Post-amputation neuroma of radial nerve in a patient with ephitelioid sarcoma: case report and literature review

Acta Biomed. 2020 Mar 19;91(1):122-127. doi: 10.23750/abm.v91i1.8510.

Abstract

Neuroma, also known as traumatic neuroma or amputation neuroma or stump neuroma, is a focal non neoplastic area of proliferative hyperplastic reaction secondary to peripheral nerve damage that commonly occurs after a focal trauma (acute or chronic) or surgery, such as amputation or partial transection. Neuromas are more commonly located in the lower limbs, followed by head and neck; other extremely rare sites include the ulnar nerve followed by the radial nerve and the brachial plexus. A radiologic plan is necessary to recognize soft tissue lesions with a neural origin and whether they are a true tumor or a pseudotumor such as a neuroma, fibrolipoma, or peripheral nerve sheath ganglion. In oncologic patients the appearance of post-surgical neuromas can produce problems in differential diagnosis with local recurrences. Therefore, with a combination of different imaging techniques, mainly ultrasound (US) and magnetic resonance imaging (MRI), it is possible to characterize neurogenic tumours safely, with a great impact on patient management and to plan an appropriate treatment. Here, we report the first case of post-amputation neuroma of radial nerve in a patient with clinical history of ephitelioid sarcoma with a short literature review.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Neuroma / diagnostic imaging*
  • Neuroma / surgery
  • Peripheral Nervous System Neoplasms / diagnostic imaging*
  • Peripheral Nervous System Neoplasms / surgery*
  • Radial Nerve / diagnostic imaging*
  • Radial Nerve / surgery*
  • Sarcoma / surgery*
  • Ultrasonography