Huge scale of axillary nerve sheath tumor in 1 case report.docVIP

 PAGE \* MERGEFORMAT 5 Huge scale of axillary nerve sheath tumor in 1 case report Of: Li Dawei, Chen Kejun, Teresa Wong [Keywords:] armpit great ulnar nerve sheath tumors Nerve sheath tumors (neurilemoma) is defined by the differentiation of neoplastic Schwann cells in benign tumors composed of encapsulated, its slow growth and a self-limiting, general diameter of not more than 2 cm [1], rarely more than 10 cm,. admitted to our hospital in 2005, 1 case of axillary 10 cm 7 cm 6 cm size of the ulnar nerve sheath tumors, are as follows. 1 General Information Patients, male, 43 .2 years ago and discovered that the right axillary mass, touch the hard, channeling press numbness without pain and shoulder was normal .1 years later, when this ring right arm and right medial the little finger needle-like pain can be alleviated, also found that the tumor has increased. a half months ago and consciously right shoulder and upper arm pain, heaviness, then come to our hospital for treatment. Physical examination: Right axillary skin deep can be touched at the boundary clear, smooth surface, the size of the duck-like mass. Medium hardness, vertical than horizontal mobility. Lumps no tenderness. Call-in contact can occur when the medial to the hand along the right upper limb ring, little finger distal radial pins and needles. local skin temperature is not high, right shoulder and right arm were normal. MRI examination revealed: the right axillary nerve, artery and vein regional soft tissue mass, clear boundary, size 10 cm 7 cm 6 cm, consider schwannoma. Admission diagnosis: a) the inside of the brachial plexus bundle sheath tumors, b) the right axillary soft tissue mass, compression of brachial plexus medial bundle. 2 surgery Surgery under general anesthesia. Taken to mass as the center of the longitudinal incision, about 12 cm. Layer exposed. Incision of the skin, subcutaneous tissue and the axillary fascia, pectoralis major can be seen mostly