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Malignant peripheral nerve sheath tumours of the infraorbital nerve: case report and literature review

Published online by Cambridge University Press:  20 May 2008

I Beegun
Affiliation:
Department of Otolaryngology, Head & Neck Surgery, John Radcliffe Hospital, Oxford, UK
I D Bottrill*
Affiliation:
Department of Otolaryngology, Head & Neck Surgery, John Radcliffe Hospital, Oxford, UK
K Hollowood
Affiliation:
Department of Cellular Pathology, John Radcliffe Hospital, Oxford, UK
*
Address for correspondence: Mr I Bottrill, Departments of Otolaryngology, Head & Neck Surgery, John Radcliffe Hospital, Oxford OX2 6HE, UK. E-mail: [email protected]

Abstract

Objective:

We report a case of malignant peripheral nerve sheath tumour seen in our department.

Method:

We present case reports and a review of the world literature concerning malignant peripheral nerve sheath tumour.

Results:

A 38-year-old Caucasian woman was diagnosed with malignant peripheral nerve sheath tumour of the infraorbital nerve. She underwent a wide enbloc resection followed by a course of radiotherapy. A five-year post-operative magnetic resonance imaging scan revealed no evidence of recurrence.

Conclusion:

Malignant peripheral nerve sheath tumours are rare in the head and neck. An awareness of their occurrence is important for early diagnosis. Management involves: accurate histological diagnosis; radiological imaging to define tumour extent and plan resection; wide surgical excision with histologically negative margins; reconstruction of the tissue defect; and post-operative radiotherapy.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2008

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References

1 Enzinger, FM, Weiss, SW. Soft tissue tumours. In: Maligant Tumours of the Peripheral Nerves, 3rd edn. St Louis: Mosby, 1995;889911Google Scholar
2 Ducatman, BS, Scheithauer, BW, Piepgras, DG, Reiman, HM, Ilstrup, DM. Malignant peripheral nerve sheath tumors: a clinicopathologic study of 120 cases. Cancer 1986;57:2006–213.0.CO;2-6>CrossRefGoogle ScholarPubMed
3 Cashen, DV, Parisien, RC, Raskin, K, Hornicek, FJ, Gebhardt, MC, Mankin, HJ. Survival data for patients with malignant schwannoma. Clin Orthop Relat Res 2004;426:6973CrossRefGoogle Scholar
4 D'Agostino, AN, Soule, EH, Miller, RH. Sarcomas of the peripheral nerves and somatic soft tissues associated with multiple neurofibromatosis (Von Recklinghausen's disease). Cancer 1963;16:1015–273.0.CO;2-I>CrossRefGoogle ScholarPubMed
5 Wong, WW, Hirose, T, Scheithauer, BW, Schild, SE, Gunderson, LL. Malignant peripheral nerve sheath tumor: analysis of treatment outcome. Int J Radiat Oncol Biol Phys 1998;42:351–60CrossRefGoogle ScholarPubMed
6 Tucker, T, Wolkenstein, P, Revuz, J, Zeller, J, Friedman, JM. Association between benign and malignant peripheral nerve sheath tumors in NF1. Neurology 2005;65:205–11CrossRefGoogle ScholarPubMed
7 Baehring, J, Betensky, R, Batchelor, TT. Malignant peripheral nerve sheath tumor: the clinical spectrum and outcome of treatment. Neurology 2006;61:696–8CrossRefGoogle Scholar
8 Kourea, HP, Bilsky, MH, Leung, DH, Lewis, JJ, Woodruff, JM. Subdiaphragmatic and intrathoracic paraspinal malignant peripheral nerve sheath tumors: a clinicopathologic study of 25 patients and 26 tumors. Cancer 1998;82: 2191–2033.0.CO;2-P>CrossRefGoogle ScholarPubMed
9 Loree, TR, North, JH Jr, Werness, BA, Nangia, R, Mullins, AP, Hicks, WL Jr Malignant peripheral nerve sheath tumors of the head and neck: analysis of prognostic factors. Otolaryngol Head Neck Surg 2000;122:667–72CrossRefGoogle ScholarPubMed
10 Amin, A, Saifuddin, A, Flanagan, A, Patterson, D, Lehovsky, J. Radiotherapy induced malignant peripheral nerve sheath tumor of the cauda equina. Spine 2004; 29:506–9CrossRefGoogle ScholarPubMed
11 Bailet, JW, Abemayor, E, Andrews, JC, Rowland, JP, Fu, Y, Dawson, DE. Malignant nerve sheath tumours of the head and neck; a combined experience from two university hospitals. Laryngoscope 1991;101:1044–9CrossRefGoogle ScholarPubMed
12 Angelov, L, Davis, A, O'Sullivan, B, Bell, R, Guha, A. Neurogenic sarcomas: experience at the University of Toronto. Neurosurgery 1998;43:5665CrossRefGoogle ScholarPubMed
13 Williams, Z, Coumans, JV, Bredella, MA, Miriam, A, Torriani, M, Hornicek, F et al. Role of positron emission tomography imaging in the surgical management of peripheral nerve sheath tumours in patients with neurofibromatosis type 1. Neurosurgery 2007;61:202–7CrossRefGoogle Scholar
14 Ferner, RE, Gutmann, DH. International consensus statement on malignant peripheral nerve sheath tumors in neurofibromatosis. Cancer Res 2002;62:1573–7Google ScholarPubMed
15 Hirose, T, Scheithauer, BW, Sano, T. Perineural malignant peripheral nerve sheath tumor (MPNST). Am J Surg Pathol 1998;22:1368–78CrossRefGoogle ScholarPubMed
16 Simon, M, Enneking, W. The management of soft tissue sarcomas of the extremities. J Bone Joint Surg Am 1976;58:317–27CrossRefGoogle ScholarPubMed
17 Singer, S, Corson, JM, Gonin, R, Labow, B, Eberlein, TJ. Prognostic factors predictive of survival and local recurrence for extremity soft tissue sarcoma. Ann Surg 1994;219:165–73CrossRefGoogle ScholarPubMed
18 Martinez-Devesa, P, Mitchell, TE, Scott, I, Moffat, DA. Malignant peripheral nerve sheath tumour of the head and neck: two cases and a review of the literature. Ear Nose Throat J 2006;85:392–6CrossRefGoogle Scholar
19 Hutcherson, RW, Jenkins, HA, Canalis, RF, Handler, SD, Eichel, BS. Neurogenic sarcoma of the head and neck. Arch Otolaryngol 1979;105:267–70CrossRefGoogle ScholarPubMed
20 Hellquist, HB, Lundgren, J. Neurogenic sarcoma of the sinonasal tract. J Laryngol Otol 1991;105:186–90CrossRefGoogle ScholarPubMed
21 Greager, JA, Richard, KW, Campana, JP, Das Gupta, TP. Malignant schwannoma of the head and neck. Am J Surg 1992;163:440–2CrossRefGoogle ScholarPubMed
22 Colreavy, MP, Lacy, PD, Hughes, J, Bouchier-Hayes, D, Brennan, P. Head and neck schwannomas – a 10 year review. J Laryngol Otol 2000;114:119–24CrossRefGoogle ScholarPubMed
23 Maroun, FB, Sadler, GP, Mangan, M, Mathieson, G, Jacob, JC, Kwan, A. Primary malignant tumours of the trigeminal nerve. Can J Neurol Sci 1986;13:146–8CrossRefGoogle ScholarPubMed
24 Hoffmann, DF, Everts, EC, Smith, JD, Kyriakopoulos, DD, Kessler, S. Malignant nerve sheath tumors of the head and neck. Otolaryngol Head Neck Surg 1988;99:309–14CrossRefGoogle ScholarPubMed
25 Gullane, PJ, Gilbert, RW, van Nostrand, AWP, Slinger, RP. Malignant schwannoma in the head and neck. J Otolaryngol 1985;14:171–5Google ScholarPubMed
26 Goepfert, H, Lindberg, RD, Sinkovics, JG, Ayala, AG. Soft tissue sarcoma of the head and neck after puberty: treatment by surgery and radiation therapy. Arch Otolaryngol 1977;103:365–8CrossRefGoogle Scholar