Evidence map›Paper›PMID 40182390›Full record

ArticleCureus2025

Rapidly Growing Malignant Peripheral Nerve Sheath Tumors Arising From Neurofibromatosis Type 1: A Case Report by Rehabilitation Physicians.

Koji Hayashi, Yuka Nakaya, Toyoaki Miura, Asuka Suzuki, Hiroaki Maeda, Mamiko Sato, Yasutaka Kobayashi

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Koji HayashiDepartment of Rehabilitation Medicine, Fukui General Hospital, Fukui, JPN.
Yuka NakayaDepartment of Rehabilitation Medicine, Fukui General Hospital, Fukui, JPN.
Toyoaki MiuraDepartment of Rehabilitation Medicine, Fukui General Hospital, Fukui, JPN.
Asuka SuzukiDepartment of Rehabilitation Medicine, Fukui General Hospital, Fukui, JPN.
Hiroaki MaedaDepartment of Rehabilitation Medicine, Fukui General Hospital, Fukui, JPN.
Mamiko SatoDepartment of Rehabilitation Medicine, Fukui General Hospital, Fukui, JPN.
Yasutaka KobayashiGraduate School of Health Science, Fukui Health Science University, Fukui, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We describe a case of a 40-year-old Japanese woman with rapidly growing malignant peripheral nerve sheath tumors (MPNSTs) arising from neurofibromatosis type 1 (NF-1). The patient presented numbness in both legs, back pain, and gait disturbances. Magnetic resonance imaging (MRI) revealed a spinal tumor at the thoracic level. To resolve her symptoms, a laminectomy and intradural tumor resection were performed. The tumor was diagnosed as a neurofibroma with no malignant characteristics. After the surgery, she participated in a rehabilitation program aimed at promoting independence in daily activities and enhancing muscle strength. Initially, her walking ability showed improvement; however, she soon experienced complications, including challenges with bowel movements and a gradual decline in her walking function. A follow-up MRI on the 67th day post-surgery showed tumor regrowth that necessitated reoperation. After the surgery, the neurological symptoms improved temporarily, but they worsened again, ultimately leading to a shift to palliative care and her demise several days later. This case underscores the challenges in pathological diagnosis and the aggressive nature of MPNSTs, emphasizing the need for vigilant monitoring and timely intervention. Despite initial surgical success, rapid tumor growth can occur during rehabilitation, highlighting the importance of a multidisciplinary approach for accurate diagnosis and treatment. Early detection of tumor progression through meticulous neurological monitoring and prompt surgical consultation are critical for optimal outcomes. Further research into more definitive diagnostic tools and effective treatment strategies for MPNSTs is crucial to improve patient care.

Indexed as

malignant peripheral nerve sheath tumor (mpnst)malignant spinal tumornerve schwannomaneurofibromatosis type 1 (nf-1)spinal cord tumor

Identifiers

PMID40182390
PMCPMC11965776

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