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A Rare case of Ulnar Nerve Intraneural Perineurioma in an elderly gentleman

Intraneural perineurioma (IPN) is a rare benign neoplasm of the peripheral nerve sheath, most commonly affecting the sciatic nerve of adolescents or young adults. We present a rare case of perineurioma in a 67-year-old man with an infiltrative clinical presentation affecting his ulnar nerve. Complet...

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Detalles Bibliográficos
Autores principales: Kelly, Tetyana, Findlay, Michael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8938196/
https://www.ncbi.nlm.nih.gov/pubmed/35330746
http://dx.doi.org/10.1016/j.jpra.2022.02.001
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author Kelly, Tetyana
Findlay, Michael
author_facet Kelly, Tetyana
Findlay, Michael
author_sort Kelly, Tetyana
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description Intraneural perineurioma (IPN) is a rare benign neoplasm of the peripheral nerve sheath, most commonly affecting the sciatic nerve of adolescents or young adults. We present a rare case of perineurioma in a 67-year-old man with an infiltrative clinical presentation affecting his ulnar nerve. Complete excision required en-bloc resection of the ulnar neurovascular bundle from mid-forearm to mid-palm with sural nerve and saphenous vein grafts used to reconstruct the ulnar nerve and artery, respectively. Despite recurrence from a previously localized excision, there has been no recurrence to date following en-bloc resection. The available literature on intraneural perineurioma is reviewed in light of this case report. IPN is an important entity because of its ability to mimic neural malignancies, and this case challenges the assertion that it is a tumour that occurs strictly in the young.
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spelling pubmed-89381962022-03-23 A Rare case of Ulnar Nerve Intraneural Perineurioma in an elderly gentleman Kelly, Tetyana Findlay, Michael JPRAS Open Case Report Intraneural perineurioma (IPN) is a rare benign neoplasm of the peripheral nerve sheath, most commonly affecting the sciatic nerve of adolescents or young adults. We present a rare case of perineurioma in a 67-year-old man with an infiltrative clinical presentation affecting his ulnar nerve. Complete excision required en-bloc resection of the ulnar neurovascular bundle from mid-forearm to mid-palm with sural nerve and saphenous vein grafts used to reconstruct the ulnar nerve and artery, respectively. Despite recurrence from a previously localized excision, there has been no recurrence to date following en-bloc resection. The available literature on intraneural perineurioma is reviewed in light of this case report. IPN is an important entity because of its ability to mimic neural malignancies, and this case challenges the assertion that it is a tumour that occurs strictly in the young. Elsevier 2022-02-16 /pmc/articles/PMC8938196/ /pubmed/35330746 http://dx.doi.org/10.1016/j.jpra.2022.02.001 Text en Crown Copyright © 2022 Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Kelly, Tetyana
Findlay, Michael
A Rare case of Ulnar Nerve Intraneural Perineurioma in an elderly gentleman
title A Rare case of Ulnar Nerve Intraneural Perineurioma in an elderly gentleman
title_full A Rare case of Ulnar Nerve Intraneural Perineurioma in an elderly gentleman
title_fullStr A Rare case of Ulnar Nerve Intraneural Perineurioma in an elderly gentleman
title_full_unstemmed A Rare case of Ulnar Nerve Intraneural Perineurioma in an elderly gentleman
title_short A Rare case of Ulnar Nerve Intraneural Perineurioma in an elderly gentleman
title_sort rare case of ulnar nerve intraneural perineurioma in an elderly gentleman
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8938196/
https://www.ncbi.nlm.nih.gov/pubmed/35330746
http://dx.doi.org/10.1016/j.jpra.2022.02.001
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