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03-MARCH-2011  MUHAMED ALI AL-TURK  48 YEARS  SECOND RECURRENCE OF SCHWANNOMA OF THE LEFT SCIATIC NERVE LOWER THIRD OF THE FEMUR.

Anamnesis

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The patient was was operated by me for schwannoma of the left sciatic nerve at the lower third of the femur 1997 and 30-July-2002 for the first recurrence. He was doing well and neurologically free. The patient came to the clinic 21-February-2011 confirming that there is  enlargement of the area the last 3 months with soft tissue compartment without proper palpation of the boundaries.

bullet MRI of the area done 24-February-2011 showing huge recurrence of the schwannoma.
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On examination: The patient  was neurologically free.

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The old scar was refreshed and further 2 cm extended upward. Total resection of the four separate tumors was achieved. One was originating from the tibial division of the left sciatic nerve, the other was originating from the common peroneal nerve and 2 smaller ones originating from the sensory branches. The tumor total weight was around 400 mg. Inspection for other tumors was negative. All the major nerves were kept intact.

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Routine closure of the wound. Smooth postoperative recovery without any neurologic deficit.


Please! wait for 3-5 min till the video start to load. It depends upon the internet connection.

Comments

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The tumor was sent for histological verification so as to rule out malignant transformation of the tumor.

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The four separate tumors originating from several nerves explain why recurrence took place 2 times.

 


 

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