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Schwannoma

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schwannomatosis, however, is minimal (approximately 5 percent of cases). These tumors might lack a capsule or be less encapsulated than a typical schwannoma.More challenging to identify from MPNST are the infrequent plexiform schwannomas that develop in deep anatomical sites, such as soft tissue or major peripheral nerves. These tumors may exhibit enhanced cellularity and mitotic activity. Although the likelihood of these tumors developing into cancer is extremely low, local recurrence is possible in around half of cases. On MRI, it usually shows hyper or iso-intensity on T1-weighted images and heterogenous hyperintensities on T2 weighted images. Pleural schwannoma typically shows fatty degeneration, hemorrhage, perivascular hyalinization, and cystic formation thus giving heterogenous hyperintensities on T2 weighted images. Complete surgical removal of pleural schwannoma is the usual treatment.
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Schwannomas are homogeneous tumors, consisting only of Schwann cells. The tumor cells always stay on the outside of the nerve, but the tumor itself may either push the nerve aside and/or up against a bony structure (thereby possibly causing damage). Schwannomas are relatively slow-growing. For
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is a relatively rare variation. Cellular schwannoma is nearly exclusively made up of a fascicular proliferation of well-differentiated Schwann cells that are cytologically bland, missing Verocay bodies, and just slightly exhibiting Antoni B pattern growth (10% of the tumor area). Local
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is extremely rare. A unique subtype of schwannoma that typically develops in superficial (cutaneous or subcutaneous) sites and may be identified by its development pattern, which is plexiform (intraneuralnodular). The correlation with schwannoma predisposition disorders like NF2 and
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Hebert-Blouin MN, Amrami KK, Scheithauer BW, Spinner RJ. Multinodular/plexiform (multifascicular) schwannomas of major peripheral nerves: an underrecognized part of the spectrum of schwannomas. J Neurosurg. 2010; 112:372–382.
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and hearing loss on the affected side. Outside the cranial nerves, schwannomas may present on the flexor surfaces of the limbs. Rare occurrences of these tumors in the penis have been documented in the literature.
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Casadei GP, Scheithauer BW, Hirose T, Manfrini M, Van Houton C, Wood MB. Cellular schwannoma. A clinicopathologic, DNA flow cytometric, and proliferation marker study of 70 patients. Cancer. 1995; 75:1109–1119.
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Casadei GP, Scheithauer BW, Hirose T, Manfrini M, Van Houton C, Wood MB. Cellular schwannoma. A clinicopathologic, DNA flow cytometric, and proliferation marker study of 70 patients. Cancer. 1995; 75:1109–1119.
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Woodruff JM, Marshall ML, Godwin TA, Funkhouser JW, Thompson NJ, Erlandson RA. Plexiform (multinodular) schwannoma. A tumor simulating the plexiform neurofibroma. Am J Surg Pathol. 1983; 7:691–697.
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Berg JC, Scheithauer BW, Spinner RJ, Allen CM, Koutlas IG. Plexiform schwannoma: a clinicopathologic overview with emphasis on the head and neck region. Hum Pathol. 2008; 39:633–640.
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Agaram, N. P.; Prakash, S.; Antonescu, C. R.; "Deep-seated plexiform schwannoma: a pathologic study of 16 cases and comparative analysis with the superficial variety",
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White W, Shiu MH, Rosenblum MK, Erlandson RA, Woodruff JM. Cellular schwannoma. A clinicopathologic study of 57 patients and 58 tumors. Cancer. 1990; 66:1266–1275.
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Fletcher CD, Davies SE. Benign plexiform (multinodular) schwannoma: a rare tumour unassociated with neurofibromatosis. Histopathology. 1986; 10:971–980.
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Schwannomas of the head and neck are a fairly common occurrence and can be found incidentally in 3–4% of patients at autopsy. Most common of these is a
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Wick, M. R.; Swanson, P. E.; Scheithauer, B. W.; Manivel, J. C.; "Malignant peripheral nerve sheath tumor: An immunohistochemical study of 62 cases",
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Hanemann CO, Evans DG (December 2006). "News on the genetics, epidemiology, medical care and translational research of Schwannomas".
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Nguyen AH, Smith ML, Maranda EL, Punnen S (June 2016). "Clinical Features and Treatment of Penile Schwannoma: A Systematic Review".
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Fletcher CD, Davies SE, McKee PH. Cellular schwannoma: a distinct pseudosarcomatous entity. Histopathology. 1987; 11:21–35.
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Biswas D, Marnane CN, Mal R, Baldwin D (September 2007). "Extracranial head and neck schwannomas--a 10-year review".
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of a schwannoma showing both a cellular Antoni A area (top) and a loose paucicellular Antoni B area (bottom).
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Note: Not all brain tumors are of nervous tissue, and not all nervous tissue tumors are in the brain (see
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Yeom, Jeong A; Song, You Seon; Lee, In Sook; Han, In Ho; Choi, Kyung Un (2022-08-26).
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recurrence is Variable (5-40%) and perhaps greater than in normal schwannomas.
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List of inclusion bodies that aid in diagnosis of cutaneous conditions
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and less than 1% become malignant, degenerating into a form of
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WHO classification of the tumors of the central nervous system
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Andrews' diseases of the skin : clinical dermatology
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neurilemoma, neuroma, neurolemoma, Schwann cell tumor
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Benign nerve-sheath tumor composed of Schwann cells
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Philadelphia: Saunders Elsevier. 816: 8: 414: 412: 1155:Embryonal tumour with multilayered rosettes 356:Rapini RP, Bolognia JL, Jorizzo JL (2007). 934: 925: 905: 844: 823: 809: 801: 714: 351: 349: 347: 49: 32: 688: 670: 576: 566: 138:positive, which is a marker for cells of 164:are seen histologically in schwannomas. 99:, which normally produce the insulating 1276:Malignant peripheral nerve sheath tumor 1200:Primary central nervous system lymphoma 1124:Dysembryoplastic neuroepithelial tumour 318: 209: 621:American Journal of Clinical Pathology 526:American Journal of Clinical Pathology 188:Malignant melanotic nerve sheath tumor 326:James WD, Berger T, Elston D (2006). 292:Intranodal palisaded myofibroblastoma 7: 962:Subependymal giant cell astrocytoma 126:Schwannomas can be associated with 25: 249:Antoni A area of schwannoma with 1150:Atypical teratoid rhabdoid tumor 276: 267: 258: 242: 230: 221: 212: 1332:Dermal and subcutaneous growths 659:World Journal of Clinical Cases 1244:Cranial and paraspinal nerves 307:Palisaded encapsulated neuroma 1: 957:Pleomorphic xanthoastrocytoma 832:Tumours of the nervous system 464:Clinical Genitourinary Cancer 1002:Anaplastic oligodendroglioma 1348: 672:10.12998/wjcc.v10.i24.8735 476:10.1016/j.clgc.2015.12.018 1300: 433:10.1007/s00415-006-0347-0 395:10.1016/j.anl.2007.01.006 358:Dermatology: 2-Volume Set 253:(one annotated by circle) 128:neurofibromatosis type II 57: 48: 1129:Lhermitte–Duclos disease 1053:Choroid plexus carcinoma 1048:Choroid plexus papilloma 568:10.4103/0970-2113.184928 134:. They are universally 237:Subcutaneous schwannoma 151:vestibulocochlear nerve 972:Anaplastic astrocytoma 967:Fibrillary astrocytoma 91:) is a usually benign 1228:Esthesioneuroblastoma 952:Pilocytic astrocytoma 529:, 29:1042–1048, 2005 190:(previously known as 147:vestibular schwannoma 1233:Ganglioneuroblastoma 1138:CNS embryonal tumors 1043:Choroid plexus tumor 421:Journal of Neurology 383:Auris, Nasus, Larynx 360:. St. Louis: Mosby. 192:melanotic schwannoma 1076:Gliomatosis cerebri 624:, 87:425–433, 1987 181:Cellular schwannoma 1240:Nerve sheath tumor 1182:Hemangiopericytoma 549:Iwasaki T (2016). 174:Pleural schwannoma 93:nerve sheath tumor 1314: 1313: 1253:Neurofibromatosis 1208: 1207: 1163: 1162: 1089: 1088: 997:Oligodendroglioma 895: 894: 862:Craniopharyngioma 798: 797: 665:(24): 8735–8741. 427:(12): 1533–1541. 367:978-1-4160-2999-1 337:978-0-7216-2921-6 153:that may lead to 149:, a tumor of the 140:neural crest cell 121:neurofibrosarcoma 105:peripheral nerves 81: 80: 30:Medical condition 16:(Redirected from 1339: 1305:brain metastasis 1269:Acoustic neuroma 1071:Oligoastrocytoma 1064:Multiple/unknown 935: 926: 906: 880: 855: 845: 825: 818: 811: 802: 715: 703: 702: 692: 674: 650: 644: 640: 634: 631: 625: 616: 610: 607: 601: 597: 591: 590: 580: 570: 546: 540: 536: 530: 521: 515: 512: 506: 503: 497: 494: 488: 487: 459: 453: 452: 416: 407: 406: 378: 372: 371: 353: 342: 341: 323: 280: 271: 262: 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1132: 1131: 1126: 1121: 1116: 1114:Retinoblastoma 1111: 1105:Ganglioneuroma 1101: 1099: 1091: 1090: 1087: 1086: 1084: 1083: 1078: 1073: 1067: 1065: 1061: 1060: 1058: 1057: 1056: 1055: 1050: 1039: 1037: 1035:Choroid plexus 1031: 1030: 1028: 1027: 1022: 1016: 1014: 1008: 1007: 1005: 1004: 999: 993: 991: 985: 984: 982: 981: 980: 979: 974: 969: 964: 959: 954: 943: 941: 932: 923: 903: 897: 896: 893: 892: 890: 889: 883: 881: 873: 872: 870: 869: 864: 858: 856: 842: 836: 835: 830: 828: 827: 820: 813: 805: 796: 795: 792: 791: 780: 769: 758: 743: 727: 722: 721: 719: 718:Classification 711: 710:External links 708: 705: 704: 645: 635: 626: 611: 602: 592: 541: 531: 516: 507: 498: 489: 470:(3): 198–202. 454: 408: 389:(3): 353–359. 373: 366: 343: 336: 317: 316: 314: 311: 310: 309: 304: 299: 294: 287: 284: 283: 282: 275: 273: 266: 264: 257: 255: 251:Verocay bodies 248: 241: 239: 236: 229: 227: 220: 218: 211: 207: 204: 200: 199: 196:Carney complex 185: 178: 169: 166: 162:Verocay bodies 79: 78: 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921: 920:spinal tumors 916: 911: 907: 904: 902: 898: 888: 885: 884: 882: 879: 874: 868: 865: 863: 860: 859: 857: 854: 852: 846: 843: 841: 837: 833: 826: 821: 819: 814: 812: 807: 806: 803: 790: 786: 785: 781: 779: 775: 774: 770: 768: 764: 763: 759: 757: 753: 752: 748: 744: 742: 738: 737: 733: 729: 728: 725: 720: 716: 709: 700: 696: 691: 686: 682: 678: 673: 668: 664: 660: 656: 649: 646: 639: 636: 630: 627: 623: 622: 615: 612: 606: 603: 596: 593: 588: 584: 579: 574: 569: 564: 561:(4): 449–50. 560: 556: 552: 545: 542: 535: 532: 528: 527: 520: 517: 511: 508: 502: 499: 493: 490: 485: 481: 477: 473: 469: 465: 458: 455: 450: 446: 442: 438: 434: 430: 426: 422: 415: 413: 409: 404: 400: 396: 392: 388: 384: 377: 374: 369: 363: 359: 352: 350: 348: 344: 339: 333: 329: 322: 319: 312: 308: 305: 303: 300: 298: 295: 293: 290: 289: 285: 279: 274: 270: 265: 261: 256: 252: 245: 240: 233: 228: 224: 219: 215: 210: 205: 203: 197: 193: 189: 186: 182: 179: 175: 172: 171: 167: 165: 163: 159: 156: 152: 148: 143: 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155:tinnitus 142:origin. 63:HE stain 778:D009442 767:M9560/0 690:9453363 578:4948239 206:Gallery 1097:neuron 1094:Mature 930:Glioma 878:Other: 851:Sellar 697:  687:  679:  585:  575:  482:  447:  439:  401:  364:  334:  132:merlin 117:cancer 113:benign 1285:Other 789:33713 762:ICD-O 756:225.1 741:C72.4 445:S2CID 136:S-100 773:MeSH 751:9-CM 695:PMID 677:ISSN 583:PMID 480:PMID 437:PMID 399:PMID 362:ISBN 332:ISBN 87:(or 1214:PNS 901:CNS 747:ICD 732:ICD 685:PMC 667:doi 573:PMC 563:doi 472:doi 429:doi 425:253 391:doi 1323:: 1307:). 1107:: 787:: 776:: 765:: 754:: 739:: 736:10 693:. 683:. 675:. 663:10 661:. 657:. 581:. 571:. 559:33 557:. 553:. 478:. 468:14 466:. 443:. 435:. 423:. 411:^ 397:. 387:34 385:. 346:^ 107:. 83:A 1262:/ 1216:: 922:) 917:, 913:( 853:: 824:e 817:t 810:v 749:- 734:- 724:D 701:. 669:: 589:. 565:: 486:. 474:: 451:. 431:: 405:. 393:: 370:. 340:. 198:. 65:. 20:)

Index

Neurinoma

Micrograph
HE stain
Specialty
Neuro-oncology
nerve sheath tumor
Schwann cells
myelin sheath
peripheral nerves
benign
cancer
neurofibrosarcoma
neurofibromatosis type II
merlin
S-100
neural crest cell
vestibular schwannoma
vestibulocochlear nerve
tinnitus
Verocay bodies
Carney complex


Subcutaneous schwannoma
Antoni A area of schwannoma with Verocay bodies (one annotated by circle)
Verocay bodies


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