Musculoskeletal ImagingNeurilemmoma
a
benign tumour arising from a nerve sheath (typically from spinal nerve roots and the
cervical, sympathetic, vagus, peroneal and ulnar nerves) or rarely from a bone (most commonly the mandible, sacrum, maxilla, femur and humerus). This
tumour is also known as a
benign schwannoma or neurinoma. Sometimes patients have pathologic fractures. The tumours in bone are composed of compact cellular regions (Antoni A areas) and loosely arranged hypocellular areas (Antoni B areas). On radiographs, neurilemmomas may take different forms:
central involvement, characterized by a
focal osteolytic area with a sclerotic margin;
local involvement of a nutrient canal, producing a dumbbell
lesion; or
periosteal involvement, with cortical erosion.
DR