Neurothekeoma in the Axilla Causing Persistent Shoulder Pain: Case Report
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Ortopedia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000600804 |
Resumo: | Abstract Neurothekeomas, also known as neural sheath myxomas, are rare benign tumors of the neural sheath affecting most commonly the head, arms and shoulder of women in their 2nd and 3rd decades of life. Due to the low prevalence and undefined clinical picture, they are hardly considered in the initial differential diagnosis of skin tumors. We report the case of a 24 year-old woman who was seen in 2016 reporting > 1 year of moderate pain and limited mobility of her left shoulder. Clinical evaluation revealed restricted mobility of the affected shoulder and nuclear magnetic resonance imaging showed a T2-weighted contrast-enhanced multilobular mass in the quadrilateral area apparently invading the adjacent humeral cortical region. Histopathology of a needle sample material revealed loose fibroconnective tissue with no signs of invasion, mitosis or atypical figures. Successful surgical excision was performed and the diagnosis of neurothekeoma was confirmed after detailed histopathology, including immunohistochemistry. The patient was asymptomatic at 18 months of follow-up, with full recovery of shoulder movement and no signs of relapse. |
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Neurothekeoma in the Axilla Causing Persistent Shoulder Pain: Case ReportneurothekeomashouldertumorsAbstract Neurothekeomas, also known as neural sheath myxomas, are rare benign tumors of the neural sheath affecting most commonly the head, arms and shoulder of women in their 2nd and 3rd decades of life. Due to the low prevalence and undefined clinical picture, they are hardly considered in the initial differential diagnosis of skin tumors. We report the case of a 24 year-old woman who was seen in 2016 reporting > 1 year of moderate pain and limited mobility of her left shoulder. Clinical evaluation revealed restricted mobility of the affected shoulder and nuclear magnetic resonance imaging showed a T2-weighted contrast-enhanced multilobular mass in the quadrilateral area apparently invading the adjacent humeral cortical region. Histopathology of a needle sample material revealed loose fibroconnective tissue with no signs of invasion, mitosis or atypical figures. Successful surgical excision was performed and the diagnosis of neurothekeoma was confirmed after detailed histopathology, including immunohistochemistry. The patient was asymptomatic at 18 months of follow-up, with full recovery of shoulder movement and no signs of relapse.Sociedade Brasileira de Ortopedia e Traumatologia2020-12-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000600804Revista Brasileira de Ortopedia v.55 n.6 2020reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1055/s-0040-1712135info:eu-repo/semantics/openAccessSilva,Christine Maria MunizFontenele,João Paulo UchoaLopes,Jailson Rodriguesde Brito,Gabriella Cristina CoelhoTeixeira,Manuel Joaquim DiógenesRocha,Francisco Airton Castroeng2021-02-01T00:00:00Zoai:scielo:S0102-36162020000600804Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2021-02-01T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
Neurothekeoma in the Axilla Causing Persistent Shoulder Pain: Case Report |
title |
Neurothekeoma in the Axilla Causing Persistent Shoulder Pain: Case Report |
spellingShingle |
Neurothekeoma in the Axilla Causing Persistent Shoulder Pain: Case Report Silva,Christine Maria Muniz neurothekeoma shoulder tumors |
title_short |
Neurothekeoma in the Axilla Causing Persistent Shoulder Pain: Case Report |
title_full |
Neurothekeoma in the Axilla Causing Persistent Shoulder Pain: Case Report |
title_fullStr |
Neurothekeoma in the Axilla Causing Persistent Shoulder Pain: Case Report |
title_full_unstemmed |
Neurothekeoma in the Axilla Causing Persistent Shoulder Pain: Case Report |
title_sort |
Neurothekeoma in the Axilla Causing Persistent Shoulder Pain: Case Report |
author |
Silva,Christine Maria Muniz |
author_facet |
Silva,Christine Maria Muniz Fontenele,João Paulo Uchoa Lopes,Jailson Rodrigues de Brito,Gabriella Cristina Coelho Teixeira,Manuel Joaquim Diógenes Rocha,Francisco Airton Castro |
author_role |
author |
author2 |
Fontenele,João Paulo Uchoa Lopes,Jailson Rodrigues de Brito,Gabriella Cristina Coelho Teixeira,Manuel Joaquim Diógenes Rocha,Francisco Airton Castro |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Silva,Christine Maria Muniz Fontenele,João Paulo Uchoa Lopes,Jailson Rodrigues de Brito,Gabriella Cristina Coelho Teixeira,Manuel Joaquim Diógenes Rocha,Francisco Airton Castro |
dc.subject.por.fl_str_mv |
neurothekeoma shoulder tumors |
topic |
neurothekeoma shoulder tumors |
description |
Abstract Neurothekeomas, also known as neural sheath myxomas, are rare benign tumors of the neural sheath affecting most commonly the head, arms and shoulder of women in their 2nd and 3rd decades of life. Due to the low prevalence and undefined clinical picture, they are hardly considered in the initial differential diagnosis of skin tumors. We report the case of a 24 year-old woman who was seen in 2016 reporting > 1 year of moderate pain and limited mobility of her left shoulder. Clinical evaluation revealed restricted mobility of the affected shoulder and nuclear magnetic resonance imaging showed a T2-weighted contrast-enhanced multilobular mass in the quadrilateral area apparently invading the adjacent humeral cortical region. Histopathology of a needle sample material revealed loose fibroconnective tissue with no signs of invasion, mitosis or atypical figures. Successful surgical excision was performed and the diagnosis of neurothekeoma was confirmed after detailed histopathology, including immunohistochemistry. The patient was asymptomatic at 18 months of follow-up, with full recovery of shoulder movement and no signs of relapse. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000600804 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000600804 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1055/s-0040-1712135 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Ortopedia v.55 n.6 2020 reponame:Revista Brasileira de Ortopedia (Online) instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
instname_str |
Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
instacron_str |
SBOT |
institution |
SBOT |
reponame_str |
Revista Brasileira de Ortopedia (Online) |
collection |
Revista Brasileira de Ortopedia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
repository.mail.fl_str_mv |
||rbo@sbot.org.br |
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1752122362795393024 |