A Comprehensive Treatment Approach in a Patient With a Malignant Peripheral Nerve Sheath Tumor: A Case Report

Cureus. 2022 Nov 5;14(11):e31136. doi: 10.7759/cureus.31136. eCollection 2022 Nov.

Abstract

Malignant peripheral nerve sheath is a rare neoplasm seen in humans, with a very small percentage of occurrence in the cervical region. It is an aggressive form of sarcoma, usually arising from peripheral nerves. In this case study, we present a 61-year-old male who was reported to the hospital with a chief complaint of swelling on the right side of his neck. Magnetic resonance imaging (MRI) revealed a heterogeneous mass in the cervical region, which is reported as a schwannoma. The patient was posted for surgery for tumor excision. The patient was managed with analgesics, physical therapy, and wound care. The patient's symptoms were relieved, and he was discharged. In conclusion, combined surgical resection and adjuvant treatments like physical and medical therapy improved the functional outcome. However, this literature does not address radiation therapy.

Keywords: case report; malignant peripheral nerve sheath tumors; malignant tumor resection; neck tumor; neurofibromatosis 1; sarcoma; schwannoma.

Publication types

  • Case Reports