性雪旺细胞瘤,其次是神经纤维瘤和起源于周围神经鞘的恶性肿瘤。臂丛肿瘤的临床表现根据其位置、范围、受累的神经成分和病理学而有所不同。臂丛肿瘤在上肢较为罕见,腋窝神经鞘瘤也不常见。本病例报告了一名 59 岁女性,其左侧腋窝有肿瘤,已存在两年,逐渐增大,左手小指麻木。行显微神经束间解剖手术切除肿瘤。术后麻木感消失,30 个月随访期间未观察到肿瘤复发。据我们所知,目前尚未有腋窝臂丛神经丛状雪旺细胞瘤的报道。在本文中,报告了这样一个病例,通过组织病理学检查和免疫组织化学检查对该肿瘤进行了诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94b6/10483822/3ae766c67cb4/JMNI-23-371-g001.jpg

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