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Scholars Journal of Applied Medical Sciences | Volume-7 | Issue 03
A Giant Disabiliting Neurofibroma in a Young Adult Carrier of Neurofibromatosis
Dembélé Bertin, Coulibaly Boubou, Sogodogo Cheick, Dianessy Yély
Published: March 30, 2019 | 98 62
DOI: 10.36347/sjams.2019.v07i03.015
Pages: 931-935
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Abstract
The neurofibromatosis is a genetic disease that affects multiple tissues with different forms of clinical presentation. The neurofibroma is a benign tumor, which can be presented in two forms: solitary in young adults and the multiple forms associated with neurofibromatosis type 1 or Von Recklinghausen disease. The evolutionary profile of this disease is very variable. Anything can go from a few cafe au lait spots to a disabling stat. The treatment of neurofibromas is exclusively surgical. We report the case of a 40-year-old man with Recklinghausen's disease with a giant neurofibroma in the left facial and neck area causing a disability and subsequently traumatized by the patient himself. The craniofacial scan revealed a large left subcutaneous tissue formation measuring approximately 249X22X136 mm and confirming the tomodensitometric appearance of neurofibromatosis type I. Therapeutically a reduction in tumor volume was performed to relieve the patient; which allowed us to make an anatomopathological study. The histology showed a fasciculate tumor proliferation made of fibroblastic and nerve cells. The patient evolved favorably and was satisfied to the point that he no longer wanted additional surgery.Neurofibromatosis is not curable in itself but surgery can restore the patient's functionality by ending the disability caused by certain complications.