Unrecognized neuromuscular choristoma with recurrent desmoid-type fibromatosis and Marjolin ulcer: expanding the spectrum of neuromuscular choristoma sequelae within the nerve territory? Illustrative case.

Marjolin ulcer NMC-DTF fibromatosis neuromuscular choristoma

Journal

Journal of neurosurgery. Case lessons
ISSN: 2694-1902
Titre abrégé: J Neurosurg Case Lessons
Pays: United States
ID NLM: 9918227275606676

Informations de publication

Date de publication:
06 Feb 2023
Historique:
received: 18 12 2022
accepted: 12 01 2023
entrez: 7 2 2023
pubmed: 8 2 2023
medline: 8 2 2023
Statut: epublish

Résumé

Neuromuscular choristoma (NMC) is a rare congenital lesion in which muscle tissue is admixed with nerve fascicles within a peripheral nerve. Patients commonly present in early childhood with neuropathy, plexopathy, or chronic undergrowth in the distribution of the affected nerve. The authors present the case of a 35-year-old man with unrecognized neuromuscular NMC of the sciatic nerve, which resulted in recurrent, multicentric NMC-associated desmoid-type fibromatosis (NMC-DTF) within the nerve territory in association with a Marjolin ulcer, a cutaneous malignancy. Based on anatomical and pathophysiological findings described in this case report, the authors support the association between NMC-DTF and Marjolin ulcer.

Sections du résumé

BACKGROUND BACKGROUND
Neuromuscular choristoma (NMC) is a rare congenital lesion in which muscle tissue is admixed with nerve fascicles within a peripheral nerve. Patients commonly present in early childhood with neuropathy, plexopathy, or chronic undergrowth in the distribution of the affected nerve.
OBSERVATIONS METHODS
The authors present the case of a 35-year-old man with unrecognized neuromuscular NMC of the sciatic nerve, which resulted in recurrent, multicentric NMC-associated desmoid-type fibromatosis (NMC-DTF) within the nerve territory in association with a Marjolin ulcer, a cutaneous malignancy.
LESSONS CONCLUSIONS
Based on anatomical and pathophysiological findings described in this case report, the authors support the association between NMC-DTF and Marjolin ulcer.

Identifiants

pubmed: 36748757
doi: 10.3171/CASE22554
pii: CASE22554
pmc: PMC10550558
doi:
pii:

Types de publication

Journal Article

Langues

eng

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Auteurs

Andres A Maldonado (AA)

Departments of1Neurologic Surgery and.

Stephen M Broski (SM)

2Radiology, Mayo Clinic, Rochester, Minnesota; and.

Jodi M Carter (JM)

3Department of Laboratory Medicine and Pathology, University of Alberta, Edmonton, Alberta, Canada.

Robert J Spinner (RJ)

Departments of1Neurologic Surgery and.

Classifications MeSH