Brachial plexus schwannoma mimicking cervical lymphadenopathy: A case report with emphasis on imaging features

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Abstract

Rationale:

Brachial plexus schwannomas are rare benign tumors that are derived from Schwann cells. Because they are rare, and because of the complexity of the anatomy of the neck, these tumors can be a challenge to diagnose for radiologists and clinicians. In the present study, we describe a clinical case of brachial plexus schwannoma detected on ultrasonography (US), computed tomography (CT), and magnetic resonance imaging (MRI), and presenting as a palpable neck mass.

Patient concerns:

A 49-year-old woman had a palpable mass in the right neck, which had been there for the last 1 year. Metastatic cervical lymphadenopathy was suspected in the primary health clinic; therefore, the patient was referred to our hospital.

Diagnoses:

The right neck mass was a well-circumscribed oval soft tissue mass on US, CT, and MRI. US-guided core needle biopsy was performed and the mass was proved to be a schwannoma.

Interventions:

The patient did not undergo surgical excision because the brachial plexus schwannoma was small and there was no accompanying neurological symptom.

Outcomes:

The patient is being followed up regularly at the outpatient department.

Lessons:

Brachial plexus schwannoma should be considered for a differential diagnosis in patients with a palpable neck mass, and imaging studies play an important role in diagnosing the brachial plexus schwannoma.

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