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J Foot Ankle Surg ; 56(3): 632-637, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28237565

RESUMO

A schwannoma or neurilemmoma is a benign, isolated, noninvasive, and encapsulated tumor originating from Schwann cells of the peripheral nerve sheath. The incidence of a schwannoma occurring in the foot and ankle is rare, with prevalence rate of 1% to 10%. Schwannomas have no sex predilection, and they commonly occur in patients in their fourth decade. Malignant transformation of benign schwannoma is unusual; however, it is important to note that malignant variants of schwannomas do exist and account for about 5% to 10% of all soft tissue sarcomas. We present 3 cases of benign schwannoma in the lower extremity. All 3 patients presented with varying clinical symptoms, including pain, paresthesia, weakness, and a palpable mass. A schwannoma was eventually diagnosed in all 3 patients. We discuss and review the known entities of peripheral nerve schwannoma and describe the clinical and imaging findings and therapeutic strategies for treating and diagnosing peripheral nerve schwannoma.


Assuntos
Neoplasias de Bainha Neural/patologia , Neurilemoma/patologia , Nervo Sural/patologia , Nervo Tibial/patologia , Adulto , Idoso , Feminino , Humanos , Masculino , Debilidade Muscular/etiologia , Neoplasias de Bainha Neural/diagnóstico por imagem , Neoplasias de Bainha Neural/cirurgia , Neurilemoma/diagnóstico por imagem , Neurilemoma/cirurgia , Parestesia/etiologia , Nervo Sural/diagnóstico por imagem , Nervo Sural/cirurgia , Síndrome do Túnel do Tarso/etiologia , Nervo Tibial/diagnóstico por imagem , Nervo Tibial/cirurgia , Adulto Jovem
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