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UR Medicine / Neurosurgery / Services / Peripheral Nerve Surgery Program / Conditions / Malignant Peripheral Nerve Sheath Tumor (MPNST)

 

Malignant Peripheral Nerve Sheath Tumor (MPNST)

What are malignant peripheral nerve sheath tumors?

Malignant peripheral nerve sheath tumors are sarcomas that develop within the protective lining of a nerve. This type of tumor is very rare.

What causes malignant peripheral nerve sheath tumors?

Like other cancers, a malignant peripheral nerve sheath tumor is due to a mutation in the DNA that causes cells within the nerve sheath to rapidly multiply.

Who is at risk for a malignant peripheral nerve sheath tumor?

  • Personal or family history of neurofibromatosis 1 (NF-1)
  • Previous radiation therapy for cancer

What are the symptoms of a malignant peripheral nerve sheath tumor?

Depending on the nerve that the tumor is within, there is often pain in the affected area, weakness, and at times a palpable mass under the skin.

How is a malignant peripheral nerve sheath tumor diagnosed?

  • Patient history
  • Physical exam
  • Imaging: CT, MRI, PET
  • Biopsy: a biopsy is the only definitive way to diagnose a tumor

How is a malignant peripheral nerve sheath tumor treated?

In most cases, both nonsurgical and surgical methods are used in conjunction.

Nonsurgical

Chemo and radiation therapies

Surgical

Surgically remove the entire tumor