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2022, vol. 17, br. 1, str. 33-36
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Veliki solitarni neurofibrom nadlaktice - prikaz slučaja
Large solitary encapsulated neurofibroma of upper arm: A case report
aClinical Center of Montenegro, Department of Plastic surgery, Podgorica, Montenegro bUniversity of Montenegro, Institute for Public Health, School of Medicine, Podgorica, Montenegro
e-adresa: bojicdrmilos@gmail.com
Sažetak
Uvod: Neurofibromi su benigni tumori nervnog tkiva, javljaju se najčešće kod mlađih odraslih osoba, podjednako kod oba pola. Potencijalna povezanost neurofibroma sa sistemskim poremećajem poput neurofibromatoze tip 1 (von Recklinhausen-ova bolest) čini dijagnozu neurofibroma izuzetno značajnom. Prikaz slučaja: Prikazujemo32-godišnju pacijentkinju sa prisutnom potkožnom tumefakcijom u predelu desne nadlaktice, koja je prisutna unazad oko 10 godina, uz postepen rast. Pacijentkinja se žali na osećaj bola i trnjenja u desnoj podlaktici i šaci unazad oko 12 meseci, sa progresivnim pogoršanjem tegoba. MR dijagnostika potvrđuje prisustvo nehomogenog tumora u predelu srednje trećine tricepsa desne nadlaktice, koji je u bliskom kontaktu sa humerusom, ali ga ne angažuje. Tumor je ekstirpiran u celini, sa histopatološkom verifikacijom solitarnog benignog neurofibroma. Zaključak: Ovaj prikaz slučaja uspešnog lečenja solitarnog neurofibroma služi kao podsticaj za podizanjem svesti za neurofibrome i tumore omotača perifernih nerava među hirurzima i radiolozima u manjim centrima. Pacijentkinja je redovno kontrolisana tokom dve godine postoperativno, bez recidiva i znakova razvoja NF-1.
Abstract
Introduction: Neurofibromas are benign tumors of neuronal origin, occurring most commonly in young adults, with no gender predilection. The connection of neurofibroma with disorders on a general level as von Recklinghausen's disease makes its diagnosis critical. Case report: A 32-old female patient was administered to the Clinic of Plastic surgery, Clinical Center of Montenegro in Podgorica, with a 10-year history of painless, subcutaneous tumor of the right upper arm that grew in size over the last ten years. The patient reported progressive pain and tingling in her right forearm and right hand for the last 12 months. An MRI showed a non-homogenous tumor of the middle third portion of the triceps muscle, in close contact with the humerus but without infiltrating it. The tumor was removed, with a definitive histopathological result of a solitary benign neurofibroma. Conclusions: This example of successful treatment of solitary neurofibroma may serve to increase the awareness of surgeons and radiologists in small countries regarding benign peripheral nerve sheath tumors. The patient is under observation for two years with no signs of relapse and no other features indicative of neurofibromatosis type 1.
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