This case report aims to contribute to the understanding and to present a new look on the treatment of a rare, aggressive and poorly understood pathology, known as malignant tumor of the peripheral nerve myelin sheath. The objective of this research is to help building a better understanding of this pathology and to evaluate what is new in diagnosis and treatment. We used PubMed’s articles with the descriptors: malignant peripheral nerve sheath tumor, Ki67, and malignant tumor immunohistochemistry of the peripheral nerve sheath. 17 articles were selected. We also used the descriptor “sarcoma staging” for the visualization of a book chapter and a journal. Malignant neoplasm of the peripheral nerve myelin sheath is a disease that mainly affects neurofibromatosis-1 or patients with prior radiotherapy, but may occur randomly, as with the patient in question. Due to illness multiple incidence locations, the symptoms may be late and staging is difficult. The staging is performed taking into account the size of the primary tumor, its location, lymph node involvement, presence of distant metastases and degree of cell differentiation. The diagnosis is made after resection of the piece with anatomopathological and immunohistochemical analysis, which may delay the treatment. Therefore, it has been seen that the most common treatment continues to be complete surgery with free margins, but there are promising studies in the genetics field for the treatment and better understanding of this pathology
Objetivo: O presente estudo objetiva avaliar a importância do Serviço de Residência Terapêutica (SRT) na reinserção social do paciente com transtorno mental e relatar a experiência de um paciente. Além disso, comparar os critérios preconizados para o funcionamento pleno de uma SRT. Por fim, analisar a eficácia do tratamento realizado na residência terapêutica Casa de Passagem localizada no Instituto de Saúde Mental (ISM) do Distrito Federal.Métodos: Foram utilizadas as plataformas online Scielo e Periódicos para busca de artigos. Os termos utilizados foram "Residência terapêutica", "Reforma psiquiátrica", "Desinstitucionalização", "Esquizofrenia" e "Reabilitação psiquiátrica". Após realizada a análise, nove estudos foram incluídos.Conclusão: O número de residências terapêuticas ainda é deficitário frente à demanda nacional. A capital do país encontra diversos desafios acentuados pelo fato de existir uma única casa de passagem e nenhuma SRT. A implementação das SRTs é de suma importância para o combate à desinstitucionalização e promoção da reinserção social dos pacientes com transtorno psiquiátrico. Concluise que estas instituições são indispensáveis na construção da reforma psiquiátrica brasileira.
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