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Plexiform schwannoma

Clinical Neuropathology
|November 1, 1985
PubMed

Insights

Plexiform schwannoma is a rare tumor typically found on fingers. This condition rarely recurs and is not associated with neurofibromatosis or malignant transformation.

Area of Science:

  • Dermatology
  • Oncology
  • Pathology

Background:

  • Plexiform schwannoma is a rare peripheral nerve sheath tumor.
  • Distinguishing it from plexiform neurofibroma is crucial for patient management.

Observation:

  • A case of a multinodular plexiform schwannoma on the left index finger of a 33-year-old male is presented.
  • A review of reported cases indicates 11 patients diagnosed with plexiform schwannoma, aged 9 to 39 years.

Findings:

  • Microscopic examination revealed a plexiform nerve sheath tumor with schwannoma-like features.
  • Only one patient had von Recklinghausen's neurofibromatosis.
  • Recurrence-free survival ranged from 1.5 to 6 years in all but one patient.

Implications:

  • Plexiform schwannoma has a low recurrence rate and a favorable prognosis.
  • It lacks a significant association with neurofibromatosis (NF1).
  • Unlike plexiform neurofibroma, plexiform schwannoma does not show a propensity for malignant transformation.

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