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Case Report Plastic and Aesthetic Research

A case of 25-year-old giant neurofibromatosis

Marcos Sforza 1,2,3 , Renato Zaccheddu , Bruno Lopes Cancado , Deborah Sforza 4
1
4
1 Plastic Surgery, Dolan Park Hospital, Stoney Lane B60 1LY, UK.
2 School of Medicine, SESA , Minas Gerais 35430-302, Brazil.
3 School of Medicine, UNIFESO, Rio de Janeiro 25964-000, Brazil.
4 Private Practice, Rio de Janeiro 22410-003, Brazil.
Corresponding Author: Prof. Marcos Sforza, Dolan Park Hospital, Stoney Lane B60 1LY, UK. E-mail: marcos@marcossforza.com

ABSTRACT
In this paper, the authors presented a case report of a 39-year-old man taken to the Emergency
Unit with a 25-year-old giant neurofibromatosis. Moreover, the treatment applied for this case
and the physiopathology of the neurofibromatosis disease are also discussed.

Key words:
Giant neurofibromatosis; physiopathology; neurofibromas

INTRODUCTION According to the patient, the mass started to develop at the
age of 14 years and he never felt compelled to have that
Neurofibromatosis is a neurocutaneous condition that examined by doctor. In fact, he regarded this as a phenomenon
can involve almost any organ system. Thus, the signs and rendering him different from others.
symptoms presented may vary widely. Two major subtypes
exist: neurofibromatosis 1 (NF-1), which is the most common Blood tests showed severe anemia (hemoglobin 6.9 g/dL).
subtype, referred to as peripheral NF, and neurofibromatosis Computed tomography scan of thoracic and abdominal areas
2 (NF-2), which is referred to as central NF. [1,2] didn’t reveal any tumors or abnormalities with the patient.

We report a case of a giant neurofibroma kept for 25 years The patient was diagnosed with neurofibromatosis, the
without treatment. anemia was corrected with blood transfusion and the patient
was taken to the operating room.
CASE REPORT
Through a direct elipse incision the tumor was dissecated,
A 39-year-old male patient arrived at the Emergency appearing to be limited to the epidermic region [Figure 3].
Department with a history of bleeding from a moll on his
back for the last 3 days. The patient also sustained episodes While incising its base, we were not able detect any
of nausea with no associated vomit, weakness and sleepiness. infiltration on the subjacent subcutaneous tissues. The tumor
was completely removed and the surgery was completed
At examination, we found a giant mass on his sacoccocigeal with a simple closure of the lateral skin flaps [Figure 4].
region [Figures 1 and 2] with small areas of scarification with The tumor weight was 5,276 g [Figure 5]. The patient was
punctiform mild bleeding. Patient was mildly dispneic with
taquicardia associated. No other symptoms were found. This is an open access article distributed under the terms of the Creative
Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows
Access this article online others to remix, tweak and build upon the work non-commercially, as long as the
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How to cite this article: Sforza M, Zaccheddu R, Cancado BL,
Sforza D. A case of 25-year-old giant neurofibromatosis. Plast
DOI: Aesthet Res 2016;3:279-81.
10.20517/2347-9264.2016.46
Received: 20-06-2016; Accepted: 03-08-2016
© 2016 Plastic and Aesthetic Research | Published by OAE Publishing Inc. 279