Results of Surgical Treatment of Schwannomas Arising from Extremities
Joint Authors
Ziółkowski, Piotr
Gosk, Jerzy
Gutkowska, Olga
Urban, Maciej
Wnukiewicz, Witold
Reichert, Paweł
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-02-22
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Schwannomas are benign neoplasms derived from Schwann cells.
In this work, we present our experience in operative management of schwannomas and analyse results of treatment.
Clinical material consisted of 34 patients, in whom 44 schwannomas located in extremities were excised between 1985 and 2013.
Thirty-five tumours originated from major peripheral nerves and 9 from small nerve branches.
Postoperatively, in the first group of tumours, pain resolved in 100%, paresthesias in 83.3%, and Hoffmann-Tinel sign in 91.6% of the patients.
Improvement in motor function was noted in 28.5% of the cases, in sensory function: complete in 70%, and partial in 15%.
The most frequently affected major peripheral nerves were the ulnar (11 tumours) and median (5 tumours) nerves.
Schwannomas originating from small nerve branches were removed without identification of the site of origin.
After their resection, definitive healing was achieved.
Conclusions.
(1) Schwannomas located in extremities arise predominantly from major peripheral nerves, most commonly the ulnar and median nerves.
(2) Gradual tumour growth causes exacerbation of compression neuropathy, creating an indication for surgery.
(3) In most cases, improvement in peripheral nerve function after excision of schwannoma is achieved.
(4) The risk of new permanent postoperative neurological deficits is low.
American Psychological Association (APA)
Gosk, Jerzy& Gutkowska, Olga& Urban, Maciej& Wnukiewicz, Witold& Reichert, Paweł& Ziółkowski, Piotr. 2015. Results of Surgical Treatment of Schwannomas Arising from Extremities. BioMed Research International،Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1055903
Modern Language Association (MLA)
Gosk, Jerzy…[et al.]. Results of Surgical Treatment of Schwannomas Arising from Extremities. BioMed Research International No. 2015 (2015), pp.1-8.
https://search.emarefa.net/detail/BIM-1055903
American Medical Association (AMA)
Gosk, Jerzy& Gutkowska, Olga& Urban, Maciej& Wnukiewicz, Witold& Reichert, Paweł& Ziółkowski, Piotr. Results of Surgical Treatment of Schwannomas Arising from Extremities. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1055903
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1055903