Results of neurilemoma treatment: a review of 78 cases.

Between 1984 and 1994, a total of 78 patients underwent surgery for neurilemoma of the trunk or extremities. The incidence according to the involved nerve was analyzed and the follow-up results and complications after surgical treatment were reviewed. The median nerve was most frequently involved among 15 different nerves. Marginal excision was performed in 70 (90%) patients, incisional biopsy in 6 (8%), and wide excision in 2 (2%). Postoperative complications were paresthesia in 7 patients. There was no recurrence or malignant transformation until the average 47 months of follow-up. In most patients, marginal excision was sufficient to prevent local recurrence and did not impair nerve function significantly.