Sagare Kavyashree, Hatti Sharanbasappa, Sagare Prashanth
Department of Oral and Maxillofacial Surgery, HKE's S Nijalingappa Institute of Dental Sciences and Research, Kalaburgi, Karntaka 585105 India.
HCG Cancer Center, Kalaburgi, 585105 India.
Indian J Otolaryngol Head Neck Surg. 2023 Dec;75(4):3861-3865. doi: 10.1007/s12070-023-03644-1. Epub 2023 Jun 7.
Neurofibroma may occur as a sporadic solitary lesion or as a part of neurofibromatosis,an autosomal dominant disorder first described by Daniel Friedrich von Recklinghausen in1882. Angioneurofibroma is considered as a new morphological variant of neurofibroma. These lesions can be mixed histopathologically with vascular tumors. A female patient presented with right side facial swelling,which is seen at childhood.On examination mass was measuring around 10 × 10 cm over right fronto temporoparietal region,which is soft in consistency and nodularity in between, pigmentary changes seen over overlying skin in some area, tumor is painless,not associated with functional deformity, not associated with thrill or fluctuancy,causing facial deformity. The mass was intially diagnosed as vascular malformation, however with subsequent histopathlogical assessment confirmed the diagnosis of Angioneurofibroma. We present our experience in managing this rare case.
神经纤维瘤可作为散发性孤立性病变出现,或作为神经纤维瘤病的一部分,神经纤维瘤病是一种常染色体显性疾病,由丹尼尔·弗里德里希·冯·雷克林豪森于1882年首次描述。血管神经纤维瘤被认为是神经纤维瘤的一种新的形态学变体。这些病变在组织病理学上可与血管肿瘤混合。一名女性患者自幼出现右侧面部肿胀。检查发现右侧额颞顶区有一个大小约为10×10厘米的肿块,质地柔软,其间有结节,部分区域覆盖皮肤有色素沉着改变,肿瘤无痛,与功能畸形无关,与震颤或波动无关,导致面部畸形。该肿块最初被诊断为血管畸形,但随后的组织病理学评估证实为血管神经纤维瘤。我们介绍了我们处理这一罕见病例的经验。