Revisiting the imaging appearance of neuromuscular choristoma versus lipomatous lesions of nerve: Nuancing the 50% rule
Autor: | Stephen M. Broski, Jodi M. Carter, Nikhil K. Murthy, B. Matthew Howe, Kimberly K. Amrami, Robert J. Spinner |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Pathology
medicine.medical_specialty RD1-811 Lipomatosis Atypical Lipomatous Tumor Lesion Magnetic resonance imaging Peripheral nerve Pathognomonic Biopsy medicine RC346-429 medicine.diagnostic_test business.industry Neuromuscular choristoma Soft tissue medicine.disease Surgery Neurology (clinical) Neurology. Diseases of the nervous system medicine.symptom Fibrolipomatous hamartoma business Brachial plexus Hibernoma |
Zdroj: | Interdisciplinary Neurosurgery, Vol 26, Iss, Pp 101322-(2021) |
ISSN: | 2214-7519 |
Popis: | Neuromuscular choristoma (NMC) is a rare benign peripheral nerve lesion characterized by mature skeletal or smooth muscle admixed with nerve fibers whereas lipomatosis of nerve (LN) is characterized by adipose tissue. We describe a case of a 49-year-old woman with a fat-containing mass associated with the brachial plexus appearing as a hibernoma, atypical LN, or atypical lipomatous tumor. Biopsy revealed pathognomonic histologic features of NMC. We suggest the 50% rule previously proposed to distinguish NMC from other fatty lesions be applied to the portion of the lesion with soft tissue elements, and not the lesion as a whole. |
Databáze: | OpenAIRE |
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