A Bleeding Neck Mass: An Unusual Case of Neurofibroma

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Title A Bleeding Neck Mass: An Unusual Case of Neurofibroma
 
Creator Pedro R. Patao; Department of Otorhinolaryngology- Head and Neck Surgery, Ilocos Training and Regional Medical Center
 
Subject Otolaryngology
neurofibroma;neurofibromatosis
 
Description Objectives: 1. To present an unusual case of neurofibroma of the neck that does not meet the criteria for neurofibromatosis.2. To describe the role of surgery in the treatment and reconstruction of a cosmetically unacceptable, disfiguring lesion.3. To emphasize the importance of early detection and possibility of malignant transformation in neurofibroma.4. To present the criteria in the diagnosis of neurofibromatosis. Design: Case Report Setting: Tertairy Hospital Patient: A 36 years old male with a huge bleeding neck mass. Result: Repeated incision biopsy of the lateral neck mass revealed neurofibroma. CT scan of the mass showed that it was superficial to the sternocleidomastoid muscle and was not adherent to the major vessels of the neck. A wide excision of the mass was done and the defect was reconstructed with a pectoralis major flap. Conclusion: A case of neurofibroma that does not meet the criteria for von Recklinghausen's disease is presented. This may represent a distinct form of neurofibromatosis. In this kind of tumor, surgery remains the treatment of choice for resectable lesions. Early detection of the tumor is imperative for its successful treatment.
 
Publisher Philippine Society of Otolaryngology Head and Neck Surgery Inc
 
Contributor
 
Date 2010-08-17
 
Type Peer-Reviewed Item

 
Identifier http://www.philjol.info/index.php/PJOHNS/article/view/1704
 
Source Philippine Journal of Otolaryngology Head and Neck Surgery; Vol 20, No 1-2 (2005); 66-70
 
Language en
 
Coverage Philippines