Schwannoma of brachial plexus

Case contributed by Dr Domagoj Kretic

Presentation

Presented as a lump in elderly woman, situated in her 3rd neck region on the right side.

Patient Data

Age: 66
Gender: Female
MRI

MRI

T1WI and T2WI transversal, together with T2 TIRM sequence are showing high signal lesion connected to brachial plexus, its C4-C5 root.

Ultrasound

Ultrasound and Color Doppler

Hypoechogenic node , with dimension of 1,8 x 2 cm, situated in 3rd neck region on the right side. The lesion demonstrated vascularity on colour doppler. 

Node is fairly vascularized.

Case Discussion

Ultrasound and Color Doppler was performed and the conclusion was enlarged lymph node or other differential. After FNAC cytologist made a diagnosis neurilemmoma or schwannoma of peripheral nerve.
MRI was performed with result of 
1,8 x 2 cm large node adjacent to C4/C5 root of brachial plexus, with slight increase in signal on T1WI, compared to other neural tissue.
TIRM coronar scans show very high signal lesion.
After surgery histopatholgy confirmed FNAC diagnosis :
Neurilemmoma or Schwannoma of Brachial plexus

Surgery was performed , with removing lesion and saving most of brachial plexus. However some disability or inability to do certain moves with right hand, together with MMS weakened.

Interesting fact : Patient felt paresthesia during FNAC

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Case information

rID: 26944
Case created: 15th Jan 2014
Last edited: 2nd May 2017
Inclusion in quiz mode: Included

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