Traumatic neuroma of the superficial peroneal nerve in a patient: a case report and review of the literature

World J Surg Oncol. 2016 Sep 10;14(1):242. doi: 10.1186/s12957-016-0990-6.

Abstract

Background: Traumatic neuromas are rare benign tumors, which are common in trauma or post-operation and accompanied with obvious symptoms of pain. This study will show the superficial peroneal nerve neuroma occurring after resection of hemangioma.

Case presentation: A 44-year-old male had an operation of the right leg cavernous hemangioma resection in 1995. Half a year after the operation, pain around the wound appeared and gradually aggravated. The patient had the lesion exploration resection in 2013, and the pathological result showed traumatic neuroma. Within half a year of the second operation, severe pain showed up again, so neuroma resection proceeded in May 2015. The postoperative pathological and immunohistochemical results showed traumatic neuroma. According to the postoperative follow-up, there were no symptoms of pain appearing again.

Literature review: The pain is obvious, and B ultrasonography is the most efficient way to find neuromas. Both conservative and operative therapy have their advantages and disadvantages.

Conclusions: There remain many unanswered questions in relation to the treatment of traumatic neuromas, and further research is required, although we have already had adequate understanding of traumatic neuromas.

Keywords: Neuralgia; Superficial peroneal nerve; Traumatic neuroma.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Antidepressive Agents / therapeutic use
  • Hemangioma, Cavernous / surgery*
  • Humans
  • Leg
  • Male
  • Neuroma / diagnostic imaging
  • Neuroma / etiology
  • Neuroma / pathology
  • Neuroma / surgery*
  • Neurosurgical Procedures
  • Pain, Postoperative / drug therapy
  • Pain, Postoperative / surgery
  • Parasympatholytics / therapeutic use
  • Peripheral Nervous System Neoplasms / diagnostic imaging
  • Peripheral Nervous System Neoplasms / etiology
  • Peripheral Nervous System Neoplasms / pathology
  • Peripheral Nervous System Neoplasms / surgery*
  • Peroneal Nerve / diagnostic imaging
  • Peroneal Nerve / injuries*
  • Peroneal Nerve / pathology
  • Peroneal Nerve / surgery
  • Peroneal Neuropathies / diagnostic imaging
  • Peroneal Neuropathies / etiology
  • Peroneal Neuropathies / pathology
  • Peroneal Neuropathies / surgery*
  • Ultrasonography

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Antidepressive Agents
  • Parasympatholytics