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Análise retrospectiva de 20 pacientes acometidos por schwannoma nos membros superior e inferior

2020; Thieme Medical Publishers (Germany); Volume: 55; Issue: 05 Linguagem: Inglês

10.1055/s-0040-1702962

1982-4378

José Antônio Galbiatti, Gabriel Rodrigues dos Santos Milhomens, Lara Giovanetti Bertozzo, Letícia Escames, Pedro de Alcântara Milhomens Neto, Marília Gabriela Palácio Galbiatti,

Meningioma and schwannoma management

Objective To analyze the epidemiological profile and evolution of 20 patients diagnosed with upper- and lower-limb schwannomas. Methods A group of patients was defined for a retrospective evaluation comprising the period between February 2002 and June 2018, in which we studied and evaluated 20 medical records of patients undergoing surgery due to schwannoma; the diagnosis was confirmed by an anatomopathological examination. Results Male and female patients were equally affected. The average age was 50.85 years, ranging from 12 to 77 years. There was a predominance of the upper limb and of the flexor face. The most affected nerve was the ulnar nerve. In total, 6 (30%) patients had transient postoperative complications. No cases of tumor recurrence were identified. Conclusion Schwannoma is a rare and difficult-to-diagnose lesion. It should always be considered as a hypothesis when facing a soft-tissue tumor affecting the limbs. The Tinel sign should be regarded, given its higher correlation with complications. The patients should be informed of the possible postoperative complications, which are frequent but usually transient.