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REKHA and
10.1177/1534734604268094
SCIATIC
NERVE
RAVISCHWANNOMA
3
3
Schwannomas are benign tumors of the nerve sheath, commonly seen in the vestibular nerve. Although they are common in the head and neck areas, their occurrence in extra-
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Fig. 3
Fig. 1
MRI showing the posterior compartment along with the
sciatic nerve.
Fig. 2
When large, neurilemomas are more likely to show secondary degeneration and hemorrhage.
Histologically, benign Schwannomas are composed
of an alternating pattern of Antoni A and B areas.
Antoni A area is a highly ordered cellular component
and consists of Schwann cells arranged in compact,
twisted bundles, associated with delicate reticulin fibers and spindle-shaped nuclei aligned in parallel
rows forming a typical palisading pattern (see Fig. 3).
Between the rows, there are fine cytoplasmic fibrils
with acellular, eosinophilic masses called Verocay
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CONCLUSION
Benign nerve sheath tumors can occur in the lower
limb, albeit rarely. An awareness of the existence of sciatic nerve schwannomas is essential in differentiating
them from soft-tissue sarcoma. Schwannomas have
good prognosis, and patients recover from excision
with little neurological deficit.
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