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Posterior tibial nerve schwannoma in a multiple myeloma patient: A case report
We report the case of a 61-year-old man with sharp pain, tender mass at the left lower one-third posterior tibial region. The patient has a 10-year history of multiple myeloma and related chemotherapy. A positron emission tomography computed tomography and magnetic resonance imaging indicated the su...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458660/ https://www.ncbi.nlm.nih.gov/pubmed/31007915 http://dx.doi.org/10.1177/2050313X19838441 |
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author | Daniel, Michael Waters, David Chen, Chaoyang Brouyette, Nicole |
author_facet | Daniel, Michael Waters, David Chen, Chaoyang Brouyette, Nicole |
author_sort | Daniel, Michael |
collection | PubMed |
description | We report the case of a 61-year-old man with sharp pain, tender mass at the left lower one-third posterior tibial region. The patient has a 10-year history of multiple myeloma and related chemotherapy. A positron emission tomography computed tomography and magnetic resonance imaging indicated the suspect of a posterior tibial nerve tumor. En bloc resection of the tumor was performed under guidance of nerve stimulator without resecting nerve trunk. Active nerve was reserved without any neuropathic pain. Histology revealed the presence of a peripheral schwannoma. In conclusion, the tibial nerve schwannoma appeared to be a whole nerve mass, but meticulous dissection showed that this tibial nerve schwannoma was a well-encapsulated tumor and can be separated from the nerve trunk with active nerve fibers reserved. Removal of the tumor made patient free of pain and asymptomatic after surgery. The level of clinical evidence is 4. |
format | Online Article Text |
id | pubmed-6458660 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-64586602019-04-19 Posterior tibial nerve schwannoma in a multiple myeloma patient: A case report Daniel, Michael Waters, David Chen, Chaoyang Brouyette, Nicole SAGE Open Med Case Rep Case Report We report the case of a 61-year-old man with sharp pain, tender mass at the left lower one-third posterior tibial region. The patient has a 10-year history of multiple myeloma and related chemotherapy. A positron emission tomography computed tomography and magnetic resonance imaging indicated the suspect of a posterior tibial nerve tumor. En bloc resection of the tumor was performed under guidance of nerve stimulator without resecting nerve trunk. Active nerve was reserved without any neuropathic pain. Histology revealed the presence of a peripheral schwannoma. In conclusion, the tibial nerve schwannoma appeared to be a whole nerve mass, but meticulous dissection showed that this tibial nerve schwannoma was a well-encapsulated tumor and can be separated from the nerve trunk with active nerve fibers reserved. Removal of the tumor made patient free of pain and asymptomatic after surgery. The level of clinical evidence is 4. SAGE Publications 2019-04-10 /pmc/articles/PMC6458660/ /pubmed/31007915 http://dx.doi.org/10.1177/2050313X19838441 Text en © The Author(s) 2019 http://creativecommons.org/licenses/by/4.0/ This article is distributed under the terms of the Creative Commons Attribution 4.0 License (http://www.creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Case Report Daniel, Michael Waters, David Chen, Chaoyang Brouyette, Nicole Posterior tibial nerve schwannoma in a multiple myeloma patient: A case report |
title | Posterior tibial nerve schwannoma in a multiple myeloma patient: A case report |
title_full | Posterior tibial nerve schwannoma in a multiple myeloma patient: A case report |
title_fullStr | Posterior tibial nerve schwannoma in a multiple myeloma patient: A case report |
title_full_unstemmed | Posterior tibial nerve schwannoma in a multiple myeloma patient: A case report |
title_short | Posterior tibial nerve schwannoma in a multiple myeloma patient: A case report |
title_sort | posterior tibial nerve schwannoma in a multiple myeloma patient: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458660/ https://www.ncbi.nlm.nih.gov/pubmed/31007915 http://dx.doi.org/10.1177/2050313X19838441 |
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