De Toma G, Gabriele R, Plocco M, Sgarzini G, Indinnimeo M, Del Grande E
I Anatomia Chirurgica e Corso di Operazioni, Università degli Studi La Sapienza, Roma.
G Chir. 1994 Mar;15(3):92-6.
The Authors report two cases of solitary neurogenic tumors of the brachial plexus not associated with Von Recklinghausen's disease. Peripheral nerve tumors are relatively rare and only 25% occur above the clavicles. The mass, usually asymptomatic, may cause sensory radicular symptoms or rarely motor deficits in the involved arm. Wide radical excision of a benign neurogenic tumor is the treatment of choice; for malignant tumors, associated with a particularly poor prognosis, a more aggressive surgical approach may be necessary. Adjuvant radiation therapy and chemotherapy do not seem to have any effect on survival rates.
作者报告了两例与冯雷克林霍增氏病无关的臂丛神经孤立性神经源性肿瘤。周围神经肿瘤相对罕见，仅25%发生于锁骨上方。肿块通常无症状，可能导致受累手臂出现感觉神经根症状，或很少见的运动功能障碍。良性神经源性肿瘤的广泛根治性切除是首选治疗方法；对于预后特别差的恶性肿瘤，可能需要更积极的手术方法。辅助放疗和化疗似乎对生存率没有任何影响。
