[Resectable tumors of the peripheral nerves. Apropos of 73 nerve tumors in 53 patients].
The authors report on a study of 53 patients suffering from resectable nerve tumors of the peripheral nerves, representing a total of 73 tumors. This concerns a round, hard swelling, with slight transversal movement, located along the course of a nerve. This swelling was painful and percussion led to lancinating pains along the course of the nerve. The same surgeon operated on all of these patients. The surgical treatment of the 46 patients undergoing surgery for the first time always consisted in a simple enucleation after opening of the epineurium with good results. Seven cases were seen in the stage of sequelae and five were clearly improved by a second operation. The principal surgical procedures are given. The maximum time of follow-up was 14 years and the minimum 12 months, with an average of 52 months. Our study included 34 women and 19 men suffering from one or more nerve tumors. The average age was 50.7 years, ranging from 17 years to 88 years. 39 patients had schwannomas, 1 lymphoma of the sciatic nerve, 2 hemangiomas of the sheath of Schwann, 6 intraneural cysts and 5 fibrolipomas. The authors analyse the diagnosis difficulties, the additional examinations and particularly RMI which has been perform on 7 patients and revealed to be very sensitive and of a great liability.
Le Viet
D
D
Unité de chirurgie de la main, Centre Chirurgical des Peupliers, Paris.
Lantieri
L
L
Loy
S
S
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006391:Hemangioma / Q000601:surgery; D006801:Humans; D008067:Lipoma / Q000601:surgery; D016393:Lymphoma, B-Cell / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary; D009442:Neurilemmoma / Q000175:diagnosis / Q000601:surgery*; D010524:Peripheral Nervous System Neoplasms / Q000175:diagnosis / Q000601:surgery*
Tumeurs extirpables des nerfs périphériques. A propos de 73 tumeurs nerveuses chez 53 patients.