Abstract
Neurilemomas are benign tumours arising from peripheral nerves with a Schwann cell sheath. They are normally painless and slowly growing, rarely causing motor disturbances. Neurilemomas are most common in the cranial nerves, in the trunk, the upper and lower extremities, but may appear anywhere. Especially rare are neurilemomas of the lateral peroneal nerve in the region of the fibular head and in the foot. We present the first detailed report of a neurilemoma localized between the Achilles tendon and the flexor digitorum longus muscle with separation of the tumour from the tibial nerve.
Similar content being viewed by others
References
Azumi N, Battifora H (1987) The distribution of vimentin and keratin in epithelial and nonepithelial neoplasm. Am J Clin Pathol 88:286–296
Coulter KR, Gerbert J, Shea TP (1978) Neurilemoma of the lateral plantar nerve: a case report. JAPA 68:721–724
D'Agostino AN, Soule EH, Miller RH (1963) Primary malignant neoplasm of nerves (malignant neurilemmomas) in patients without manifestations of multiple neurofibromatosis (Von Recklinghausen's Disease). Cancer 16:1003–1014
D'Agostino AN, Soule EH, Miller RH (1963) Sarcomas of the peripheral nerve and somatic soft tissue associated with multiple neurofibromatosis (Von Recklinghausen's Disease ). Cancer 16:1015–1027
Das Gupta TK, Brasfield RD, Strong EW, Hajdu SI (1969) Benign solitary schwannomas (neurilemomas). Cancer 24:355–366
Edwards JC, Green T, Riefel E (1989) Neurilemoma of the saphenous nerve presenting as pain in the knee. J Bone Joint Surg Am 71:1410–1411
Ghosh BC, Ghosh L, Huvos AG, Fortner JG (1971) Malignant schwannoma—a clinicopathologic study. Cancer 31:184–190
Giannestras NJ, Bronson JL (1975) Malignant schwannoma of the medial plantar branch of the posterior tibia nerve (unassociated with Von Recklinghausen's Disease). J Bone Joint Surg Am 57:5
Gominak SC, Ochoa JL (1998) Sciatic schwannoma of the thigh causing foot pain mimicking plantar neuropathy. Muscle Nerve 21:528–530
Haendel C, Lindholm JA, Lapow LR (1982) Atypical neurilemoma. J Foot Surg 21:136–138
Hart MD, Bason WC (1958) Neurolemoma involving bone. J Bone Joint Surg Am 40:465–468
Hennessee MT, Walter JH, Wallace G, Lemont H, Quintaville PR (1985) Benign schwannoma. Clinical and histopathologic findings. JAPA 75:310–314
Houshian S, Freund KG (1999) Gigantic benign schwannoma in the lateral peroneal nerve.Am J Knee Surg 12:41–42
Jenkins SA (1952) Solitary tumors of peripheral nerve trunks. J Bone Joint Surg Br 34:401–411
Kawahara I, Oda Y, Ooi A, Katsuda S, Nakanishi I, Umeda S (1998) Expression of glial fibrillary acidic protein (GFAP) in peripheral nerve sheath tumors. A comparative study of immunoreactivity of GFAP, vimentin, S-100 protein, and neurofilament in 38 schwannomas and 18 neurofibromas. Am J Surg Pathol 12:115–120
Laurencin CT, Bain M, Yue JJ, Glick H (1995) Schwannoma of the superficial peroneal nerve presenting as web space pain. J Foot Ankle Surg 34:532–533
Levy M, Seelenfreund M, Maor P, Lotem M (1974) Neurilemmoma of peripheral nerves: a report of 14 cases, including three of the lateral popliteal nerve. Acta Orthop Scand 45:337–345
Luke RD (1976) Neurilemoma in the foot. JAPA 66:547–549
Riccardi C, Ugo P (1996) Slow and unrecognized progression of schwannoma of sciatic nerve. Chir Organi Mov 81:79–83
Sayed AK, Bernhardt B, Perez-Atayde AR, Bannerman RM (1987) Malignant schwannoma in siblings with neurofibromatosis. Cancer 59:829–835
Stout AP (1958) Tumors of the peripheral nerve. J Bone Joint Surg Am 40:959
Taxy JR, Battifora H, Trujillo Y, Dorfman HD (1981) Electron microscopy in the diagnosis of malignant schwannoma. Cancer 48:1381–1391
Tozzi M, Nice T, Hart D, Bigelli A (1982) Neurilemoma of the foot: a case report. JAPA 72:318–321
Waggener JD (1966) Ultrastructure of benign periperal nerve sheath tumors. Cancer 19:695–709
White HR (1971) Survival in malignant schwannoma, an 18-year study. Cancer 27:720–729
White NB (1967) Neurilemomas of the extremities. J Bone Joint Surg Am 49:1605–1610
Wick MR, Swanson PE, Scheithauer BW, Manivel JC (1987) Malignant peripheral nerve sheath tumor, an immunohistochemical study of 62 cases. Am J Clin Pathol 87:425–433
Wolock BS, Baugher WH, McCathy EJ (1989) Neurilemoma of the sciatic nerve mimicking tarsal tunnel syndrome. J Bone Joint Surg Am 71:932–934
Woodruff J, Godwin TA, Erlandson RA, Susin M, Martini N (1981) Cellular schwannoma. Am J Surg Pathol 5:733–744
Yousem SA, Colby TV, Urich H (1985) Malignant epitheloid schwannoma arising of a benign schwannoma. A case report. Cancer 55:2799–2803
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Liebau, C., Baltzer, A.W., Schneppenheim, M. et al. Isolated peripheral neurilemoma attached to the tendon of the flexor digitorum longus muscle. Arch Orthop Trauma Surg 123, 98–101 (2003). https://doi.org/10.1007/s00402-003-0481-4
Received:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00402-003-0481-4