Neurothekeoma in the Axilla Causing Persistent Shoulder Pain: Case Report

Detalhes bibliográficos
Autor(a) principal: Silva,Christine Maria Muniz
Data de Publicação: 2020
Outros Autores: Fontenele,João Paulo Uchoa, Lopes,Jailson Rodrigues, de Brito,Gabriella Cristina Coelho, Teixeira,Manuel Joaquim Diógenes, Rocha,Francisco Airton Castro
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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spelling 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
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000600804
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1055/s-0040-1712135
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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)
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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)
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