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Difference between revisions of "Traumatic neuroma"
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'''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]] | |||