Kehoe N J, Reid R P, Semple J C
Western Infirmary, Glasgow, Scotland, UK.
J Bone Joint Surg Br. 1995 May;77(3):497-500.
Solitary benign peripheral-nerve tumours are rare and may be difficult to diagnose correctly. Surgical excision may increase the patient's symptoms and may not be necessary. We have reviewed the presentation, clinical findings and histology of 104 solitary tumours presenting at one centre between 1959 and 1990. Male patients predominated for both schwannoma and neurofibroma. There was considerable but variable delay before presentation; 94% of patients complained primarily of a mass and less than half had pain or paraesthesia. The correct diagnosis had been made in only a few cases before operation, and the incidence of neurological symptoms doubled after exploration. We emphasise the need for vigilance, accurate preoperative diagnosis, and careful surgery.
孤立性良性周围神经肿瘤较为罕见，可能难以正确诊断。手术切除可能会加重患者症状，或许并无必要。我们回顾了1959年至1990年间在某一中心出现的104例孤立性肿瘤的临床表现、临床检查结果及组织学情况。神经鞘瘤和神经纤维瘤患者中男性居多。就诊前有相当长且不一的延迟期；94%的患者主要主诉有肿块，不到一半的患者有疼痛或感觉异常。术前仅有少数病例做出了正确诊断，探查后神经症状发生率翻倍。我们强调需要保持警惕、进行准确的术前诊断以及谨慎手术。
