Neurogenic Tumors: Causes, Treatment, and Prevention - Neurosurgery

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Neurogenic tumors


Hello Dr.
Hong,
I would like to ask how neurogenic tumors are formed.
I have a growth approximately 6 cm above the elbow on my right arm.
Initially, it was small, and nine years ago, I consulted a doctor who said it was a lipoma and advised me not to worry about it.
I didn't think much of it at the time, but it has grown larger.
I now experience intermittent sharp pain in my right pinky and ring fingers, and if someone accidentally touches it, the pain is unbearable.
It's difficult to describe the level of discomfort.
Even when I lie on my back to sleep without putting pressure on my right arm, my entire hand goes numb, which is very uncomfortable.

What is the best way to treat this type of tumor? I've heard that surgeries involving the hand can be very risky, and a small mistake could result in losing the function of the entire hand, or even the ability to exert force.
Is this true from a medical perspective? After treatment, is there a chance of recurrence? How can I prevent the occurrence of such tumors? Thank you for your assistance.

Karen, 20~29 year old female. Ask Date: 2003/08/18

Dr. Hong Xuyi reply Neurosurgery


Hello: In response to your question, the cause of neurogenic tumors is unknown.
Nerve compression should be addressed as soon as possible.
The surgery in this case is not as you described, where a slight mistake could result in the loss of function of the entire hand; therefore, seeking the assistance of a neurosurgeon is the fundamental solution.

Reply Date: 2003/08/18

More Info


Neurogenic tumors, which can include a variety of tumor types arising from nerve tissues, are complex entities that can cause significant discomfort and functional impairment, as you have described in your situation. Understanding the causes, treatment options, and preventive measures for these tumors is crucial for managing your health effectively.


Causes of Neurogenic Tumors
The exact causes of neurogenic tumors are not well understood. They can arise from various types of nerve cells, including Schwann cells, which form the myelin sheath around nerves, and other supportive cells in the nervous system. Genetic factors may play a role, as certain hereditary conditions, such as Neurofibromatosis, can predispose individuals to develop these tumors. Environmental factors and trauma have also been suggested as potential contributors, but definitive links remain elusive.

In your case, the growth you initially thought was a lipoma (a benign fatty tumor) has now become a source of pain and discomfort, indicating that it may be affecting nearby nerves. This could explain the symptoms you are experiencing, such as pain in your fingers and numbness in your hand. As tumors grow, they can exert pressure on surrounding structures, including nerves, leading to neurological symptoms.


Treatment Options
When it comes to treatment, the approach largely depends on the type of tumor, its size, location, and whether it is causing symptoms. Surgical intervention is often the primary treatment for neurogenic tumors, especially if they are symptomatic or growing. In your case, it is essential to consult with a qualified neurosurgeon or orthopedic surgeon who specializes in nerve-related conditions.
While it is true that surgeries involving nerves can carry risks, including potential loss of function, these risks can often be mitigated with careful surgical planning and technique. Surgeons typically aim to remove the tumor while preserving as much surrounding nerve tissue as possible. The decision to proceed with surgery should be made collaboratively with your healthcare team, weighing the benefits of symptom relief against the risks involved.

Post-surgery, there is a possibility of recurrence, especially if the tumor is not completely excised. Regular follow-up appointments and imaging studies may be necessary to monitor for any signs of regrowth.


Prevention
Preventing neurogenic tumors is challenging due to the unclear etiology. However, maintaining a healthy lifestyle, managing any underlying health conditions, and avoiding known risk factors (if applicable) can contribute to overall nerve health. Regular check-ups with your healthcare provider can help catch any changes early, allowing for timely intervention.

In summary, neurogenic tumors can be a source of significant discomfort and functional impairment. Understanding their causes, exploring treatment options with a specialist, and considering preventive measures can help you manage your condition more effectively. It is crucial to communicate openly with your healthcare team about your symptoms and concerns to ensure you receive the best possible care.

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