Peripheral Nerve Lymphomatosis
| Autor: | Mark E. Puhaindran, Ryan Yak, Tun-Lin Foo |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
Pathology medicine.medical_specialty Decompression Neurolymphomatosis Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Peripheral nerve Pathognomonic Positron Emission Tomography Computed Tomography Medicine Humans Brachial Plexus Ulnar Nerve Aged PET-CT Frozen section procedure business.industry General Medicine Middle Aged medicine.disease Sciatic Nerve Peripheral Lymphoma 030220 oncology & carcinogenesis Female Radiology business Brachial plexus 030217 neurology & neurosurgery |
| Zdroj: | The journal of hand surgery Asian-Pacific volume. 22(1) |
| ISSN: | 2424-8363 |
| Popis: | Lymphoma involvement of peripheral nerves is rare and it may mimic benign neurogenic tumors or neuropraxic injury. This study presents three patterns of presentations in four patients with neurolymphomatous involvement of their peripheral nerves. We reviewed the clinical records of four patients who underwent exploratory brachial plexus surgery (n = 1), pronator tunnel decompression (n = 1) and peripheral nerve exploration (n = 2) and subsequently found to have neurolymphomatosis (NL). Histological diagnoses were diffuse large B-cell lymphoma (n = 3) and NK/T-cell lymphoma (n = 1). NL lacks pathognomonic clinical and imaging features that aid clinicians in diagnosis. Apart from a history of lymphoma, and high clinical index of suspicion, PET-CT scans appear to be a helpful adjunct in detecting high metabolic lesions occuring in situ or systemically. Intra-operative frozen section is helpful to detect round blue cells, before final cytological diagnosis. |
| Databáze: | OpenAIRE |
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