Skip to main content
Log in

Giant Digital Schwannoma: Successful Outcome at a Peripheral Surgical Centre

  • Case Report
  • Published:
Indian Journal of Surgery Aims and scope Submit manuscript

Abstract

Peripheral nerve sheath tumors including schwannomas are uncommon soft tissue tumors presenting in upper limb comprising less than 5%. Multiple and multifocal schwannomas have a syndromic association. Digital schwannomas are rare slow-growing masses. They are often misdiagnosed due to chronicity of symptoms and being asymptomatic. Imaging helps in diagnosis and planning surgery but fails to differentiate between schwannoma and neurofibroma. Surgical excision with loupe magnification achieves a favorable outcome without functional compromise. The final diagnosis is by histopathological examination. This case report depicts a rare case of digital schwannoma on tip of little finger, diagnosed and managed without any residual deficit at a peripheral surgical center.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7

Similar content being viewed by others

References

  1. Sandberg K, Nilsson J, Søe Nielsen N, Dahlin LB (2009) Tumours of peripheral nerves in the upper extremity: A 22-year epidemiological study. Scand J Plast Reconstr Surg Hand Surg 43(1):43–49

    Article  Google Scholar 

  2. Strickland JW, Steichen JB (1977) Nerve tumors of the hand and forearm. J Hand Surg Am 2(4):285–291

    Article  CAS  Google Scholar 

  3. Chick G, Victor J, Poujade T, Hollevoet N (2018) Sporadic schwannomatosis: A systematic review following the 2005 consensus statement. J Neurol Surg A Cent Eur Neurosurg 79(5):408–415

    Article  Google Scholar 

  4. Tang JB, Ishii S, Usui M, Naito T (1990) Multifocal neurilemomas in different nerves of the same upper extremity. J Hand Surg Am 15(5):788–792

    Article  CAS  Google Scholar 

  5. Aslam N, Kerr G (2003) Multiple schwannomas of the median nerve: a case report and literature review. Hand Surg 8(2):249–252

    Article  CAS  Google Scholar 

  6. Knight DM, Birch R, Pringle J (2007) Benign solitary schwannomas: A review of 234 cases. J Bone Joint Surg Br 89(3):382–387

    Article  CAS  Google Scholar 

  7. Adani R, Tarallo L, Mugnai R, Colopi S (2014) Schwannomas of the upper extremity: Analysis of 34 cases. Acta Neurochir (Wien) 156(12):2325–2330

    Article  Google Scholar 

  8. Karaçal N, Sözen E, Agdoğan Ö, Uraloğlu M, Livaoğlu M (2011) Giant Schwannoma of the Little Finger. Dermatol Surg 37(10):1499–1500. https://doi.org/10.1111/j.1524-4725.2011.02144.x

    Article  CAS  PubMed  Google Scholar 

  9. Whitaker WG, Droulias C (1976) Benign encapsulated neurilemoma: A report of 76 cases. Am Surg 42(9):675–678

    CAS  PubMed  Google Scholar 

  10. Gonzalvo A, Fowler A, Cook RJ et al (2011) Schwannomatosis, sporadic schwannomatosis, and familial schwannomatosis: a surgical series with long-term follow-up: clinical article. J Neurosurg 114(3):756–762

    Article  Google Scholar 

  11. Shin K, Moon S, Suh J, Jahng J (1998) Multiple neurilemomas: a case report. Clin Orthop Relat Res 357:171–175

    Article  Google Scholar 

  12. Patel MR, Mody K, Moradia VJ (1996) Multiple schwannomas of the ulnar nerve: a case report. J Hand Surg 21(5):875–876

    Article  CAS  Google Scholar 

  13. Ozdemir O, Kurt C, Coskunol E, Calli I, Ozsoy MH (2005) Schwannomas of the hand and wrist: long-term results and review of the literature. J Orthop Surg 13(3):267–272

    Article  CAS  Google Scholar 

  14. Gosk J, Gutkowska O, Urban M, Wnukiewicz W, Reichert P, Ziółkowski P (2015) Results of surgical treatment of schwannomas arising from extremities. BioMed Res Int 2015(547926):8. https://doi.org/10.1155/2015/547926

  15. Aydin MD, Kotan D, Keles M (2007) Acute median nerve palsy due to hemorrhaged schwannoma: Case report. J Brachial Plex Peripher Nerve Inj 2:19

    PubMed  PubMed Central  Google Scholar 

  16. Kütahya H, Güleç A, Güzel Y, Kacira B, Toker S (2013) Schwannoma of the median nerve at the wrist and palmar regions of the hand: A rare case report. Case Rep Orthop. 2013:950106

    PubMed  PubMed Central  Google Scholar 

  17. Lin J, Martel W (2001) Cross-sectional imaging of peripheral nerve sheath tumors: Characteristic signs on CT, MR imaging, and sonography. AJR Am J Roentgenol 176(1):75–82

    Article  CAS  Google Scholar 

  18. Phalen GS (1976) Neurilemmomas of the forearm and hand. Clin Orthop Relat Res 114:219–222

    Google Scholar 

  19. Harkin JC, Reed RS (1968) Tumors of the Peripheral Nervous System. Armed Forces Institute of Pathology, Washington, DC

    Google Scholar 

  20. Koga H, Matsumoto S, Manabe J, Tanizawa T, Kawaguchi N (2007) Definition of the target sign and its use for the diagnosis of schwannomas. Clin Orthop Relat Res 464(464):224–229

    Article  Google Scholar 

  21. Stefansson K, Wollmann R, Jerkovic M (1982) S-100 protein in soft-tissue tumors derived from Schwann cells and melanocytes. Am J Pathol 106(2):261–268

    CAS  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

We are grateful to Dr. AK Biswas, Dr. Manish Agrawal and Dr PK Nayak for their guidance and support in management of the case as well as preparation of this manuscript.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Arun Kumar M.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kumar M, A., Sharma, A., Sharma, H. et al. Giant Digital Schwannoma: Successful Outcome at a Peripheral Surgical Centre. Indian J Surg 84, 870–874 (2022). https://doi.org/10.1007/s12262-021-03135-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12262-021-03135-z

Keywords

Navigation