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Case report| Volume 60, ISSUE 12, P1338-1341, December 2007

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Combined manifestation of a neurofibroma and a nerve sheath ganglion in the ulnar nerve after radiotherapy in early childhood

Published:June 24, 2006DOI:https://doi.org/10.1016/j.bjps.2006.03.048
Combined manifestation of a neurofibroma and a nerve sheath ganglion in the ulnar nerve after radiotherapy in early childhood
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      Summary

      Occurrence of clinically symptomatic benign neurofibromas of peripheral nerves after radiotherapy is a rarity. We saw a 55-year-old female who developed progressive failure of the ulnar nerve 55 years after 20 Gy 226Ra brachytherapy of a haemangioma of the left elbow at the age of 3 months. Nerve compression at the sulcus segment was caused by the intraneural growth of a neurofibroma and the formation of a nerve sheath ganglion. The rapidly progressive symptoms required operative treatment. Due to the infiltrating tumour growth we decided to resect this segment of the ulnar nerve and reconstruct it with an interfascicular nerve graft.
      This case demonstrates a rare possible consequence of radiotherapy in which the co-existence of two benign lesions required surgical intervention. Radiotherapy-induced malignant tumours and tissue scarring are well known as complications. The present case suggests further possible late effects of radiotherapy to consider.

      Keywords

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      Article info

      Publication history

      Published online: June 24, 2006
      Accepted: March 4, 2006
      Received: December 5, 2005

      Footnotes

      ☆Details of any meeting at which the work has been presented wholly or in part: Poster 1: J.A. Lohmeyer, T. Lange, A. Gocht, B. Reichert, P. Mailänder. Neurofibrom des N. ulnaris im Bestrahlungsfeld bei frühkindlicher Brachytherapie eines Hämangioms am Ellbogen. [Neurofibroma of the ulnar nerve 55 years after brachytherapy of a cavernous haemangioma in the early childhood.] 45. Symposium der Deutschsprachigen Arbeitgemeinschaft für Handchirurgie (DAH); 30.10.2004; Bad Neustadt, Germany. Poster 2: J.A. Lohmeyer, T. Lange, A. Gocht, P. Mailänder. Neurofibroma of the ulnar nerve 55 years after brachytherapy of a cavernous haemangioma in the early childhood. X Congress of the Federation of the European Societies for Surgery of the Hand (FESSH); 15–17.06.2005, Göteborg, Sweden. Oral presentation: J.A. Lohmeyer, T. Lange, A. Gocht, B. Reichert, P. Mailänder. Neurofibrom des N. ulnaris im Bestrahlungsfeld bei frühkindlicher Brachytherapie eines Hämangioms am Ellbogen. Annual Meeting of the “Vereinigung Nordwestdeutscher Chirurgen” (NWDC) 25.11.2004; Hamburg, Germany.

      Identification

      DOI: https://doi.org/10.1016/j.bjps.2006.03.048

      Copyright

      © 2006 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.

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