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Peripheral nerve tumours: A 66-case retrospective study.

Fernando Martínez1, Miguel Domínguez-Páez2, Miguel Cuadros-Romero3

  • 1Servicio de Neurocirugía, Hospital de Clínicas, Montevideo, Uruguay.

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PubMed
Summary

Peripheral nerve tumors (PNT) are rare, often located in limbs. Complete resection is achievable with microsurgery, though complications like pain can occur.

Keywords:
Malignant peripheral nerve sheath tumourNeurofibromaPeripheral nervous system tumoursSchwannomaTumor maligno de la vaina del nervio periféricoTumores del sistema nervioso periférico

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Area of Science:

  • Neurosurgery
  • Orthopaedic Surgery
  • Plastic Surgery

Background:

  • Peripheral nerve tumors (PNT) are rare soft tissue lesions.
  • Management involves multiple surgical specialties, requiring expertise to prevent neurological deficits.

Purpose of the Study:

  • To analyze the surgical management and outcomes of peripheral nerve tumors.
  • To evaluate the efficacy of microsurgical techniques and identify potential complications.

Main Methods:

  • Retrospective study of 66 lesions in 64 patients.
  • Data collected from two specialized peripheral nerve surgery teams.
  • Surgical resection with neurophysiological monitoring was employed.

Main Results:

  • Lower and upper limbs were the most common locations (48 lesions).
  • Schwannoma was the most frequent diagnosis (51.5%).
  • Complete resection achieved in 81.8%; 15% experienced transient sensory issues or pain; rare persistent motor deficits occurred.

Conclusions:

  • Benign tumors like Schwannomas are manageable with microsurgery.
  • Malignant PNT require multidisciplinary approaches.
  • Pre-surgical biopsy is often unnecessary, according to the study's findings.