A case of schwannoma in the brachial plexus resected from the cervical area.

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  • 頚部アプローチによる腕神経叢発生神経鞘腫の一手術例

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Abstract

We report a case of schwannoma in the brachial plexus that was resected from the cervical area. A 67-year-old man demonstrated a tumor shadow at the right pulmonary apex on chest X-ray. MRI scan showed that the mass was a neurogenic tumor originating from the right brachial plexus.<BR>We resected this tumor from the cervical area and obtained a good view of the brachial plexus. The spindle tumor below the anterior scalenus muscle, 45 mm in maximum diameter, was connected to the 8th cervical nerve of the brachial plexus. The tumor was resected by enucleation since it was confirmed to be benign on frozen sections. Immediately following surgery, the patient had a slight ulnar nerve palsy, which completely healed after 6 months.<BR>Regarding the surgical procedure for schwannoma in the brachial plexus, we consider this approach which allows a good view might be useful. It was recently reported that irreversible nerve injuries sometimes occur with the thoracoscopic approach.

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