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DOI: 10.1055/s-0043-1770977
Laparoscopic-assisted Resection of a Retroperitoneal Lumbar Nerve Root Neurofibroma: A Case Report
Article in several languages: português | English Financial Support This study did not receive any financial support from public, commercial public, commercial, or non-profit sources.
Abstract
We present a case of a 59-year-old patient with chronic low back pain, caused by a retroperitoneal intraneural tumour. Laparoscopic excision was performed and histology revealed a spinal nerve root neurofibroma. Post-operatively, the patient developed partial motor and sensitive deficits due to tumoral nerve entrapment, with progressive recovery with rehabilitation. This report reviews the literature on this sparsely reported condition, highlighting the utility of laparoscopy in its management.
Keywords
laparoscopy - low back pain - neurofibroma - retroperitoneal neoplasms. - spinal nerve rootsStudy carried out at the Department of Orthopedics at Hospital CUF, Porto, Portugal.
Publication History
Received: 13 December 2022
Accepted: 27 March 2023
Article published online:
29 January 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
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Referências
- 1 Sassa N. Retroperitoneal tumors: Review of diagnosis and management. Int J Urol 2020; 27 (12) 1058-1070
- 2 Scali EP, Chandler TM, Heffernan EJ, Coyle J, Harris AC, Chang SD. Primary retroperitoneal masses: what is the differential diagnosis?. Abdom Imaging 2015; 40 (06) 1887-1903
- 3 Van Roggen JF, Hogendoorn PC. Soft tissue tumours of the retroperitoneum. Sarcoma 2000; 4 (1-2): 17-26
- 4 Mota MMDS, Bezerra ROF, Garcia MRT. Practical approach to primary retroperitoneal masses in adults. Radiol Bras 2018; 51 (06) 391-400
- 5 Koeller KK, Shih RY. Intradural Extramedullary Spinal Neoplasms: Radiologic-Pathologic Correlation. Radiographics 2019; 39 (02) 468-490
- 6 Louis DN, Perry A, Reifenberger G. et al. The 2016 World Health Organization Classification of Tumors of the Central Nervous System: a summary. Acta Neuropathol 2016; 131 (06) 803-820
- 7 Magro G, Broggi G, Angelico G. et al. Practical Approach to Histological Diagnosis of Peripheral Nerve Sheath Tumors: An Update. Diagnostics (Basel) 2022; 12 (06) 1463
- 8 Rodriguez FJ, Folpe AL, Giannini C, Perry A. Pathology of peripheral nerve sheath tumors: diagnostic overview and update on selected diagnostic problems. Acta Neuropathol 2012; 123 (03) 295-319
- 9 Pilavaki M, Chourmouzi D, Kiziridou A, Skordalaki A, Zarampoukas T, Drevelengas A. Imaging of peripheral nerve sheath tumors with pathologic correlation: pictorial review. Eur J Radiol 2004; 52 (03) 229-239
- 10 Rha SE, Byun JY, Jung SE, Chun HJ, Lee HG, Lee JM. Neurogenic tumors in the abdomen: tumor types and imaging characteristics. Radiographics 2003; 23 (01) 29-43
- 11 Di Furia M, Salvatorelli A, Della Penna A. et al. Advantage of laparoscopic resection for pelvic Schwannoma: Case report and review of the literature. Int J Surg Case Rep 2018; 45: 38-41
- 12 Celli P. Treatment of relevant nerve roots involved in nerve sheath tumors: removal or preservation?. Neurosurgery 2002; 51 (03) 684-692 , discussion 692
- 13 Okuyama T, Tagaya N, Saito K, Takahashi S, Shibusawa H, Oya M. Laparoscopic resection of a retroperitoneal pelvic schwannoma. J Surg Case Rep 2014; 2014 (01) rjt122-rjt122
- 14 Bergqvist C, Servy A, Valeyrie-Allanore L, Ferkal S, Combemale P, Wolkenstein P. NF France Network. Neurofibromatosis 1 French national guidelines based on an extensive literature review since 1966. Orphanet J Rare Dis 2020; 15 (01) 37