022. From Challenge to Favorable Outcome: Resection of Progressive and Regrowing Neurofibroma in A Male 18-Year-Old Patient: A Case Report
Background: Neurofibromas are benign tumors originating from peripheral nervous system. While generally asymptomatic, they can cause significant morbidity, stigmatizing, and cosmetic concerns, requiring surgical intervention. This case report presents an interesting case of progressively enlarged an...
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Universitas Udayana
2024-10-01
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| Series: | JBN (Jurnal Bedah Nasional) |
| Online Access: | https://ojs.unud.ac.id/index.php/jbn/article/view/119925 |
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| author | Sofyan Arissaputra Zainal Abidin |
| author_facet | Sofyan Arissaputra Zainal Abidin |
| author_sort | Sofyan Arissaputra |
| collection | DOAJ |
| description | Background: Neurofibromas are benign tumors originating from peripheral nervous system. While generally asymptomatic, they can cause significant morbidity, stigmatizing, and cosmetic concerns, requiring surgical intervention. This case report presents an interesting case of progressively enlarged and regrowing neurofibroma, which provides insights into the clinical aspect and treatment options in unusual cases. Case: An 18-year-old male patient presented with a progressively enlarging mass on his left dorsal pedis that had been present for eight years. The mass was soft, solitary, painless, accompanied by numbness, tingling, and a heavy sensation, occasionally causing difficult ambulatory. He was diagnosed with a neurofibroma and underwent wide surgical excision at another hospital. Physical examination revealed a well-defined mass measuring 12 x 7 x 5 cm, with hyperpigmentation and intact skin. Additional cutaneous lesions and café-au-lait spots suggested multiple neurofibromas, raising suspicion of Von Recklinghausen disease (neurofibromatosis type 1). Intraoperative findings confirmed a well-circumscribed, encapsulated tumor, which was completely removed by wide excision. A histopathological examination confirmed the diagnosis. The patient recovered well postoperatively, and a three-month follow-up showed no recurrence or neurological deficits. Conclusion: Neurofibromatosis type 1 can cause various manifestations, including progressive and regrowing large neurofibromas. Early detection and prompt surgical intervention are essential for preventing complications. |
| format | Article |
| id | doaj-art-66e4f81fc1b4449a9ccbbdde1706b04b |
| institution | Kabale University |
| issn | 2548-5962 2548-981X |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Universitas Udayana |
| record_format | Article |
| series | JBN (Jurnal Bedah Nasional) |
| spelling | doaj-art-66e4f81fc1b4449a9ccbbdde1706b04b2024-11-14T02:59:59ZengUniversitas UdayanaJBN (Jurnal Bedah Nasional)2548-59622548-981X2024-10-0182S22S2210.24843/JBN.2024.v08.is02.p022119925022. From Challenge to Favorable Outcome: Resection of Progressive and Regrowing Neurofibroma in A Male 18-Year-Old Patient: A Case ReportSofyan Arissaputra0Zainal Abidin1Surgery Department, Mulawarman University, Abdoel Wahab Sjahranie Regional General Hospital, Samarinda, East KalimantanSurgery Department, Mulawarman University, Abdoel Wahab Sjahranie Regional General Hospital, Samarinda, East KalimantanBackground: Neurofibromas are benign tumors originating from peripheral nervous system. While generally asymptomatic, they can cause significant morbidity, stigmatizing, and cosmetic concerns, requiring surgical intervention. This case report presents an interesting case of progressively enlarged and regrowing neurofibroma, which provides insights into the clinical aspect and treatment options in unusual cases. Case: An 18-year-old male patient presented with a progressively enlarging mass on his left dorsal pedis that had been present for eight years. The mass was soft, solitary, painless, accompanied by numbness, tingling, and a heavy sensation, occasionally causing difficult ambulatory. He was diagnosed with a neurofibroma and underwent wide surgical excision at another hospital. Physical examination revealed a well-defined mass measuring 12 x 7 x 5 cm, with hyperpigmentation and intact skin. Additional cutaneous lesions and café-au-lait spots suggested multiple neurofibromas, raising suspicion of Von Recklinghausen disease (neurofibromatosis type 1). Intraoperative findings confirmed a well-circumscribed, encapsulated tumor, which was completely removed by wide excision. A histopathological examination confirmed the diagnosis. The patient recovered well postoperatively, and a three-month follow-up showed no recurrence or neurological deficits. Conclusion: Neurofibromatosis type 1 can cause various manifestations, including progressive and regrowing large neurofibromas. Early detection and prompt surgical intervention are essential for preventing complications.https://ojs.unud.ac.id/index.php/jbn/article/view/119925 |
| spellingShingle | Sofyan Arissaputra Zainal Abidin 022. From Challenge to Favorable Outcome: Resection of Progressive and Regrowing Neurofibroma in A Male 18-Year-Old Patient: A Case Report JBN (Jurnal Bedah Nasional) |
| title | 022. From Challenge to Favorable Outcome: Resection of Progressive and Regrowing Neurofibroma in A Male 18-Year-Old Patient: A Case Report |
| title_full | 022. From Challenge to Favorable Outcome: Resection of Progressive and Regrowing Neurofibroma in A Male 18-Year-Old Patient: A Case Report |
| title_fullStr | 022. From Challenge to Favorable Outcome: Resection of Progressive and Regrowing Neurofibroma in A Male 18-Year-Old Patient: A Case Report |
| title_full_unstemmed | 022. From Challenge to Favorable Outcome: Resection of Progressive and Regrowing Neurofibroma in A Male 18-Year-Old Patient: A Case Report |
| title_short | 022. From Challenge to Favorable Outcome: Resection of Progressive and Regrowing Neurofibroma in A Male 18-Year-Old Patient: A Case Report |
| title_sort | 022 from challenge to favorable outcome resection of progressive and regrowing neurofibroma in a male 18 year old patient a case report |
| url | https://ojs.unud.ac.id/index.php/jbn/article/view/119925 |
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