1. Multidisciplinary treatment of a giant craniofacial neurofibroma with intratumoral hemorrhage
- Author
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Senlin Yin, Feng Ye, Shu Jiang, and Peizhi Zhou
- Subjects
Dorsum ,Male ,medicine.medical_specialty ,Neurofibroma ,business.industry ,Hemorrhage ,medicine.disease ,Bone and Bones ,Surgery ,Lesion ,Preoperative embolization ,Young Adult ,Hematoma ,Treatment Outcome ,Dysplasia ,medicine ,Humans ,Neurology (clinical) ,Radiology ,Neurofibromatosis ,medicine.symptom ,Craniofacial ,business ,Tomography, X-Ray Computed - Abstract
A 19-year-old man presented with a rapidly growing right craniofacial lump and headache for 9 days, with vision loss in the right eye and no other manifestation of neurofibromatosis or neurologic disturbance. Imaging revealed a giant lesion with intratumoral hematoma and adjacent bone dysplasia (figure, A and B). The tumor and the involved right eye (figure, C) were removed following preoperative embolization. The wound was repaired using dorsal and lateral cervicothoracic flap grafting. Pathologic examination revealed a neurofibroma without malignant transformation.1 Solitary giant craniofacial neurofibromas with intratumoral hemorrhage are rare and require multidisciplinary care2 for optimal outcome (figure, D). Early intervention is preferable.
- Published
- 2015