Case report: A rare case of massive peripheral nerve melanotic schwannoma and review of the literature

被引:1
|
作者
Wang, Han [1 ]
Shi, Lin [2 ]
Tian, Tong [2 ]
Xian, Hang [2 ]
Song, Zhao [2 ]
Cong, Rui [2 ]
Zhao, Rui [2 ]
机构
[1] Air Force Med Ctr, Dept Orthoped, Beijing, Peoples R China
[2] Air Force Mil Med Univ, Xijing Hosp, Dept Orthoped, Xian, Peoples R China
来源
FRONTIERS IN NEUROLOGY | 2023年 / 14卷
关键词
melanotic schwannoma; peripheral nerves; brachial plexus; pathological diagnosis; neuropathic pain; SHEATH TUMORS; PATHOLOGY; DIAGNOSIS; UPDATE;
D O I
10.3389/fneur.2023.1103604
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Melanotic schwannoma is a rare tumor with indeterminate biologic behavior and varying treatment recommendations. Just about 200 cases have been reported worldwide, in which occurred in peripheral nerves has even less reported. Due to the lack of cognition of melanotic schwannoma, it is easy to be misdiagnosed and mistreatment in primary hospitals. Herein, we presented a case of massive melanotic schwannoma growing in the brachial plexus of an elderly male patient. First, the patient underwent a left forearm tumor resection in the local primary hospital because a painless lump was found there in 2017, of which details remain unclear. After this operation, the patient developed the symptoms of left median nerve injury. Thus, he came to our hospital and underwent a second operation. During this operation, we found that a part of the median nerve was absent at the left forearm, and the remanent median nerve, from the broken end to the elbow, was totally turned black, which was accompanied by petroleum-like exudate. Losing the opportunity for nerve repair, the black nerve was removed extensively and thoroughly. Postoperative pathological diagnosis revealed that the tumor was melanotic schwannoma. Then 4 years later, the tumor recurrence again, which led to the paralysis of the whole left arm and severe nerve pain, and the pulmonary metastasis of the tumor was detected at the same time. The black nerve was resected again in our hospital, and the nerve pain was partially relieved after the operation. To the best of our knowledge, it is the first time to report a melanotic schwannoma case that happened in the peripheral nerve trunk and then spread to the whole brachial plexus. There were many questions that worthy of discussion could be invited from this case, and we analyzed and discussed them based on the relevant literature. In conclusion, we reported a rare case of melanotic schwannoma that happened in the brachial plexus and illustrated the problems of the diagnosis and treatment of it based on the analysis of the relevant literature, which is helpful for the cognition of this rare nerve tumor.
引用
收藏
页数:6
相关论文
共 50 条
  • [21] Primary Malignant Peripheral Nerve Sheath Tumor of the Stomach: A Rare Case Report and Review of Literature
    Cui, Wenwen
    Xing, Lihang
    Fu, Limei
    Shi, Lifang
    Li, Xinjun
    INTERNATIONAL JOURNAL OF SURGICAL PATHOLOGY, 2023, 31 (02) : 221 - 226
  • [22] Saphenous nerve schwannoma as a cause of vascular claudication - case report and review of the literature
    Farinha, Nuno Cubas
    Livraghi, Sergio
    BRITISH JOURNAL OF NEUROSURGERY, 2022, 36 (02) : 280 - 283
  • [23] Peripheral compound odontoma: A rare case report and literature review
    Rocha, Ondina Karla Mousinho
    Barros, Caio Cesar
    da Silva, Luiz Arthur Barbosa
    de Souza Junior, Erasmo Freitas
    de Morais, Hecio Henrique Araujo
    Miguel, Marcia Cristina
    JOURNAL OF CUTANEOUS PATHOLOGY, 2020, 47 (08) : 720 - 724
  • [24] Cytologic Findings in Pigmented Melanotic Schwannoma A Case Report
    Azarpira, Negar
    Torabineghad, Simin
    Sepidbakht, Sepideh
    Rakei, Mohammad
    Bagheri, Mohammad Hadi
    ACTA CYTOLOGICA, 2009, 53 (01) : 113 - 115
  • [25] Primary malignant peripheral nerve sheath tumour of the trachea: a case report and literature review
    Hu, Yan
    Ren, Siying
    Han, Wei
    Zhang, Boyou
    Shu, Lu
    Sun, Yi
    Yu, Fenglei
    Liu, Wenliang
    JOURNAL OF CARDIOTHORACIC SURGERY, 2020, 15 (01)
  • [26] Surgical Management of Primary Inner Ear Schwannoma: A Rare Case Report and Review of Literature
    Shukla, Shambhavi
    Goyal, Sunil
    Dwivedi, Gunjan
    Sengupta, P.
    INDIAN JOURNAL OF OTOLOGY, 2023, 29 (04) : 259 - 262
  • [27] Sciatic nerve schwannoma: A rare case
    Naik, Harish
    Velho, Vernon
    NEUROLOGY INDIA, 2019, 67 : S151 - S153
  • [28] A para-aortic malignant melanotic nerve sheath tumor mimicking a gastrointestinal stromal tumor: a rare case report and review of literature
    Kuan-Yu Lin
    Lujen Chen
    Siu-Wan Hung
    Sheng-Chun Hung
    Cheng-Kuang Yang
    Chih-Jung Chen
    Kun-Yuan Chiu
    BMC Surgery, 22
  • [29] BRACHIAL PLEXUS SCHWANNOMA - CASE REPORT AND LITERATURE REVIEW
    Vucemilo, Luka
    Lajtman, Zoran
    Mihalj, Josip
    Plascak, Jasmina
    Lakusic, Darija Mahovic
    Muzinic, Darija
    ACTA CLINICA CROATICA, 2018, 57 (02) : 366 - 371
  • [30] Scrotal extratesticular schwannoma: a case report and review of the literature
    Palleschi, Giovanni
    Carbone, Antonio
    Cacciotti, Jessica
    Manfredonia, Giorgia
    Porta, Natale
    Fuschi, Andrea
    de Nunzio, Cosimo
    Petrozza, Vincenzo
    Pastore, Antonio Luigi
    BMC UROLOGY, 2014, 14