Malignant peripheral nerve sheath tumor

Case contributed by Smita Deb , 10 Dec 2014
Diagnosis certain
Changed by Bahman Rasuli, 24 Mar 2024
Disclosures - updated 9 Nov 2023: Nothing to disclose

Updates to Study Attributes

Findings was changed:
  • enhancing tumour at medial and superior aspect of the left orbit above the medial culpable fissure (1.7 x 0.8cm).

  • extension of tumour along supra-orbital and frontal branches back to the left cavernous sinus demonstrated by nerve enlargement and abnormal enhancement

  • the nerve lies in its position between the periosteum of the orbit and levator palpebrae superioris.

  • no extension into: intra-conal space, Meckel's cave or along cisternal portion of 5th nerve.   

Updates to Case Attributes

Body was changed:

Malignant peripheral nerve sheath tumour of the left left V1 involving supra-orbital and frontal branches.

The patient went on to have surgical excision of the left eye, adjacent adjacent skin and soft soft tissue. Pathology confirmed the tumour type and involvement of the supra-orbital nerve, orbital apex and other extrinsic eye nerves.

The supra-orbital nerve margin was involved by a plexiform neurofibroma, as well the architecture of the tumour was plexiform on histology which is suggestive of neurofibromatosis type 1. Up to 70% of malignant nerve sheath tumours are associated with neurofibromatosis neurofibromatosis type 1.

Case submitted by Dr Smita Deb and A/Prof Pramit Phal.

  • -<p><a title="Malignant peripheral nerve sheath tumour" href="/articles/malignant-peripheral-nerve-sheath-tumour">Malignant peripheral nerve sheath tumour</a> of the left <a href="/articles/trigeminal-nerve">V1</a> involving supra-orbital and frontal branches.</p><p>The patient went on to have surgical excision of the left eye, adjacent skin and soft tissue. Pathology confirmed the tumour type and involvement of the supra-orbital nerve, orbital apex and other extrinsic eye nerves.</p><p>The supra-orbital nerve margin was involved by a <a href="/articles/plexiform-neurofibroma">plexiform neurofibroma</a>, as well the architecture of the tumour was plexiform on histology which is suggestive of <a href="/articles/neurofibromatosis-type-1">neurofibromatosis type 1</a>. Up to 70% of malignant nerve sheath tumours are associated with neurofibromatosis type 1.</p><p> </p><p>Case submitted by Dr Smita Deb and A/Prof Pramit Phal.</p>
  • +<p><a title="Malignant peripheral nerve sheath tumour" href="/articles/malignant-peripheral-nerve-sheath-tumour">Malignant peripheral nerve sheath tumour</a> of the&nbsp;left <a href="/articles/trigeminal-nerve">V1</a> involving supra-orbital and frontal branches.</p><p>The patient went on to have surgical excision of the left eye,&nbsp;adjacent skin and&nbsp;soft tissue. Pathology confirmed the tumour type and involvement of the supra-orbital nerve, orbital apex and other extrinsic eye nerves.</p><p>The supra-orbital nerve margin was involved by a <a href="/articles/plexiform-neurofibroma">plexiform neurofibroma</a>, as well the architecture of the tumour was plexiform on histology which is suggestive of <a href="/articles/neurofibromatosis-type-1">neurofibromatosis type 1</a>. Up to 70% of malignant nerve sheath tumours are associated with&nbsp;neurofibromatosis type 1.</p><p>&nbsp;</p><p>Case submitted by Dr Smita Deb and A/Prof Pramit Phal.</p>

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