Vliv histologické klasifikace na možnosti chirurgické léčby tumorů periferních nervů

Title in English The influence of histological classification on the options of the peripheral nerve tumors surgery
Authors

DUBA Miloš SMRČKA Martin LŽIČAŘOVÁ Eva

Year of publication 2003
Type Article in Periodical
Magazine / Source Rozhledy v chirurgii
MU Faculty or unit

Faculty of Medicine

Citation
Keywords peripheral nerve sheath tumor (PNST); schwannoma; neurofibroma; von Recklinghausen disease (VRD)
Description Peripheral nerve sheath tumors (PNST) constitute significant part of all tumors of peripheral nerves. In 1998-200 years we have operated 7 such patients - 3 females, 4 males in our department. The definite diatnosis was made by histology. Total removal was performed in all patients. The nerve continuity was preserved in 4 cases and nerve had to be disconnected in 3 cases. Good neurological outcome was in patients with preserved nerve continuity. Out of 3 patients with the need of nerve disconnection, graft and complete reinervation was performed in case of benign neurofibroma, but in the patient with von Recklinghausen disease and in the patient with malignang schwannoma the permanent laesiion of nerve remained. We can conclude that histological classification directly predetermine the options of the peripheral nerve tumors surgery.

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