后骨间神经神经鞘瘤1例报告及文献复习。

IF 0.9 Q3 SURGERY World Journal of Plastic Surgery Pub Date : 2023-01-01 DOI:10.52547/wjps.12.1.86
Navneet Sharma, Shilpi Karmakar, Lokesh Rana, Umesh Dhiman
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引用次数: 0

摘要

神经鞘瘤仅占上肢肿瘤的5%。后骨间神经神经鞘瘤是罕见的。对文献的彻底搜索只发现了三个关于这个实体的病例报告。女性,33岁,右前臂伸肌侧隐伏肿胀1年,4、5指伸肌缺损1个月。磁共振及细针穿刺细胞学提示低级别神经鞘肿瘤。采用显微外科技术,在止血带控制和放大下切除肿瘤。组织病理学证实为神经鞘瘤。结果。患者在1.5个月内恢复了四指和五指的完全伸展。由于神经鞘瘤不浸润神经纤维,因此完全手术切除是治疗的选择。我们写这篇文章是为了引起临床医生对这种不寻常的实体的注意。PIN神经鞘瘤是一种相对罕见的疾病。迄今为止,文献中仅报道了3例。在切除大的神经鞘瘤时,需要细致的注意细节,因为在解剖过程中有神经束损伤的风险。使用放大和显微外科技术可以防止无意的神经损伤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Schwannoma of Posterior Interosseous Nerve: A Case Report and Review of Literature.

Schwannomas constitute only 5% of tumors of upper limb. Schwannoma of the posterior interosseous nerve is rare. A thorough search of literature revealed only three case reports of this entity. A 33-year old female presented with insidious onset swelling over extensor aspect of right forearm for one year and deficit of extension of fourth and fifth finger for a month. Magnetic Resonance Imaging and Fine Needle Aspiration Cytology were suggestive of low- grade nerve sheath tumor. The tumor was excised under tourniquet control and magnification, using microsurgical technique. Histopathology confirmed schwannoma. Result. Patient regained her full extension of fourth and fifth finger within 1.5 months. As schwannoma does not infiltrate the nerve fibers, so a complete surgical excision is the treatment of choice. We wrote this article to draw clinicians' attention to this unusual entity. Schwannoma of PIN is a relatively rare condition. Till date, there are only three cases reported in literature. Meticulous attention to detail is required while excising large schwannomas, as there is a risk of fascicular injury during dissection. Use of magnification and microsurgical technique prevents inadvertent nerve injury.

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