CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2020; 55(06): 804-807
DOI: 10.1055/s-0040-1712135
Relato de Caso
Ombro e cotovelo

Neurothekeoma in the Axilla Causing Persistent Shoulder Pain: Case Report[]

Article in several languages: português | English
1  Serviço de Ortopedia, Hospital Geral de Fortaleza, Fortaleza, CE, Brasil
,
2  Departamento de Patologia, Argos Patologia Clínica, Fortaleza, CE, Brasil
,
3  Departamento de Patologia, Clínica Boghos Boyadjian, Fortaleza, CE, Brasil
,
1  Serviço de Ortopedia, Hospital Geral de Fortaleza, Fortaleza, CE, Brasil
,
1  Serviço de Ortopedia, Hospital Geral de Fortaleza, Fortaleza, CE, Brasil
,
4  Departamento de Medicina Clínica, Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, CE, Brasil
› Author Affiliations

Abstract

Neurothekeomas, also known as neural sheath myxomas, are rare benign tumors of the neural sheath affecting most commonly the head, arms and shoulder of women in their 2nd and 3rd decades of life. Due to the low prevalence and undefined clinical picture, they are hardly considered in the initial differential diagnosis of skin tumors. We report the case of a 24 year-old woman who was seen in 2016 reporting > 1 year of moderate pain and limited mobility of her left shoulder. Clinical evaluation revealed restricted mobility of the affected shoulder and nuclear magnetic resonance imaging showed a T2-weighted contrast-enhanced multilobular mass in the quadrilateral area apparently invading the adjacent humeral cortical region. Histopathology of a needle sample material revealed loose fibroconnective tissue with no signs of invasion, mitosis or atypical figures. Successful surgical excision was performed and the diagnosis of neurothekeoma was confirmed after detailed histopathology, including immunohistochemistry. The patient was asymptomatic at 18 months of follow-up, with full recovery of shoulder movement and no signs of relapse.

Study developed at the Orthopedics Service of the Hospital Geral de Fortaleza, Fortaleza, CE, Brazil.




Publication History

Received: 23 October 2019

Accepted: 02 March 2020

Publication Date:
22 September 2020 (online)

© 2020. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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