2001
DOI: 10.2176/nmc.41.551
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Malignant Schwannoma of the Sciatic Nerve Originating in a Spinal Plexiform Neurofibroma Associated With Neurofibromatosis Type 1. Case Report.

Abstract: A 26-year-old man with neurofibromatosis type 1 (NF1) presented with a giant malignant schwannoma of the sciatic nerve. The differential diagnosis of malignant peripheral nerve sheath tumor (MPNST) was based on clinical, radiological, and histological evidence. The tumor apparently originated in a spinal plexiform neurofibroma. The lesion was resected totally without neural damage to the sciatic nerve. However, the tumor recurred within 2 months. The patient died of unknown factors probably associated with the… Show more

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Cited by 30 publications
(18 citation statements)
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“…Common nerve mass lesions are peripheral nerve sheath tumors (schwannoma and neurofibroma) and lesions that can be associated with neurocutaneous syndromes (neurofibromatosis, schwannomatosis; NF, SW). These have been well described in the literature [18][19][20][21][22][23][24][25][26][27]. The authors review other uncommon tumor and tumor-like lesions and describe their pertinent imaging features on high-resolution MR imaging.…”
Section: Sciatic Nerve-normal Anatomy and Imaging Appearancementioning
confidence: 99%
“…Common nerve mass lesions are peripheral nerve sheath tumors (schwannoma and neurofibroma) and lesions that can be associated with neurocutaneous syndromes (neurofibromatosis, schwannomatosis; NF, SW). These have been well described in the literature [18][19][20][21][22][23][24][25][26][27]. The authors review other uncommon tumor and tumor-like lesions and describe their pertinent imaging features on high-resolution MR imaging.…”
Section: Sciatic Nerve-normal Anatomy and Imaging Appearancementioning
confidence: 99%
“…2,10,12,16 Surgical excision is the treatment of choice. Schwannomas are theoretically removable since they repulse fascicular groups without penetrating them thus allowing their enucleation while preserving nerve continuity, 8,11,14,15 as reported in our patient. Microsurgical excision should be performed using electrical stimulation to facilitate detection of motor fascicles.…”
Section: Discussionmentioning
confidence: 54%
“…They generally appear as solitary lesions. Occurrence of multiple schwannomas is rare and not necessarily correlate with neurofibromatosis, which demonstrates very precise chromosomal alterations 8. Malignant transformation of benign schwannomas is unusual 9.…”
Section: Discussionmentioning
confidence: 99%