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Multiple Schwannomas of the Lower Extremity

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This case study presents a 72-year-old male patient who presented with multiple schwannomas. The patient underwent several soft-tissue mass excisions performed by general surgery and podiatry. The physical examination displayed multiple nodules on the left foot, ankle, and previously in the groin. Magnetic resonance imaging displayed high–T2-weighted signal masses in the left plantar heel and ankle. These masses were excised and, through pathologic analysis, were diagnosed as schwannomas. Immunohistochemistry displayed a mosaic pattern of INI1 expression, a gene associated with tumor suppression. The patient demonstrated findings consistent with multiple schwannomas (eg, schwannomatosis or neurofibromatosis type 2). Because of the patient's medical history, neurofibromatosis type 2 was more probable.

Palmetto General Hospital, Hialeah, FL.

Corresponding author: Joseph T. Watson, DPM, MPH Palmetto General Hospital, 2001 W 68th St, Hialeah, FL 33016. (E-mail: jwatso46@kent.edu)