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Scalp Plexiform Neurofibrosarcoma With Intrathoracic Fibrosarcoma: A Case Report.

Publication ,  Journal Article
Chukwuanukwu, TO; Ukachukwu, A-EK; Etukokwu, KC; Afiadigwe, EE; Apakama, AI; Anyabolu, AE; Onwukamuche, ME
Published in: Cureus
August 2022

Neurofibromatosis type 1 (NF1) is the most common form of neurofibromatosis. It is associated with neurofibromas, gliomas, neurofibrosarcomas, and neuroendocrine and hematopoietic tumors. We present a case of scalp plexiform neurofibromatosis associated with intrathoracic fibrosarcoma. An 18-year-old female presented with a 15-year history of plexiform scalp mass. She had multiple café-au-lait patches on her trunk and extremities and a first-degree relative with a plexiform right shoulder mass. She was managed by a multidisciplinary team of plastic and reconstructive surgeons, neurosurgeons, cardiothoracic surgeons, otorhinolaryngologists, ophthalmologists, pulmonologists, and pathologists. The histology of the excised scalp mass was that of a malignant peripheral nerve sheath tumor (neurofibrosarcoma). She subsequently developed upper chest and back pain with associated breathlessness and was found to have an intra-thoracic tumor. She had two sessions of exploratory right thoracotomy with subtotal excision of an aggressive, highly hemorrhagic, infiltrative mucinous tumor. The histology was a fibrosarcoma. The patient died a few hours following the second thoracotomy. NF1 is associated with several tumors, among which are neurofibrosarcomas. Intra-thoracic fibrosarcoma requires aggressive surgical resection; recurrence may be delayed with radiotherapy and chemotherapy. The prognosis is however poor, and survival beyond one year is unusual. Once one tumor is found, other body systems should be evaluated for the possibility of other tumors.

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Published In

Cureus

DOI

ISSN

2168-8184

Publication Date

August 2022

Volume

14

Issue

8

Start / End Page

e27853

Location

United States

Related Subject Headings

  • 42 Health sciences
  • 32 Biomedical and clinical sciences
  • 11 Medical and Health Sciences
 

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APA
Chicago
ICMJE
MLA
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Chukwuanukwu, T. O., Ukachukwu, A.-E., Etukokwu, K. C., Afiadigwe, E. E., Apakama, A. I., Anyabolu, A. E., & Onwukamuche, M. E. (2022). Scalp Plexiform Neurofibrosarcoma With Intrathoracic Fibrosarcoma: A Case Report. Cureus, 14(8), e27853. https://doi.org/10.7759/cureus.27853
Chukwuanukwu, Titus O., Alvan-Emeka K. Ukachukwu, Kenneth C. Etukokwu, Evaristus E. Afiadigwe, Akunne I. Apakama, Arthur E. Anyabolu, and Michael E. Onwukamuche. “Scalp Plexiform Neurofibrosarcoma With Intrathoracic Fibrosarcoma: A Case Report.Cureus 14, no. 8 (August 2022): e27853. https://doi.org/10.7759/cureus.27853.
Chukwuanukwu TO, Ukachukwu A-EK, Etukokwu KC, Afiadigwe EE, Apakama AI, Anyabolu AE, et al. Scalp Plexiform Neurofibrosarcoma With Intrathoracic Fibrosarcoma: A Case Report. Cureus. 2022 Aug;14(8):e27853.
Chukwuanukwu, Titus O., et al. “Scalp Plexiform Neurofibrosarcoma With Intrathoracic Fibrosarcoma: A Case Report.Cureus, vol. 14, no. 8, Aug. 2022, p. e27853. Pubmed, doi:10.7759/cureus.27853.
Chukwuanukwu TO, Ukachukwu A-EK, Etukokwu KC, Afiadigwe EE, Apakama AI, Anyabolu AE, Onwukamuche ME. Scalp Plexiform Neurofibrosarcoma With Intrathoracic Fibrosarcoma: A Case Report. Cureus. 2022 Aug;14(8):e27853.

Published In

Cureus

DOI

ISSN

2168-8184

Publication Date

August 2022

Volume

14

Issue

8

Start / End Page

e27853

Location

United States

Related Subject Headings

  • 42 Health sciences
  • 32 Biomedical and clinical sciences
  • 11 Medical and Health Sciences