He suffers with neurofibromatosis which causes
neurofibromas, rare growths on his lower left leg and body that have become unbearable to live with.
Pigmented (melanotic)
neurofibroma: a clinicopathologic and immunohistochemical analysis of 19 lesions from 17 patients.
The patient recovered well after the resection of the giant
neurofibroma and replantation of the scalp flap with pedicel.
Le, "The role of nerve microenvironment for
neurofibroma development," Oncotarget, vol.
Surgical pathology revealed plexiform
neurofibroma involving the gallbladder without any evidence of malignant transformation.
Therefore, GIST and myogenic tumors were excluded, and histological pattern of lymphoid aggregation plus capsule presence highly suggested schwannoma rather than
neurofibroma.
Sudden enlargement or worsening pain in a preexisting
neurofibroma may indicate a malignant transformation to MPNST.
Caption: Figure 1: Macroscopic and microscopic appearances of the nipple
neurofibroma. (a) Gross appearance of the largest lesion showing a pedunculated polypoid mass.
38 patients were posted for posterior rod insertion; 12 were posted for posterior decompression of dorsal cord with removal of internal fibres of
neurofibroma with corrective instrumentation.
(3) NF1 is characterized by multiple cafe-au-lait macules, axillary freckling,
neurofibromas, and Lisch nodules (pigmented iris hamartomas).
Peripheral nerve tumors that may manifest in oral cavity includes several differentials such as schwannoma (also known as neurilemmoma or peripheral nerve sheath tumor),
neurofibroma, neurinoma in association with multiple endocrine neoplasia, palisaded encapsulated neurinoma, traumatic neuroma and granular cell tumor.2,5 Immunohistochemical reactivity against S-100 and neuron-specific enolase is an essential tool to differentiate these tumors from spindle cell neoplasms of other origin (myofibroblastic tumors, tumors of muscle tissue origin, and fibroblastic tumors).
In our case, involvement of sacroiliac joint was secondary to juxtaarticular plexiform
neurofibroma with massive invasion of the right sacroiliac joint.
