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수부 및 상지에 발생한 신경막종

Other Titles
 Schwannomas of the Upper Extremities 
Authors
 강호정  ;  김보양  ;  강용호  ;  하중원  ;  한수봉  ;  강응식 
Citation
 Journal of the Korean Society for Surgery of the Hand (대한수부외과학회지), Vol.3(2) : 111-118, 1998 
Journal Title
 Journal of the Korean Society for Surgery of the Hand (대한수부외과학회지) 
ISSN
 1598-3889 
Issue Date
1998
Abstract
Peripheral nerve tumors are rare, but schwannoma(neurilemmoma) is the most common peripheral nerve tumor. Schwannomas are well- encapsulat ed lesions, surrounded by a true capsule of epineurium. They have been confused with ganglion or neurofibroma or other soft tissue tumors during pre- operation diagnosis. We experienced 13 patient s (20 cases) who had schwannomas in the upper extremities. They originated from almost all kinds of peripheral nerves of the upper extremities, but mainly from the ulnar nerve (8 cases), one of which also exacerbated to Guyon's canal syndrome. Their symptoms and signs were tingling sensation in 7 cases (54%), local tenderness in 5 cases (38%) and one positive Tinel ' s sign, which were all non- specific. They can displace nerve fibers and must be dissected with caution not to damage the nerve fiber. Magnetic Resonnance Imaging (MRI) or ultrasonogram is helpful t o determine the anat omic position and which peripheral nerve is connected t o the mass. We experienced 2 complicated cases, one of which was one mot or weakness of the 2nd and 3rd extensor digitorum in the radial nerve and the other sensory deficit in the median nerve after excision of the schwannomas. Even if careful dissection of the tumor mass has been performed from the main nerve, transient incomplet e nerve palsy is inevitable.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Ho Jung(강호정) ORCID logo https://orcid.org/0000-0003-0273-1264
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/177132
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