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  • Journal article peripheral nerve tumors. Julius july, abhijit guha division of neurosurgery, toronto western hospital, university of toronto, toronto, canada; division of neurosurgery, padjadjaran university, bandung, indonesia. Handbook of clinical neurology 01/2012; 105:665-74. Doi:10. 1016/b978-0-444-53502-3. 00016-1 0 votes  ·  0 bookmarks abstract peripheral nerve tumors (pnts) fall under the broad category of soft-tissue tumors, and hence are managed by a large number of subdisciplines including plastic surgery, dermatology, orthopedics, and neurosurgery. However, pnts arise or are in close proximity to neural structures, so if not managed properly can lead to significant neurological deficits, well beyond the adjacent soft-tissue structures. To complicate matters further, pnts are relatively rare, lack definitive imaging or other diagnostic modalities, have a relatively large differential diagnosis comprising transformation of any of the cellular elements that constitute a peripheral nerve, with a wide variety of clinical and biological manifestations, and association with predisposition syndromes. This chapter reviews the principles of diagnosis, which include a family history for any predisposition syndrome such as neurofibromatosis (nf) type 1 or nf2, a thorough focused and systemic physical examination, and radiological investigations, principal amongst which is magnetic resonance imaging. The major management strategies, which include observation or surgical intervention, occasionally augmented with adjuvant treatment with radiotherapy and chemotherapy, are reviewed. cheap viagra on line overnight medicaresupplementspecialists.com/pfz-generic-viagra-for-sale-jt/ viagra for sale buy generic viagra cheap generic viagra canadian generic viagra online http://classicmotocrossimages.com/mbs-viagra-cheap-buy-canada-gi/ generic viagra without a doctor viagra sales usa cheap generic viagra Intraoperative principles, aimed at minimizing the risk of postoperative neurological deficit, are briefly discussed in general and specific to the main subtypes of pnt. Source: pubmed data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact fact.
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