Neurothekeoma

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD's medical weight loss NYC, sleep center NYC
Philadelphia medical weight loss and Philadelphia sleep clinics

Neurothekeoma
Synonyms	Nerve sheath myxoma
Pronounce	N/A
Specialty	Dermatology, Pathology
Symptoms	Painless, slow-growing skin nodule
Complications	N/A
Onset	Typically in young adults
Duration	Chronic
Types	N/A
Causes	Unknown
Risks	None identified
Diagnosis	Biopsy and histological examination
Differential diagnosis	Dermatofibroma, Neurofibroma, Schwannoma
Prevention	N/A
Treatment	Surgical excision
Medication	N/A
Prognosis	Excellent with complete excision
Frequency	Rare
Deaths	N/A

A neurothekeoma is a rare, benign tumor that arises from the nerve sheath. It is typically found in the dermis or subcutaneous tissue and is most commonly located on the head, neck, and upper extremities. Neurothekeomas are generally considered to be of neural origin, although their exact histogenesis is still a subject of debate.

Classification

Neurothekeomas are classified into three main types based on their histological appearance:

• Myxoid neurothekeoma: Characterized by a myxoid stroma and spindle-shaped cells.
• Cellular neurothekeoma: Composed of more cellular, epithelioid cells with less myxoid stroma.
• Mixed neurothekeoma: Exhibits features of both myxoid and cellular types.

Clinical Presentation

Neurothekeomas typically present as slow-growing, painless nodules. They are usually well-circumscribed and can vary in color from flesh-toned to pink or red. The size of the tumor can range from a few millimeters to several centimeters in diameter.

Diagnosis

The diagnosis of neurothekeoma is primarily based on histopathological examination. A biopsy of the lesion is performed, and the tissue is examined under a microscope. Immunohistochemical staining can aid in differentiating neurothekeomas from other similar lesions, such as dermatofibroma or nerve sheath myxoma.

Treatment

The standard treatment for neurothekeoma is surgical excision. Complete removal of the tumor is usually curative, and recurrence is rare. Due to the benign nature of the tumor, additional treatments such as radiation therapy or chemotherapy are not required.

Prognosis

The prognosis for patients with neurothekeoma is excellent. These tumors are benign and do not metastasize. Recurrence after complete excision is uncommon.

See also

• Nerve sheath tumor
• Dermatofibroma
• Myxoma