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DermAtlas: THIGH - neurofibroma
© 2001-2010, DermAtlas
Image Name: Neurofibroma_3_090617   File Type: jpg
Diagnosis: NEUROFIBROMA   Category: lumps & bumps (plaques, nodules, tumors) /
surgery, general
Body Site: thigh / leg   Age: 30 years
Contributor: Nikolaos Sferopoulos, MD    
Description: soft spongy 4 cm subcutaneous tumor
Comments: A 30-year-old man developed a soft tissue tumor on the posterior aspect of his thigh 3 years ago. The tumor was excised, and pathology revealed a neurofibroma.
Related Images: All related Images  Neurofibroma_2_090617  Neurofibroma_1_090617 

DermAtlas: THIGH - neurofibroma
© 2001-2010, DermAtlas
Image Name: Neurofibroma_1_090617   File Type: jpg
Diagnosis: NEUROFIBROMA   Category: lumps & bumps (plaques, nodules, tumors) /
surgery, general
Body Site: thigh / leg   Age: 30 years
Contributor: Nikolaos Sferopoulos, MD    
Description: soft spongy 4 cm subcutaneous tumor
Comments: A 30-year-old man developed a soft tissue tumor on the posterior aspect of his thigh 3 years ago. The tumor was excised, and pathology revealed a neurofibroma.
Related Images: All related Images  Neurofibroma_2_090617  Neurofibroma_3_090617 

DermAtlas: THIGH - neurofibroma
© 2001-2010, DermAtlas
Image Name: Neurofibroma_2_090617   File Type: jpg
Diagnosis: NEUROFIBROMA   Category: lumps & bumps (plaques, nodules, tumors) /
surgery, general
Body Site: thigh / leg   Age: 30 years
Contributor: Nikolaos Sferopoulos, MD    
Description: soft spongy 4 cm subcutaneous tumor
Comments: A 30-year-old man developed a soft tissue tumor on the posterior aspect of his thigh 3 years ago. The tumor was excised, and pathology revealed a neurofibroma.
Related Images: All related Images  Neurofibroma_1_090617  Neurofibroma_3_090617 

DermAtlas: CHEST - neurofibromatosis
© 2001-2010, DermAtlas
Image Name: Neurofibromatosis_1_090518   File Type: jpg
Diagnosis: NEUROFIBROMATOSIS /
CAFé AU LAIT SPOT /
NEUROFIBROMA
  Category: neoplasm, benign /
genodermatosis/genetic disorder /
hyperpigmentation
Body Site: chest / abdomen
arm
  Age: 27 years
Contributor: Ravi Singh    
Description: generalized soft compressible skin colored to light brownish-purple papules and nodules
Comments: This 27-year-old man had an increasing number of soft tissue tumors over much of the skin surface. He had a history of hydrocephalus which was persistent despite treatment with folk remedies.

DermAtlas: TRUNK - neurofibromatosis
© 2001-2010, DermAtlas
Image Name: Neurofibromatosis_1_080114   File Type: jpg
Diagnosis: NEUROFIBROMATOSIS /
NEUROFIBROMA /
CAFé AU LAIT SPOT
  Category: genodermatosis/genetic disorder
Body Site: trunk / back   Age: 43
Contributor: Nasser Altamimi    
Description: multiple, generalized soft spongy 2 mm-1.5 cm papules and nodules and well demarcated brown macules
Comments: This 43-year-old woman complained of multiple nodules and café au lait spots present since childhood. In addition to multiple acquired cutaneousl neurofibromas and pigmented macules, she had a single large congenital plexiform neurofibroma.

DermAtlas: Histology - neurofibroma
© 2001-2010, DermAtlas
Image Name: neurofibroma_1_070501   File Type: jpg
Diagnosis: NEUROFIBROMA   Category: neoplasm, neural /
neoplasm, benign
Body Site: chest   Age: 74 years
Contributor: Greg Hosler, MD, PhD    
Description: There is a fairly well-demarcated but unencapsulated spindle cell tumor within the dremis. The epidermis is uninvolved. The spindle cells are monomorphic and imperceptibly blend into the surrounding dermis. The lesion is slightly more pink than the dermal collagen.
Comments: This is a very typical example of a common lesion. The histologic differential diagnosis includes a neuritized nevus and perhaps other soft tissue tumors such as a dermatofibroma or neuroma. The lesion contains a mixture of axons, mast cells, and nerve sheath cells (fibroblasts and Schwann cells). These will stain positive for S-100 and neurofilament (scattered twigs) if needed.
Related Images: neurofibroma_2_070501 

DermAtlas: Histology - neurofibroma
© 2001-2010, DermAtlas
Image Name: neurofibroma_2_070501   File Type: jpg
Diagnosis: NEUROFIBROMA   Category: neoplasm, neural /
neoplasm, benign
Body Site: chest   Age: 74 years
Contributor: Greg Hosler, MD, PhD    
Description: A higher power shows the very characteristic round, thin-walled vessels and the mixed nature of the tumor cells. One can identify fibroblast-like cells, Schwann cells, and scattered purple mast cells. There is no cytologic atypia or mitotic activity.
Comments: This is a very typical example of a common lesion. The histologic differential diagnosis includes a neuritized nevus and perhaps other soft tissue tumors such as a dermatofibroma or neuroma. The lesion contains a mixture of axons, mast cells, and nerve sheath cells (fibroblasts and Schwann cells). These will stain positive for S-100 and neurofilament (scattered twigs) if needed.
Related Images: neurofibroma_1_070501 

DermAtlas: FACE - neurofibromatosis
© 2001-2010, DermAtlas
Image Name: Neurofibromatosis_1_070311   File Type: jpg
Diagnosis: NEUROFIBROMATOSIS /
NEUROFIBROMA
  Category: lumps & bumps (plaques, nodules, tumors) /
genodermatosis/genetic disorder
Body Site: face / neck / neck   Age: 55 years
Contributor: António Matos da Fonseca, MD    
Description: multiple generalized soft subcutaneous skin colored 0.3-1.5 cm ndoules
Comments: This 55-year-old man had multiple disseminated neurofibromas which had increased in number since adolescence.

DermAtlas: ARM - neurofibromatosis
© 2001-2010, DermAtlas
Image Name: Neurofibromatosis_1_070208   File Type: jpg
Diagnosis: NEUROFIBROMATOSIS /
NEUROFIBROMA, PLEXIFORM /
NEUROFIBROMA
  Category: genodermatosis/genetic disorder /
lumps & bumps (plaques, nodules, tumors) /
neoplasm, benign
Body Site: arm   Age: 35 years
Contributor: Indra Thakur, MD    
Description: Neurofibromatosis of ARM and Forearm
Comments: This 35-year-old woman had a slowly enlarging plexiform neurofibroma on her left arm.

DermAtlas: NECK - neurofibromatosis
© 2001-2010, DermAtlas
Image Name: neurofibromatosis_4_061030   File Type: jpg
Diagnosis: NEUROFIBROMATOSIS /
NEUROFIBROMA
  Category: genodermatosis/genetic disorder /
lumps & bumps (plaques, nodules, tumors) /
neoplasm, benign
Body Site: neck   Age: 50 years
Contributor: Eric Ehrsam, MD    
Description: disseinated 0.3-1.0 cm fleshy pink papules and nodules
Comments: A 50-year-old man had multiple café au lait spots and cutaneous neurofibromas. He had no extracutaneous findings of neurofibromatosis.
Related Images: All related Images  neurofibromatosis_1_061030  neurofibromatosis_2_061030  neurofibromatosis_3_061030 

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Bernard A. Cohen, MD, Christoph U. Lehmann, MD

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