Schwannoma - Clinical Scenario

A 41-year-old woman presents with a slow-growing, numb, tingling lump on her index finger, indicative of a Schwannoma. Management involves surgical excision under local anesthesia, with emphasis on potential complications and post-operative care including physiotherapy.
Schwannoma - Clinical Scenario

Clinical Scenario

A 41-year-old female presents with a lump on the volar aspect of the right dominant index finger as seen in the image above. It has been slow-growing and is associated with numbness and tingling. She is otherwise fit and well. There is no history of trauma.

1. Consider the differential diagnosis of upper limb lesion with associated nerve symptoms.
2. Take a pertinent history and perform a focused examination of someone with an upper limb nerve lesion.
3. Select appropriate investigations.
4. Describe the surgical management of the lesion to the patient and list potential complications.
5. Describe post-operative care and prognosis.

Primary Contributor: Dr Suzanne Thomson, Educational Fellow.
Reviewer: Dr Kurt Lee Chircop, Educational Fellow.

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