[Schwannoma of the femoral nerve: a rare differential diagnosis of leg pain].
Schmerz 2013;
27:312-6. [PMID:
23539278 DOI:
10.1007/s00482-013-1311-4]
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Abstract
BACKGROUND
Schwannomas (neurinomas) are among the most frequent peripheral nerve tumors. Nevertheless, these are seldom located in the lower extremities in association with the femoral nerve.
CLINICAL PRESENTATION
In this case, the occurrence of a schwannoma adjacent to the femoral nerve is described in a patient presenting with nonspecific pain in the thigh accompanied by a palpable mass. Sensory and motor deficits were not present. Further examinations by MRI and biopsy followed by histopathology, revealed the diagnosis of a schwannoma. The tumor was completely excised.
CONCLUSION
Although schwannomas of the lower extremities are rare, they should be included in the differential diagnosis. Knowing the typical clinical symptoms, radiological signs, and histopathological findings, diagnosis should be straight forward.
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