Difference between revisions of "Traumatic neuroma"

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#redirect [[Peripheral_nerve_sheath_tumours#Traumatic_neuroma]]
'''Traumatic neuroma''' is a common hand and foot [[ditzel]] and grouped with the [[peripheral nerve sheath tumours]].
 
These may simply be referred to as ''[[neuroma]]'', a rather non-specific term that may be used to describe a number of different things.
 
==General==
*Consequence of trauma - diagnosis requires history of trauma.
**May mimic a cancer recurrence at the site of a surgery.<ref name=pmid22330690/>
 
==Microscopic==
Features:<ref name=Ref_DCHH317>{{Ref DCHH|317}}</ref><ref name=pmid22330690/>
*+/-Nerve - that was injured.
*Grouping of disordered nerve fibre bundles in fibrous tissue (collagen) - '''key feature'''.
*+/-Myxoid change.
*+/-Axonal swellings (ovoid pink/purple blobs).
 
DDx:
*[[Morton neuroma]] (foot).
 
===Images===
*[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3296625/figure/F2/ Traumatic neuroma (nih.gov)].<ref name=pmid22330690>{{Cite journal  | last1 = Li | first1 = Q. | last2 = Gao | first2 = EL. | last3 = Yang | first3 = YL. | last4 = Hu | first4 = HY. | last5 = Hu | first5 = XQ. | title = Traumatic neuroma in a patient with breast cancer after mastectomy: a case report and review of the literature. | journal = World J Surg Oncol | volume = 10 | issue =  | pages = 35 | month =  | year = 2012 | doi = 10.1186/1477-7819-10-35 | PMID = 22330690 }}</ref>
*[http://path.upmc.edu/cases/case502.html Traumatic neuroma - several images (upmc.edu)].
*[http://www.sarcomaimages.com/index.php?v=Neuroma,-Traumatic Traumatic neuroma (sarcomaimages.com)].
*[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2627419/figure/F1/ Traumatic neuroma (nih.gov)].<ref name=pmid17554193>{{Cite journal  | last1 = Kwon | first1 = JH. | last2 = Ryu | first2 = SW. | last3 = Kang | first3 = YN. | title = Traumatic neuroma around the celiac trunk after gastrectomy mimicking a nodal metastasis: a case report. | journal = Korean J Radiol | volume = 8 | issue = 3 | pages = 242-5 | month =  | year =  | doi =  | PMID = 17554193 | PMC = 2627419 }}</ref>
*[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2835865/figure/F3/ Neuroma (nih.gov)].<ref name=pmid20224738>{{Cite journal  | last1 = Kitcat | first1 = M. | last2 = Hunter | first2 = JE. | last3 = Malata | first3 = CM. | title = Sciatic neuroma presenting forty years after above-knee amputation. | journal = Open Orthop J | volume = 3 | issue =  | pages = 125-7 | month =  | year = 2009 | doi = 10.2174/1874325000903010125 | PMID = 20224738 }}</ref>
 
==Sign out==
<pre>
Submitted as "Neuroma Left Foot", Excision:
- Consistent with neuroma.
- Atherosclerosis, moderate.
</pre>
 
===Block letters===
<pre>
SOFT TISSUE LESION, RIGHT WRIST, EXCISION:
- TRAUMATIC NEUROMA.
- BENIGN FIBROADIPOSE TISSUE.
</pre>
 
===Micro===
The sections show disordered nerve fibre bundles in fibrous tissue.
 
==See also==
*[[Peripheral nerve sheath tumours]].
 
==References==
{{Reflist|1}}
 
[[Category:Diagnosis]]
[[Category:Neuropathology]]

Latest revision as of 15:39, 19 June 2017

Traumatic neuroma is a common hand and foot ditzel and grouped with the peripheral nerve sheath tumours.

These may simply be referred to as neuroma, a rather non-specific term that may be used to describe a number of different things.

General

  • Consequence of trauma - diagnosis requires history of trauma.
    • May mimic a cancer recurrence at the site of a surgery.[1]

Microscopic

Features:[2][1]

  • +/-Nerve - that was injured.
  • Grouping of disordered nerve fibre bundles in fibrous tissue (collagen) - key feature.
  • +/-Myxoid change.
  • +/-Axonal swellings (ovoid pink/purple blobs).

DDx:

Images

Sign out

Submitted as "Neuroma Left Foot", Excision:
	- Consistent with neuroma.
	- Atherosclerosis, moderate.

Block letters

SOFT TISSUE LESION, RIGHT WRIST, EXCISION:
- TRAUMATIC NEUROMA.
- BENIGN FIBROADIPOSE TISSUE.

Micro

The sections show disordered nerve fibre bundles in fibrous tissue.

See also

References

  1. ↑ 1.0 1.1 1.2 Li, Q.; Gao, EL.; Yang, YL.; Hu, HY.; Hu, XQ. (2012). "Traumatic neuroma in a patient with breast cancer after mastectomy: a case report and review of the literature.". World J Surg Oncol 10: 35. doi:10.1186/1477-7819-10-35. PMID 22330690.
  2. ↑ Tadrous, Paul.J. Diagnostic Criteria Handbook in Histopathology: A Surgical Pathology Vade Mecum (1st ed.). Wiley. pp. 317. ISBN 978-0470519035.
  3. ↑ Kwon, JH.; Ryu, SW.; Kang, YN.. "Traumatic neuroma around the celiac trunk after gastrectomy mimicking a nodal metastasis: a case report.". Korean J Radiol 8 (3): 242-5. PMC 2627419. PMID 17554193. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2627419/.
  4. ↑ Kitcat, M.; Hunter, JE.; Malata, CM. (2009). "Sciatic neuroma presenting forty years after above-knee amputation.". Open Orthop J 3: 125-7. doi:10.2174/1874325000903010125. PMID 20224738.
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