DOI: https://dx.doi.org/10.18203/2349-2902.isj20151120
Published: 2016-12-14

Sural nerve schwannoma: a case report

Chandrakant R. Gharwade, Al-Iqyan Fidvi J., Ameya Bindu, Shamol Banerjee, Pranav G. Jawade

Abstract


The differential diagnosis for a swelling on the posterior aspect of lower leg is very few. The least of all suspected is a Benign peripheral nerve sheath tumor that too a schwannoma. Though schwannomas can be found in any part of the body especially with a predilection for head and neck, on the contrary they are extremely rare in the extremities especially the lower extremity. Here we present one of the few cases of a solitary schwannoma, confirmed on Histopathology, arising from the sural nerve of the right leg which did not present with any other symptoms even though itself being of a considerable size. The tumor was successfully removed with no postoperative complications and recurrence on follow up.


Keywords


Sural Nerve, Schwannoma, Asymptomatic, Solitary, Uneventful excision, No neurological deficit

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References


Stout AP. The peripheral manifestations of specific nerve sheath tumour (neurilemmomas). Am J Cancer. 1935;24:751.

Bakotic W. Principles and Practice of Podiatric Medicine, 2nd Edition, Chapter 17th- Tumours of the Soft Tissue of the Lower Extremity.

Russell RC, Williams NS, Bulstrode CJ. Bailey and Love’s short practice of surgery (24th ed) London, Arnold, 2008.

Kim DH, Murovic JA, Tiel RL, Moes G, Kline DG. A series of 397 peripheral neural sheath tumours: 30-year experience at Louisiana State University Health Sciences Centre, J Neurosurg. 2005;102(2):246-55.

Dabak N, Cirakli A, Gülman B, Selçuk MB, Bariş S. Distribution and evaluation of bone and soft tissue tumors in the middle Black Sea Region Acta Orthop Traumatol Turc. 2014;48(1):17-24.

Isobe K, Shimizu T, Akahane T and Kato H: Imaging of ancient schwannoma. AJR Am J Roentgenol. 2004;183:331 6.

Fellegara G, Bisceglia M. Intraneural schwannoma. Int J Surg Pathol. 2008;16:57 8.

Reynolds DL, Jacobson JA, Inampudi P, Jamadar DA, Ebrahim FS, Hayes CW. Sonographic Characteristics of Peripheral Nerve Sheath Tumors. AJR. 2004:182.

Tsai WC, Chiou HJ, Chou YH, Wang HK, Chiou SY, Chang CY. Differentiation between Schwannomas and Neurofibromas in the Extremities and Superficial Body, J Ultrasound Med. 2008;27:161-6.

Kim SM, See SW, Lee JY, Sung KS. Surgical outcome of Schwannomas arising from major peripheral nerves in the lower limb, International Orthopaedics. 2012;36:1721-5.