Images in Clinical Medicine

Ulnar-Nerve Schwannoma

James Chang, M.D., and Matthew B. Klein, M.D.

N Engl J Med 2002; 347:903September 19, 2002

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Article

Figure 1 A 29-year-old right-handed woman with a five-year history of a slowly enlarging mass on the left palm had a 2-by-2-cm mass over Guyon's canal in the left wrist that was firm and movable. Preoperative magnetic resonance images (Panels A and B) demonstrated that the mass involved the ulnar nerve (arrows). Careful microscopic dissection showed that the mass arose from a single fascicle of the ulnar nerve (Panel C). The mass was sent to the pathologists and found to be a schwannoma. The patient had normal ulnar sensory and motor function postoperatively, with no evidence of recurrence.

James Chang, M.D.
Matthew B. Klein, M.D.
Stanford University Medical Center, Stanford, CA 94305