Malignant peripheral nerve sheath tumor

A malignant peripheral nerve sheath tumor (MPNST) is a form of cancer of the connective tissue surrounding nerves. Given its origin and behavior it is classified as a sarcoma. About half the cases are diagnosed in people with neurofibromatosis; the lifetime risk for an MPNST in patients with neurofibromatosis type 1 is 8–13%. MPNST with rhabdomyoblastomatous component are called malignant triton tumors.

Malignant peripheral nerve sheath tumor
Other namesMalignant schwannoma, Neurofibrosarcoma, and Neurosarcoma
Micrograph of malignant peripheral nerve sheath tumour with the typical herringbone pattern. H&E stain.
SpecialtyNeuro-oncology

The first-line treatment is surgical resection with wide margins. Chemotherapy and often radiotherapy are done as adjuvant and/or neoadjuvant treatment depending upon various risk factors.

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