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Case Report

Malignant Peripheral Nerve Sheath Tumor of the Infraorbital Nerve

by
José Luis D'Addino
1,*,
Laura Piccoletti
2,
María Mercedes Pigni
3 and
Maria José Rodriguez Arenas de Gordon
3
1
General Surgery and Head and Neck Division, Vicente López Public Hospital, Buenos Aires B1602, Argentina
2
Division of General Surgery, Vicente López Public Hospital, Buenos Aires B1602, Argentina
3
Division of Head and Neck Surgery, Vicente López Public Hospital, Buenos Aires B1602, Argentina
*
Author to whom correspondence should be addressed.
Craniomaxillofac. Trauma Reconstr. 2016, 9(2), 170-174; https://doi.org/10.1055/s-0035-1563698
Submission received: 9 December 2014 / Revised: 14 June 2015 / Accepted: 14 June 2015 / Published: 13 November 2015

Abstract

The objective of this study is to report a large, rare, and ulcerative infiltrated skin lesion. Its diagnosis, therapeutic management, and progress are described. The patient is a 78-year-old white man, who presented with a 12-month ulcerative perforated lesion that had affected and infiltrated the skin, with easy bleeding. He had a history of hypertension, although controlled, was a 40-year smoker, had chronic atrial fibrillation, diabetes, and microangiopathy. During the consultation, the patient also presented with ocular obstruction due to an inability to open the eye. He mentioned having reduced vision. The computed tomography scan showed upper maxilla osteolysis without eye involvement. We underwent a radical resection in which upper maxilla and the anterior orbital margin were included. We used a Becker-type flap that allowed us to rebuild the cheek and to complete a modified neck dissection. Progress was favorable; the patient recovered ocular motility and his vision improved to 20/200. The final biopsy result was “malignant peripheral nerve sheath tumor, malignant schwannoma.” Malignant schwannoma of the peripheral nerve is extremely rare. The total resection and reconstruction being completed in one surgery represented a challenge due to the difficulty in obtaining tissues in addition to the necessity of an oncological resection.
Keywords: schwannoma; peripheral nerve sheath tumor; malignant schwannoma; cheek reconstruction schwannoma; peripheral nerve sheath tumor; malignant schwannoma; cheek reconstruction

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MDPI and ACS Style

D'Addino, J.L.; Piccoletti, L.; Pigni, M.M.; de Gordon, M.J.R.A. Malignant Peripheral Nerve Sheath Tumor of the Infraorbital Nerve. Craniomaxillofac. Trauma Reconstr. 2016, 9, 170-174. https://doi.org/10.1055/s-0035-1563698

AMA Style

D'Addino JL, Piccoletti L, Pigni MM, de Gordon MJRA. Malignant Peripheral Nerve Sheath Tumor of the Infraorbital Nerve. Craniomaxillofacial Trauma & Reconstruction. 2016; 9(2):170-174. https://doi.org/10.1055/s-0035-1563698

Chicago/Turabian Style

D'Addino, José Luis, Laura Piccoletti, María Mercedes Pigni, and Maria José Rodriguez Arenas de Gordon. 2016. "Malignant Peripheral Nerve Sheath Tumor of the Infraorbital Nerve" Craniomaxillofacial Trauma & Reconstruction 9, no. 2: 170-174. https://doi.org/10.1055/s-0035-1563698

APA Style

D'Addino, J. L., Piccoletti, L., Pigni, M. M., & de Gordon, M. J. R. A. (2016). Malignant Peripheral Nerve Sheath Tumor of the Infraorbital Nerve. Craniomaxillofacial Trauma & Reconstruction, 9(2), 170-174. https://doi.org/10.1055/s-0035-1563698

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