Journal List > J Korean Foot Ankle Soc > v.18(1) > 1043328

Kim, Lee, and Cho: Tarsal Tunnel Syndrome Secondary to Recurred Schwannoma Arising from the Posterior Tibial Nerve

Abstract

Tarsal tunnel syndrome is defined as a compressive neuropathy of the posterior tibial nerve in the tarsal canal. Schwannoma is a benign tumor that arises from the peripheral nerve sheath. It presents as a discrete, often tender, and palpable nodule associated with neurogenic pain or paresthesia when compressed or traumatized. The growth rate is usually slow, and these lesions seldom exceed 2 cm in diameter. In addition, local recurrence occurs less than 5%. We report on a case of tarsal tunnel syndrome caused by a large recurred space-occupying lesion measuring 4.3×2.7×2.7 cm3.

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Figure 1.
The sagittal (A) and coronal (B) sonogram shows an oval shaped well-defined hypoechoic mass with inhomogeneous echo texture. (C) Color-coded Doppler scan shows flow signals in the mass.
jkfas-18-36f1.tif
Figure 2.
Sagittal T2-weighted magnetic resonance imaging image with high signal intensity on the total mass without target sign.
jkfas-18-36f2.tif
Figure 3.
Intraoperative finding of mass arising from posterior tibial nerve.
jkfas-18-36f3.tif
Figure 4.
A well circumscribed, encapsulated, multilobulated, solid mass revealed diffusely myxoid and homogenously grayish yellow cut surfaces.
jkfas-18-36f4.tif
Figure 5.
(A) Histological features exhibit neurogenic, spindle cell proliferation with biphasic pattern of growth and prominent nuclear palisading (H&E stain, ×100). (B) Spindle tumor cells express diffuse strong immunoreactivity for S-100 protein (×200).
jkfas-18-36f5.tif
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