Handler S D, Canalis R F, Jenkins H A, Weiss A J
Arch Otolaryngol. 1977 Nov;103(11):653-7. doi: 10.1001/archotol.1977.00780280053007.
Brachial plexus neoplasms are uncommon. When this diagnosis is suspected, the functional and anatomical integrity of the brachial plexus and cervical spinal cord must be carefully assessed. A thorough search for other signs of neurofibromatosis (von Recklinghausen's disease) must also be completed. The distinction between neurilemoma and neurofibroma is an important and useful one to know. Evaluation by a pathologist who is well versed in neural tumors is mandatory for appropriate treatment of these usually benign lesions. Surgical intervention, adequately prepared on the basis of the patient's age, the amount of neural impairment, and the extent and histology of the tumor requires a surgeon who is experienced in peripheral nerve surgery and in microdissection techniques. Long-term follow-up is necessary to monitor the growth of known tumors, the detection of malignant change, and the appearance of other stigmata of von Recklinghausen's disease.
臂丛神经肿瘤并不常见。当怀疑有此诊断时，必须仔细评估臂丛神经和颈脊髓的功能及解剖完整性。还必须全面检查是否有神经纤维瘤病（冯雷克林霍增氏病）的其他体征。了解神经鞘瘤和神经纤维瘤之间的区别很重要且有用。对于这些通常为良性的病变，要进行适当治疗，必须由精通神经肿瘤的病理学家进行评估。根据患者年龄、神经损伤程度、肿瘤范围和组织学情况充分准备的手术干预，需要一位有外周神经手术和显微解剖技术经验的外科医生。长期随访对于监测已知肿瘤的生长、恶性变化的检测以及冯雷克林霍增氏病其他体征的出现是必要的。
