Progress of the diagnosis and treatment in nerve sheath tumors of the breast_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

REN Hangjun ,  JIANG Changgao

Department of General Surgery, The Affiliated Hospital of Yanbian University, Yanji, Jilin 133000, P. R. China;

Corresponding?author：

JIANG Changgao, Email: jch2011@163.com

Keywords：

nerve sheath tumors of the breast; origin; etiology; clinical manifestation; treatment; review

DOI：

10.7507/1007-9424.201904040

Video：

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Objective To re-understand the nerve sheath tumors of the breast, to improve its diagnosis and cure rate.Method Searched the relevant literatures of nerve sheath tumors of the breast, to analyze and summarize the origin, etiology, clinical manifestations, imaging characteristics, pathological characteristics, treatment, and prognosis of this disease.Results Nerve sheath tumors of the breast was a very rare disease, which originated in the neuromembrane Snowwang cells. its specific cause was unknown and clinical manifestations were not specific, and other breast diseases were difficult to identify, such as leaf ybrilloma, mammary vascular epidermal cytoma, breast fibroids, and so on. Imaging data could provide some reference value, but the gold standard relied on pathology and immunohistochemical examination. Surgery could cure benign nerve sheath tumors of the breast, but there was a possibility of malignant changes that required follow-up after surgery. Malignant neuroblastoma was mainly surgically removed, supplemented by chemotherapy, which could effectively prevent the recurrence of tumor and distant metastasis. The prevention of nerve sheath tumors of the breast could be referred to breast cancer screening.Conclusions During clinical practice, we need to understand the diagnosis and treatment of nerve sheath tumors of the breast to achieve early detection, early diagnosis, and early treatment, as well as improve the diagnosis rate and cure rate of the disease, in order to protect women’s physical and mental health.

Citation： REN Hangjun, JIANG Changgao. Progress of the diagnosis and treatment in nerve sheath tumors of the breast. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2020, 27(1): 123-126. doi: 10.7507/1007-9424.201904040 Copy

1.	Collins R, Gau G. Neurilemmoma presenting as a lump in the breast. Br J Surg, 1973, 60(3): 242-243.
2.	Gupta RK, Naran S, Lallu S, et al. Fine-needle aspiration cytology in neurilemoma (schwannoma) of the breast: report of two cases in a man and a woman. Diagn Cytopathol, 2001, 24(1): 76-77.
3.	Halteh P, Patel A, Eskreis-Winkler S, et al. Schwannoma of the breast: a common tumor in an uncommon location. Breast J, 2018, 24(2): 206-207.
4.	Redzepagic J, Skenderi F, Bajrovic J, et al. Low-grade malignant peripheral nerve sheath tumor: a report of the first case in the breast and literature review. APMIS, 2016, 124(5): 428-430.
5.	Uchida N, Yokoo H, Kuwano H. Schwannoma of the breast: report of a case. Surg Today, 2005, 35(3): 238-242.
6.	宋宴鵬, 徐曉云, 劉素霞. 超聲診斷乳腺神經鞘瘤一例. 中華全科醫師雜志, 2014, 13(12): 1045-1046.
7.	吳階平, 裘法祖. 黃家駟外科學. 北京: 人民衛生出版社, 1994: 630-631.
8.	劉芳芳, 廖松林, 沈丹華. 乳腺惡性外周神經鞘腫瘤臨床病理觀察. 診斷病理學雜志, 2010, 17(3): 204-206.
9.	McPherson JR, Ong CK, Ng CC, et al. Whole-exome sequencing of breast cancer, malignant peripheral nerve sheath tumor and neurofibroma from a patient with neurofibromatosis type 1. Cancer Med, 2015, 4(12): 1871-1878.
10.	Parikh Y, Sharma KJ, Parikh SJ, et al. Intramammary schwannoma: a palpable breast mass. Radiol Case Rep, 2016, 11(3): 129-133.
11.	劉菊先, 彭玉蘭, 向波, 等. 神經鞘瘤的超聲表現特征及其診斷價值. 四川大學學報: 醫學版, 2008, 39(5): 865-867.
12.	耿建祥, 周華龍, 徐文華, 等. 罕見的乳腺假腺樣神經鞘瘤一例. 中華外科雜志, 2007, 45(17): 1223.
13.	Das Gupta TK, Brasfield RD, Strong EW, et al. Benign solitary Schwannomas (neurilemomas). Cancer, 1969, 24(2): 355-366.
14.	鄒春鵬, 焦巖, 黃福光, 等. 乳腺神經鞘瘤伴表皮樣囊腫 1 例的超聲表現. 中國臨床醫學影像雜志, 2004, 15(7): 398.
15.	李鵬, 張惠, 趙京, 等. 高頻超聲診斷外周神經鞘瘤. 中國醫學影像技術, 2012, 28(9): 1763-1764.
16.	Balci P, Pekcevik YT, Caferova S, et al. A case of benign schwannoma of the breast: mammographic, ultrasonographic and color Doppler ultrasonographic findings. Breast J, 2009, 15(4): 417-418.
17.	彭承斌, 董芊芊. 1 例乳腺神經鞘瘤. 中國老年保健醫學, 2014, 12(4): 83.
18.	胡迎, 饒文康, 邱日峰. 乳房神經鞘瘤超聲誤診1例. 中國超聲醫學雜志, 2012, 28(3): 285.
19.	寇鐵虹, 劉秀麗. 超聲診斷乳房神經纖維瘤 1 例. 中國醫藥指南, 2008, 6(1): 197-198.
20.	徐珂. 乳腺神經鞘瘤超聲表現 1 例. 臨床超聲醫學雜志, 2016, 18(1): 53.
21.	Linda A, Machin P, Bazzocchi M, et al. Painful schwannoma of the breast completely removed by a vacuum-assisted device with symptom resolution. Breast J, 2008, 14(5): 496-497.
22.	趙宏偉. 乳腺惡性神經鞘瘤一例. 放射學實踐, 2005, 20(8): 745.
23.	吳紅清, 宋玲玲, 項一寧, 等. 成人惡性外周神經鞘瘤的 CT 和 MRI 表現. 中國醫學影像技術, 2017, 33(7): 1052-1056.
24.	Solano Díaz P, Hidalgo Martín MT, Sánchez Cordero MF, et al. Schwannoma of the breast: an unexpected diagnosis by magnetic resonance. Radiologia, 2018, 60(1): 85-89.
25.	Ayadi-Kaddour A, Helal I, Kechaou S, et al. Diagnosis of breast schwannoma on percutaneous breast biopsy. Tunis Med, 2015, 93(7): 479-480.
26.	Charu V, Cimino-Mathews A. Peripheral nerve sheath tumors of the breast. Semin Diagn Pathol, 2017, 34(5): 420-426.
27.	賈志芳, 呂振海, 宋創業. 男性乳腺神經鞘瘤 1 例. 臨床軍醫雜志, 2009, 37(6): 1046.
28.	陳麗榮, 張仁元. 惡性神經鞘瘤免疫組織化學鑒別診斷研究. 臨床與實驗病理學雜志, 1993, 9(1): 3-5, 83.
29.	Buecker B, Kapsimalakou S, Stoeckelhuber BM, et al. Malignant hemangiopericytoma of the breast: a case report with a review of the literature. Arch Gynecol Obstet, 2008, 277(4): 357-361.
30.	Fujii T, Yajima R, Morita H, et al. A rare case of anterior chest wall schwannoma masquerading as a breast tumor. Int Surg, 2014, 99(3): 196-199.
31.	Shuayb M, Begum R. Unusual primary breast cancer-malignant peripheral nerve sheath tumor: a case report and review of the literature. J Med Case Rep, 2017, 11(1): 161.
32.	盧傳輝, 張志明, 駱一丁, 等. 乳腺惡性神經鞘瘤 1 例. 中國腫瘤臨床, 2004, 31(1): 44.
33.	劉彤華. 診斷病理學. 2版. 北京: 人民衛生出版社, 2006: 754-755.

1. Collins R, Gau G. Neurilemmoma presenting as a lump in the breast. Br J Surg, 1973, 60(3): 242-243.
2. Gupta RK, Naran S, Lallu S, et al. Fine-needle aspiration cytology in neurilemoma (schwannoma) of the breast: report of two cases in a man and a woman. Diagn Cytopathol, 2001, 24(1): 76-77.
3. Halteh P, Patel A, Eskreis-Winkler S, et al. Schwannoma of the breast: a common tumor in an uncommon location. Breast J, 2018, 24(2): 206-207.
4. Redzepagic J, Skenderi F, Bajrovic J, et al. Low-grade malignant peripheral nerve sheath tumor: a report of the first case in the breast and literature review. APMIS, 2016, 124(5): 428-430.
5. Uchida N, Yokoo H, Kuwano H. Schwannoma of the breast: report of a case. Surg Today, 2005, 35(3): 238-242.
6. 宋宴鵬, 徐曉云, 劉素霞. 超聲診斷乳腺神經鞘瘤一例. 中華全科醫師雜志, 2014, 13(12): 1045-1046.
7. 吳階平, 裘法祖. 黃家駟外科學. 北京: 人民衛生出版社, 1994: 630-631.
8. 劉芳芳, 廖松林, 沈丹華. 乳腺惡性外周神經鞘腫瘤臨床病理觀察. 診斷病理學雜志, 2010, 17(3): 204-206.
9. McPherson JR, Ong CK, Ng CC, et al. Whole-exome sequencing of breast cancer, malignant peripheral nerve sheath tumor and neurofibroma from a patient with neurofibromatosis type 1. Cancer Med, 2015, 4(12): 1871-1878.
10. Parikh Y, Sharma KJ, Parikh SJ, et al. Intramammary schwannoma: a palpable breast mass. Radiol Case Rep, 2016, 11(3): 129-133.
11. 劉菊先, 彭玉蘭, 向波, 等. 神經鞘瘤的超聲表現特征及其診斷價值. 四川大學學報: 醫學版, 2008, 39(5): 865-867.
12. 耿建祥, 周華龍, 徐文華, 等. 罕見的乳腺假腺樣神經鞘瘤一例. 中華外科雜志, 2007, 45(17): 1223.
13. Das Gupta TK, Brasfield RD, Strong EW, et al. Benign solitary Schwannomas (neurilemomas). Cancer, 1969, 24(2): 355-366.
14. 鄒春鵬, 焦巖, 黃福光, 等. 乳腺神經鞘瘤伴表皮樣囊腫 1 例的超聲表現. 中國臨床醫學影像雜志, 2004, 15(7): 398.
15. 李鵬, 張惠, 趙京, 等. 高頻超聲診斷外周神經鞘瘤. 中國醫學影像技術, 2012, 28(9): 1763-1764.
16. Balci P, Pekcevik YT, Caferova S, et al. A case of benign schwannoma of the breast: mammographic, ultrasonographic and color Doppler ultrasonographic findings. Breast J, 2009, 15(4): 417-418.
17. 彭承斌, 董芊芊. 1 例乳腺神經鞘瘤. 中國老年保健醫學, 2014, 12(4): 83.
18. 胡迎, 饒文康, 邱日峰. 乳房神經鞘瘤超聲誤診1例. 中國超聲醫學雜志, 2012, 28(3): 285.
19. 寇鐵虹, 劉秀麗. 超聲診斷乳房神經纖維瘤 1 例. 中國醫藥指南, 2008, 6(1): 197-198.
20. 徐珂. 乳腺神經鞘瘤超聲表現 1 例. 臨床超聲醫學雜志, 2016, 18(1): 53.
21. Linda A, Machin P, Bazzocchi M, et al. Painful schwannoma of the breast completely removed by a vacuum-assisted device with symptom resolution. Breast J, 2008, 14(5): 496-497.
22. 趙宏偉. 乳腺惡性神經鞘瘤一例. 放射學實踐, 2005, 20(8): 745.
23. 吳紅清, 宋玲玲, 項一寧, 等. 成人惡性外周神經鞘瘤的 CT 和 MRI 表現. 中國醫學影像技術, 2017, 33(7): 1052-1056.
24. Solano Díaz P, Hidalgo Martín MT, Sánchez Cordero MF, et al. Schwannoma of the breast: an unexpected diagnosis by magnetic resonance. Radiologia, 2018, 60(1): 85-89.
25. Ayadi-Kaddour A, Helal I, Kechaou S, et al. Diagnosis of breast schwannoma on percutaneous breast biopsy. Tunis Med, 2015, 93(7): 479-480.
26. Charu V, Cimino-Mathews A. Peripheral nerve sheath tumors of the breast. Semin Diagn Pathol, 2017, 34(5): 420-426.
27. 賈志芳, 呂振海, 宋創業. 男性乳腺神經鞘瘤 1 例. 臨床軍醫雜志, 2009, 37(6): 1046.
28. 陳麗榮, 張仁元. 惡性神經鞘瘤免疫組織化學鑒別診斷研究. 臨床與實驗病理學雜志, 1993, 9(1): 3-5, 83.
29. Buecker B, Kapsimalakou S, Stoeckelhuber BM, et al. Malignant hemangiopericytoma of the breast: a case report with a review of the literature. Arch Gynecol Obstet, 2008, 277(4): 357-361.
30. Fujii T, Yajima R, Morita H, et al. A rare case of anterior chest wall schwannoma masquerading as a breast tumor. Int Surg, 2014, 99(3): 196-199.
31. Shuayb M, Begum R. Unusual primary breast cancer-malignant peripheral nerve sheath tumor: a case report and review of the literature. J Med Case Rep, 2017, 11(1): 161.
32. 盧傳輝, 張志明, 駱一丁, 等. 乳腺惡性神經鞘瘤 1 例. 中國腫瘤臨床, 2004, 31(1): 44.
33. 劉彤華. 診斷病理學. 2版. 北京: 人民衛生出版社, 2006: 754-755.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Progress of the diagnosis and treatment in nerve sheath tumors of the breast

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