在数字神经的plexiform Schwannoma
Yuji Saeki1, Yasunori Hattori1, Satish Annabhau Mane1
1Ogori Daiichi General Hospital, Yamaguchi, Japan.
The journal of hand surgery Asian-Pacific volume
|October 26, 2023
概括
Plexiform schwannoma是一种罕见的良性瘤,可以影响数字神经,可能需要神经切除. 这一案例凸显了诊断和治疗这种罕见疾病的挑战.
科学领域:
- 神经外科 神经外科
- 整形外科手术 整形外科手术
- 在瘤学瘤学.
背景情况:
- Plexiform schwannoma 是一种不常见的良性神经膜瘤,其特征是有 plexiform 增长模式.
- Plexiform schwannoma 的数字神经受影响非常罕见,仅有有限的病例报告.
- 这些瘤可以呈现为逐渐增长的群体,引起神经症状,如刺痛和麻木.
研究的目的:
- 报告一种罕见的涉及手部数字神经的形神经瘤病例.
- 讨论与数字神经中的plexiform schwannoma相关的诊断和治疗挑战.
- 强调绝对切除和长期跟踪状 schwannoma 的重要性.
主要方法:
- 一个47岁的男性的病例介绍,他患有长期的手掌质量.
- 多节瘤的手术切除,涉及第一个普通手掌数字神经到部正确的手掌数字神经.
- 使用外围神经移植的数字神经的重建.
主要成果:
- 确定了一种涉及右手食指多个数字神经的多节状神经瘤.
- 进行了手术切除,由于瘤参与,需要进行神经切除.
- 数字神经是使用外神经移植重建的.
结论:
- 数字神经的plexiform schwannoma是一种罕见的实体,需要仔细的手术管理.
- 与经典的 schwannomas 不同,plexiform 变体可能需要神经切除,可能导致功能缺陷.
- 由于复发的可能性,最终的手术切除和警的长期随访至关重要.
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