Intraosseous schwannoma in schwannomatosis

Skeletal Radiol. 2013 Dec;42(12):1665-71. doi: 10.1007/s00256-013-1712-6. Epub 2013 Aug 31.

Abstract

This study investigates the clinical, radiological, and pathological features of two cases of intraosseous schwannoma that arose in patients with multiple soft tissue schwannomas. In both cases, the patients were adult females and the tibial bone was affected. Vestibular schwannomas were not identified, indicating that these were not cases of neurofibromatosis 2 (NF2). Radiographs showed a well-defined lytic lesion in the proximal tibia; in one case, this was associated with a pathological fracture. Histologically, both cases showed typical features of benign schwannoma. Molecular analysis of one of the excised tumors showed different alterations in the NF2 gene in keeping with a diagnosis of schwannomatosis. Our findings show for the first time that intraosseous schwannomas can occur in schwannomatosis.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bone Neoplasms / diagnostic imaging*
  • Bone Neoplasms / etiology
  • Bone Neoplasms / pathology
  • Bone Neoplasms / surgery
  • Diagnosis, Differential
  • Female
  • Humans
  • Middle Aged
  • Neurilemmoma / complications
  • Neurilemmoma / diagnostic imaging*
  • Neurilemmoma / etiology
  • Neurilemmoma / pathology
  • Neurilemmoma / surgery
  • Neurofibromatoses / complications
  • Neurofibromatoses / diagnostic imaging*
  • Neurofibromatoses / pathology
  • Neurofibromatoses / surgery
  • Radiography
  • Skin Neoplasms / complications
  • Skin Neoplasms / diagnostic imaging*
  • Skin Neoplasms / pathology
  • Skin Neoplasms / surgery
  • Tibia / diagnostic imaging*
  • Tibia / pathology
  • Tibia / surgery
  • Treatment Outcome

Supplementary concepts

  • Schwannomatosis