Sciatic nerve dependent schwannoma

J. Álvarez, S. Ortíz
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Abstract

Schwannoma is a tumor composed of Schwann cells. This is the most common benign tumor of the peripheral nerve sheath, representing the 8% of all soft tissue tumors, affecting the sciatic nerve in less than 1% of cases. Due to its location in the nerve sheath, these types of tumors produce symptoms related to nerve function and compression of adjacent structures. Diagnosis is made by magnetic resonance and is confirmed by pathological anatomy, often after screening of radicular pathology with normal magnetic resonance and symptomatology compatible with clinical sciatica. We report the case of a 53-year-old woman with a tumor in the posterior area of the right thigh of one year of evolution. After the examination and the appropriate complementary tests, she was diagnosed with schwannoma of the peripheral sheath of the right sciatic nerve. The patient underwent surgery for tumor exeresis with satisfactory results and acceptable aftermath.
坐骨神经依赖性神经鞘瘤
神经鞘瘤是一种由雪旺细胞组成的肿瘤。这是周围神经鞘最常见的良性肿瘤,占所有软组织肿瘤的8%,影响坐骨神经的病例不到1%。由于其位于神经鞘,这些类型的肿瘤产生与神经功能和压迫邻近结构相关的症状。经核磁共振诊断,病理解剖证实,常经核磁共振检查神经根病理正常,症状符合临床坐骨神经痛。我们报告的情况下,53岁的妇女与肿瘤在右大腿后侧区域一年的演变。经过检查和适当的补充检查,她被诊断为右侧坐骨神经外周鞘神经鞘瘤。患者接受手术切除肿瘤,结果满意,术后效果良好。
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