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Case Reports
. 2017 Nov-Dec;7(6):73-75.
doi: 10.13107/jocr.2250-0685.956.

A Rare Case of Intraneural Neurothekeoma of Median Nerve Mimicking Carpal Tunnel Syndrome

Ayush Sharma  1 , Prashant Chandrakant Kamble  2 , Vijay Singh  1
Affiliations
Case Reports

A Rare Case of Intraneural Neurothekeoma of Median Nerve Mimicking Carpal Tunnel Syndrome

Ayush Sharma et al. J Orthop Case Rep. 2017 Nov-Dec.

Abstract

Introduction: Neurothekeomas are uncommon benign soft tissue tumors of the peripheral nerves. It is commonly found in the upper extremities and in the head and the neck region as a small, asymptomatic, and superficial nodule.

Case report: We report a rare case of intraneural neurothekeoma (2.8 χ 2.4 x 1.8 cm) of the median nerve at the wrist in a 56-year-old female, which presented with clinical features of carpal tunnel syndrome.

Conclusion: Carpal tunnel syndrome caused by intraneural neurothekeoma has been rarely reported. Clinicians should be aware of this rare cause of carpal tunnel syndrome.

Keywords: Neurothekeoma; carpal tunnel; median nerve; nerve sheath tumor; schwannoma.

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Figures

Figure 1
Figure 1
Magnetic resonance imaging showing a sharply marginated well-defined soft tissue in the volar aspect offorearms arising from the median nerve without invading the flexor muscles
Figure 2
Figure 2
Intra-operative image showing the tumor arising from median nerve with a needle marking the dorsal extent oftumor distally.
Figure 3
Figure 3
Intra-operative image showing grayish-white tumor mass after incision on the tumor capsule
Figure 4
Figure 4
Microscopic image of the tumor showing myxoid lobulated lesions. (Hematoxylin and Eosin stain x100).
See this image and copyright information in PMC

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References

    1. Isoda M, Katayama M. Neurothekeoma. Cutis. 1988;41:255–6. - PubMed
    1. Gallager RL, Helwig EB. Neurothekeoma-a benign cutaneous tumor of neural origin. Am J Clin Pathol. 1980;74:759–64. - PubMed
    1. FetschJF Laskin WB, Miettinen M. Nerve sheath myxoma:A clinicopathologic and immunohistochemical analysis of 57 morphologically distinctive, S-100 protein- and GFAP- positive, myxoid peripheral nerve sheath tumors with a predilection for the extremities and a high local recurrence rate. Am J Surg Pathol. 2005;29:1615–24. - PubMed
    1. Yang YW, Shih IH, Huang YH, Kuo TT, Hong HS. Mixed- type neurothekeoma presenting with an unusual clinical appearance of multiple satellite lesions on the back. Dermatol Surg. 2005;31:720–2. - PubMed
    1. Barnhill RL, Dickersin GR, Nickeleit V, Bhan AK, Muhlbauer JE, Phillips ME, et al. Studies on the cellular origin of neurothekeoma:Clinical, light microscopic, immunohistochemical, and ultrastructural observations. J Am Acad Dermatol. 1991;25:80–8. - PubMed

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