Retrospective Analysis of 20 Patients Affected by Schwannomas in the Upper and Lower Limbs.

Autor: Galbiatti JA; Faculdade de Medicina de Marília, Marília, SP, Brasil., Milhomens GRDS; Faculdade de Medicina de Marília, Marília, SP, Brasil., Bertozzo LG; Faculdade de Medicina de Marília, Marília, SP, Brasil., Escames L; Faculdade de Medicina de Marília, Marília, SP, Brasil., Milhomens Neto PA; Faculdade de Medicina de Jundiaí, Jundiaí, SP, Brasil., Galbiatti MGP; Faculdade de Medicina, Universidade de Marília, Marília, SP, Brasil.
Jazyk: angličtina
Zdroj: Revista brasileira de ortopedia [Rev Bras Ortop (Sao Paulo)] 2020 Oct; Vol. 55 (5), pp. 629-636. Date of Electronic Publication: 2020 Apr 06.
DOI: 10.1055/s-0040-1702962
Abstrakt: Objective  To analyze the epidemiological profile and evolution of 20 patients diagnosed with upper- and lower-limb schwannomas. Methods  A group of patients was defined for a retrospective evaluation comprising the period between February 2002 and June 2018, in which we studied and evaluated 20 medical records of patients undergoing surgery due to schwannoma; the diagnosis was confirmed by an anatomopathological examination. Results  Male and female patients were equally affected. The average age was 50.85 years, ranging from 12 to 77 years. There was a predominance of the upper limb and of the flexor face. The most affected nerve was the ulnar nerve. In total, 6 (30%) patients had transient postoperative complications. No cases of tumor recurrence were identified. Conclusion  Schwannoma is a rare and difficult-to-diagnose lesion. It should always be considered as a hypothesis when facing a soft-tissue tumor affecting the limbs. The Tinel sign should be regarded, given its higher correlation with complications. The patients should be informed of the possible postoperative complications, which are frequent but usually transient.
Competing Interests: Conflito de Interesses Os autores declaram não haver conflito de interesses.
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Databáze: MEDLINE