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Case report

https://doi.org/10.5281/zenodo.4010883

Double schwannomas of the ulnar nerve: case report

Filip Mustač orcid id orcid.org/0000-0003-2851-6183 ; School of Medicine University of Zagreb, The Croatian Institute of Emergency Medicine, Zagreb County, Croatia
Mia Poturica ; Community Health Center Zagreb-West, Zagreb, Croatia
Krešimir Bulić ; School of Medicine University of Zagreb, Department of Surgery, University Hospital Centre Zagreb, Croatia


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Abstract

Background: Schwannomas are benign peripheral nerve sheath tumors, mainly solitary, well defined and with low incidence of malignant transformation. The incidence of schwannomas in hand tumors is 5%. Schwannomas are initially asymptomatic, but later due to their growth they can compress surrounding tissue and cause pain.

Case study: We present a case of a 68-year-old patient with a double schwannoma of the right ulnar nerve. The MRI showed a soft tissue mass which was suspected to be a schwannoma and the diagnosis was confirmed by pathohistology. Enucleation of both tumors with nerve preservation was performed and the patient is without any postoperative neurological deficit.

Conclusion: Intra-capsular enucleation with nerve preservation is a treatment option which may significantly lower postoperative nerve damage with an acceptable risk of local recurrence.

Keywords

schwannoma, magnetic resonance imaging, ulnar nerve

Hrčak ID:

245334

URI

https://hrcak.srce.hr/245334

Publication date:

4.10.2020.

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