medigraphic.com
ISSN 2007-8560 (Print)
Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2024, Number 1

<< Back Next >>

Ortho-tips 2024; 20 (1)

Intraosseous schwannoma of the proximal tibia: a case report

Técualt-Gómez R, Atencio-Chan A, Ayala M, Cario-Méndez A, Rivera-Saldívar G

Language: Spanish
References: 21
Page: 48-52
PDF size: 300.07 Kb.


ABSTRACT

Introduction: intraosseous schwannoma or neurilemmoma, is a benign neoplasm originating from Schwann cells, commonly located in soft tissues. Objective: to report a case of an atypical location schwannoma. Clinical case: we report an intraosseous schwannoma affecting the proximal metaphysis of the right tibia in a 35-year-old woman. Its radiological characteristics showed a lesion with a geographical, expansive, osteolytic pattern with well-defined edges. An anterolateral approach and intracompartmental resection (curettage) with polymethylmethacrylate were performed. Histologically, the diagnosis of classic intraosseous schwannoma was confirmed. Conclusion: intraosseous schwannomas should be included in the differential diagnosis of fibrous dysplasia, giant cell tumor, aneurysmal bone cyst, and chondroblastoma.


REFERENCES

  1. Ida CM, Scheithauer BW, Yapicier O, Carney JA, Wenger DE, Inwards CY, Bertoni F, Spinner RJ, Unni KK. Primary schwannoma of the bone: a clinicopathologic and radiologic study of 17 cases. Am J Surg Pathol. 2011; 35 (7): 989-997. doi: 10.1097/PAS.0b013e31821fcc0c.

  2. Ali SM, Aftab K, Habib Ul Hassan S, Anwar Jilani SA. Intraosseous schwannoma of fibula: a case report. J Pak Med Assoc. 2022; 72 (7): 1432-1434. doi: 10.47391/JPMA.1672.

  3. Afshar A, Afaghi F. Intraosseous schwannoma of the second metacarpal: case report. J Hand Surg Am. 2010; 35 (5): 776-779. doi: 10.1016/j.jhsa.2010.02.006.

  4. Kojima M, Seichi A, Yamamuro K. Hirokazu Inoue. Intraosseous schwannoma originating from the posterior column of the thoracic spine. Eur Spine J. 2011; 20 Suppl 2: S153-S156.

  5. Vera-Sempere F, Vera-Sirera B. Intraosseus plexiform schwannoma of the mandible: immunohistochemical differential diagnosis. J Craniofac Surg. 2010; 21 (6): 1820-1824. doi: 10.1097/SCS.0b013e3181f43f5b.

  6. Fuentes NR, Pérez de la O P, Rodríguez NJ, Prince JA, Salas H. Schwannoma gigante del sacro. Rev Cub Med Mil. 2007; 36 (3). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-65572007000300010&lng=es

  7. Zamar F, Garola F, Funes N, Fiol A, Arienza F. Schwannoma intraóseo mandibular. Reporte de un caso clínico. Rev Asoc Odontol Argent. 2022; 110 (3): 1-8. doi: 10.52979/raoa1101232.1202.

  8. Meyer A, Sailhan F, Coulomb A, Thevenin-Lemoine C, Mary P, Ducou-Lepointe H, Damsin JP. Proximal tibial epiphyseal intraosseous schwannoma: a rare entity. J Pediatr Orthop. 2008; 28 (7): 786-790. doi: 10.1097/BPO.0b013e3181858358.

  9. Ilgenfritz RM, Jones KB, Lueck N, Buckwalter JA. Intraosseous neurilemmoma involving the distal tibia and fibula: a case report. Iowa Orthop J. 2006; 26: 138-143.

  10. Ang WM, Yates P, Robbins P, Wood D. Recurrent benign solitary intraosseous schwannoma of the tibia. Orthopedics. 2008; 31 (2): 176. doi: 10.3928/01477447-20080201-03.

  11. Palocaren T, Walter NM, Madhuri V, Gibikote S. Schwannoma of the fibula. J Bone Joint Surg Br. 2008; 90 (6): 803-805. doi: 10.1302/0301-620X.90B6.19901.

  12. Wahyudi M, Clevfirstarachma RP, Djailani M. Intraosseous schwannoma of distal femur: a case report. Int J Surg Case Rep. 2022; 99: 107643. doi: 10.1016/j.ijscr.2022.107643.

  13. McAleese T, Clesham K, Moloney D, Hughes A, Faheem N, Merghani K. Intraosseous schwannoma of the femur in a patient with monoclonal gammopathy of undetermined significance. Int J Surg Case Rep. 2020; 72: 494-498. doi: 10.1016/j.ijscr.2020.06.054.

  14. Ansari MT, Rastogi S, Khan SA, Yadav C, Rijal L. Giant schwannoma of the first metatarsal: a rare entity. J Foot Ankle Surg. 2014; 53 (3): 335-339. doi: 10.1053/j.jfas.2014.01.014.

  15. Mutema GK, Sorger J. Intraosseous schwannoma of the humerus. Skeletal Radiol. 2002; 31: 419-421.

  16. De la Monte SM, Dorfman HD, Chandra R, Malawer M. Intraosseous schwannoma: histologic features, ultrastructure, and review of the literature. Hum Pathol. 1984; 15 (6): 551-558. doi: 10.1016/s0046-8177(84)80009-x.

  17. Drumond GC, Nakagawa SA, Costa FD, de Souza MYT, Comunello J, Chung WT. Intraosseous schwannoma: case report and review of the literature. Rev Bras Ortop (Sao Paulo). 2020; 55 (2): 258-262. doi: 10.1016/j.rbo.2018.02.003.

  18. Suzuki K, Yasuda T, Watanabe K, Kanamori M, Kimura T. Association between intraosseous schwannoma occurrence and the position of the intraosseous nutrient vessel: a case report. Oncol Lett. 2016; 11 (5): 3185-3188. doi: 10.3892/ol.2016.4363.

  19. Tian YW, Zhang LY, Liu ZQ. Giant intraosseous schwannoma of scapula: a rare case report and review of the literature. Diagn Pathol. 2014; 9: 31. doi: 10.1186/1746-1596-9-31.

  20. Chang CJ, Huang JS, Wang YC, Huang SH. Intraosseous schwannoma of the fourth lumbar vertebra: case report. Neurosurgery. 1998; 43 (5): 1219-1222. doi: 10.1097/00006123-199811000-00120.

  21. Lim KX, Wu K. First-ever intraosseous ancient schwannoma of the proximal ulna successfully treated using the cement technique. J Int Med Res. 2021; 49 (2): 300060520987732. doi: 10.1177/0300060520987732.




2020     |     www.medigraphic.com