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: Tertiary 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: Acase 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. (Author)
NEUROFIBROMA NECK NEUROFIBROMATOSES CASE REPORTS [PUBLICATION TYPE]