DOI: 10.36347/sjmcr.2023.v11i07.022

Pages: 1412-1415

Schwannomas are benign and rare nerve tumors, slow growing neoplasms originating from the peripheral nerve sheath. Its location in region of the head of the first metatarsal is a very rare presentation. A 43-year old patient reported a history of multiple pains over a year, with no sensorimotor deficit. MRI revealed presence of an isolated Schwannoma in the 1st intermetatarsal area, growing on the first metatarsal space with no associated fracture complication. The diagnosis was confirmed through preoperative biopsy. The patient benefited from surgical excision, bone curettage and adjuvant treatment with liquid nitrogen without bone filling. The final analysis of the surgical specimen confirmed the diagnosis of schwannoma. At the last follow-up, no recurrence was detected either clinically or imaging. This case is only the fourth schwannoma of the first metatarsal space reported in the literature.