Abstract
We greatly appreciate the interesting and thoughtful comments from Professor Zhai, who made several important observations about the pattern of clinical symptoms in our patient.1 Although the patient's initial symptoms and nerve conduction velocity findings localized to a lesion of the radial nerve at the spiral groove, imaging findings did not demonstrate observable pathology in this region and revealed the mass to be within the axilla. Of note, MRI did demonstrate edema and enhancement within the brachioradialis and the pronator teres, which suggested the potential for more widespread peripheral nervous involvement. Our patient's mass was extensive and was observed grossly to involve from the radial nerve to the lateral cord, all of which was resected. Perineural spread of cancer is notoriously invasive.
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