Malignant schwannoma of the obturator nerve
| Autor: | Edvard Ehler, E Prochazka, D Lastovicka, Martin Vališ, J Petera, Martin Kanta, Rehák S, Jiřina Habalová |
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| Rok vydání: | 2013 |
| Předmět: |
Economics and Econometrics
medicine.medical_specialty Thigh Schwannoma Lesion Peripheral Nervous System Neoplasms Biopsy Materials Chemistry Media Technology medicine Humans Right Thigh Aged medicine.diagnostic_test business.industry Forestry medicine.disease medicine.anatomical_structure Orthopedic surgery Female Obturator nerve Neurosurgery Radiology medicine.symptom Obturator Nerve business Neurilemmoma |
| Zdroj: | Bratislava Medical Journal. 114:584-586 |
| ISSN: | 1336-0345 |
| DOI: | 10.4149/bll_2013_125 |
| Popis: | Lesions of obturator nerve are rare. Tumours and mainly malignant schwannoma of this nerve are extremely rare. The authors describe an unusual case of a gigantic schwannoma of the obturator nerve in 69 year old woman. Due to tumour expansion in the proximal part of the thigh MRI was performed and demonstrated extensive tumour originating most probably from the obturator nerve. The patient had no neurological symptoms. Biopsy from the lesion was taken at the Department of Orthopaedics with the following conclusion: malignant schwannoma. The patient received neoadjuvant chemotherapy due to diffuse metastatic spread on the chest X ray, after which metastatic spread subsided. The main lesion reduced its size by 1 cm. In 4 months after biopsy the patient was referred for operation to neurosurgery. The tumour was removed along its borders and except of minimal weakness of adduction of the right thigh there was no neurological deterioration. She was subsequently referred for further care to oncology and radiotherapy.The goal of this work is to emphasize the extremely rare occurrence of tumours of this nerve and suggest therapeutic options (Fig. 4, Ref. 11). |
| Databáze: | OpenAIRE |
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