Description of a neural sheath tumor of the trigeminal nerve: immunohistochemical and electron microscopy study

CONTEXT: Malignant neural sheath tumors of the trigeminal nerve affecting the nasal cavity and the paranasal sinuses are extremely rare. With conventional optical microscopy, their identification is difficult, and it is necessary to confirm them by means of electron microscopy and immunohistochemica...

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Detalles Bibliográficos
Autores: Khademi, Bijan, Owji, Seied Mohammad, Khosh, Khadije Jamshidi, Mohammadianpanah, Mohammad, Gandomi, Behrooz
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2006
País:Brasil
Institución:Associação Paulista de Medicina
Repositorio:São Paulo medical journal (Online)
Idioma:inglés
OAI Identifier:oai:ojs.diagnosticoetratamento.emnuvens.com.br:article/2294
Acceso en línea:https://periodicosapm.emnuvens.com.br/spmj/article/view/2294
Access Level:acceso abierto
Palabra clave:Neoplasias da bainha neural
Seios paranasais
Nervo trigêmeo
Radioterapia
Quimioterapia
Nerve sheath neoplasms
Paranasal sinuses
Trigeminal nerve
Radiotherapy
Chemotherapy
Descripción
Sumario:CONTEXT: Malignant neural sheath tumors of the trigeminal nerve affecting the nasal cavity and the paranasal sinuses are extremely rare. With conventional optical microscopy, their identification is difficult, and it is necessary to confirm them by means of electron microscopy and immunohistochemical techniques. CASE REPORT: The patient was a 41 year old woman with a ten month progressive history of pain followed by painful edema in the left facial region, and with symptoms of bleeding, secre- tion and nasal obstruction. Studies with imaging methods suggested the presence of an expansive process in the left nasal and paranasal cavities. In the biopsy, the histopathological findings from optical microscopy were suggestive of a tumor of neural origin in the trigeminal nerve. Immunohis- tochemical and electron microscopy studies con- firmed that it was a malignant tumor of the neural sheath of the trigeminal nerve. We describe the clinical, radiological, and histological features of this tumor and review the literature.