01371nas a2200217 4500000000100000008004100001260001300042653001100055653001200066653001200078653003000090653002200120653004000142100001200182700001400194245004300208300001100251490000700262520087000269022001401139 2004 d c2004 Apr10aHumans10aleprosy10aNeuroma10aPeripheral Nerve Injuries10aPeripheral nerves10aPeripheral Nervous System Neoplasms1 aGolan J1 aJacques L00aNonneoplastic peripheral nerve tumors. a223-300 v153 a
Most of the nonneoplastic tumor-like lesions affecting the peripheral nervous system are rarely encountered. In many situations, a good history of the presenting symptoms can suggest a reactive or infectious neuroma. The physical examination can also suggest an inflammatory or hyperplastic lesion. In some cases, however, the correct diagnosis can only be made at surgery. Nonetheless, awareness of these lesions is important in limiting unnecessarily aggressive surgical procedures. Patients suspected of having nonneoplastic lesions are followed and treated surgically for symptomatic relief or when the diagnosis is unclear. In some situations, the surgical treatment of choice may be debated. Nevertheless, we adopt a conservative approach to these lesions and reserve more aggressive techniques for cases that do not respond to more conservative means.
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