J Korean Bone Joint Tumor Soc.  2013 Jun;19(1):37-41. 10.5292/jkbjts.2013.19.1.37.

Solitary Ancient Schwannoma in Upper Arm: A Case Report

Affiliations
  • 1Department of Orthopedic Surgery, National Health Insurance Service, Ilsan Hospital, Goyang, Korea. orthomania@gmail.com
  • 2Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
  • 3Department of Pathology, National Health Insurance Service, Ilsan Hospital, Goyang, Korea.

Abstract

Ancient schwannoma is a variant of schwannoma and is characterized slowly growing tumor with degenerative change. And it is reported that schwannoma is relatively rare in extensor area. As a rare cause of solitary ancient schwannoma in extensor area of upper arm, we report it.

Keyword

ancient schwannoma; upper arm

MeSH Terms

Arm
Neurilemmoma

Figure

  • Figure 1. Plain elbow lateral x-ray shows soft tissue tumor density in extensor area without calcification.

  • Figure 2. These are the magnetic resonance image findings of mass. (A) Axial T1-weighted MR image shows inhomogeneous low signal intensity. (B) Axial T-2 weighted MR image shows heterogenous high signal intensity.

  • Figure 3. The specimen consists of a pinkish encapsulated cystic mass from the right elbow, measuring 2.5×2×1.7 cm.

  • Figure 4. (A) Well encapsulated with diffuse hemorrhage (H&E, ×14). (B) Verocay bodies, which are acellular areas surrounded by nuclear palisades composed of spindle cells (H&E, ×200). (C) Spindle cells show diffuse and strong immunoreactivity for S-100 protein (×200).


Reference

References

1. Adani R, Baccarani A, Guidi E, Tarallo L. Schwannomas of the upper extremity: diagnosis and treatment. Chir Organi Mov. 2008; 92:85–8.
Article
2. Louis DS. Peripheral nerve tumors in the upper extremity. Hand Clin. 1987; 3:311–8.
Article
3. Kehoe NJ, Reid RP, Semple JC. Solitary benign peripheral-nerve tumours. Review of 32 years' experience. J Bone Joint Surg Br. 1995; 77:497–500.
Article
4. Schultz E, Sapan MR, McHeffey-Atkinson B, Naidich JB, Arlen M. Case report 872. “Ancient” schwannoma (degenerated neurilemoma). Skeletal Radiol. 1994; 23:593–5.
5. Graviet S, Sinclair G, Kajani N. Ancient schwannoma of the foot. J Foot Ankle Surg. 1995; 34:46–50.
Article
6. Kim SM, Seo SW, Lee JY, Sung KS. Surgical outcome of schwannomas arising from major peripheral nerves in the lower limb. Int Orthop. 2012; 36:1721–5.
Article
7. Isobe K, Shimizu T, Akahane T, Kato H. Imaging of ancient schwannoma. AJR Am J Roentgenol. 2004; 183:331–6.
Article
Full Text Links
  • JKBJTS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr