Case XII: Tumor 3

Department of Neurosurgery, University of Wisconsin, Madison, WI, USA


12.1 Case Presentation

A 32-year-old male complains of a painful mass in the right anterior chest wall. He has noticed the mass for years, but it has become more painful. He has a history of multiple neurofibromas resected in the past. His father also had multiple tumors resected, but the pathology is unknown. He has smoked half a pack of cigarettes a day for the past 10 years. The mass is shown in Fig. 12.1 and is tender to the touch. He has a left Horner’s syndrome from previous resection of a neck mass. Neurological examination is otherwise normal. MRI of the neck is shown in Fig. 12.2.


Fig. 12.1


Fig. 12.2

12.2 Questions

  1. 1.

    What is the diagnosis? What is the cause?


  2. 2.

    What are other signs to look for?


  3. 3.

    What tests are needed?


  4. 4.

    What is the plan for treatment?



  1. 1.

    This is likely a plexiform neurofibroma in the setting of NF1 .


  2. 2.

    Other signs of NF1 . Diagnostic criteria for NF1 [1], two or more of the following:

    1. (a)

      Six or more café-au-lait patches


    2. (b)

      Two or more neurofibromas


    3. (c)

      One plexiform neurofibroma


    4. (d)

      Axillary or groin freckling


    5. (e)

      Two or more iris Lisch nodules


    6. (f)
Aug 29, 2017 | Posted by in ORTHOPEDIC | Comments Off on Case XII: Tumor 3

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