CASE OF SPINAL NEUROFIBROMA (SCHWANNOMA) IN PREGNANCY AT 36WEEKS
*Dr. Seema Dande, Dr. Sagar Shahane and Dr. Girish Thakre
ABSTRACT
Neurofibromas are the tumors of the nerve sheath or the layer of insulation that surrounds the nerve fibers. They arise from Schwann cells which produce the insulating sheath for all nerves outside the brain and spinal cord. Spinal neurofibromas are benign and slow growing. Surgery is the treatment of choice for symptomatic lesions. 5 to 10 percent of neurofibromas undergo malignant change which is indicated by rapid growth. The differential diagnosis include the spinal schwannoma and spinal meningioma. Neurofibromatosis type 1 is one of the most common genetic diseases following an autosomal dominant inheritance pattern. Neurofibromas have been noted to increase in size and number in up to 82 percent of pregnancies. This is due to the proliferative effect of estradiol (E2) and progesterone in tumor expressive hormone tumors.
Keywords: Pregnancy, Schwannoma, Estrogen, NeurofIbroma.
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