Mesh : Humans Brachial Plexus / diagnostic imaging Peripheral Nervous System Neoplasms / diagnostic imaging surgery pathology Magnetic Resonance Imaging

来  源:   DOI:10.2106/JBJS.RVW.24.00019   PDF(Pubmed)

Abstract:
» Tumors of the brachial plexus are uncommon and can present as a mass, with or without neurological symptoms. At times, asymptomatic tumors are also picked up incidentally when imaging is performed for other reasons.» Magnetic resonance imaging is the main imaging modality used to evaluate tumors of the brachial plexus. Other imaging modalities can be used as required.» Benign tumors that are asymptomatic should be observed. Excision can be considered for those that are found to be growing over time.» Biopsies of tumors of the brachial plexus are associated with the risk of nerve injury. Despite this, they should be performed for tumors that are suspected to be malignant before starting definitive treatment.» For malignant tumors, treatment decisions should be discussed at multidisciplinary tumor boards, and include both the oncology and peripheral nerve surgical team, musculoskeletal radiology, neuroradiology, and general radiology.
摘要:
“臂丛神经肿瘤并不常见,可以表现为肿块,有或没有神经症状。有时,当由于其他原因进行成像时,无症状的肿瘤也会被偶然发现。“磁共振成像是用于评估臂丛神经肿瘤的主要成像方式。可以根据需要使用其他成像模态。“应该观察到无症状的良性肿瘤。对于那些发现随着时间的推移而增长的人,可以考虑切除。“臂丛神经肿瘤的活检与神经损伤的风险有关。尽管如此,对于怀疑为恶性的肿瘤,应在开始明确治疗前进行.“对于恶性肿瘤,治疗决策应该在多学科肿瘤委员会讨论,包括肿瘤学和周围神经手术团队,肌肉骨骼放射学,神经放射学,和普通放射学。
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