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DermAtlas: CHEST - neurofibromatosis
© 2001-2009, 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: Histology - neurofibroma, plexiform
© 2001-2009, DermAtlas
Image Name: plexiform_neurofibroma_1_090401   File Type: jpg
Diagnosis: NEUROFIBROMA, PLEXIFORM /
NEUROFIBROMATOSIS
  Category: neoplasm, neural /
neoplasm, benign /
genodermatosis/genetic disorder
Body Site: thigh   Age: 19 years
Contributor: Greg Hosler, MD, PhD    
Description: At scanning magnification, there are discrete well-circumscribed collections of spindle cells. The interval dermis has loose collagen. The epidermis is uninvolved.
Comments: This young man with NF-1 mutation developed a slow growing mass on his thigh. The mass was ill-defined and measured several centimeters in greatest dimension. There was a reported "bag of worms" quality to the mass, as is often the case with plexiform neurofibromas. This gross description is due to the tumor snaking around as a tube in three dimensions. When this is cut on a two dimensional slide, it appears as separate circumscribed nodules, as in this case. The tumo is made up of multiple cell types, the cells normally observed in the nerve sheath - mast cells, fibroblasts, Schwann cells, etc. The plexiform variant is virtually pathognomonic neurofibromatosis type 1.
Related Images: plexiform_neurofibroma_2_090401 

DermAtlas: Histology - neurofibroma, plexiform
© 2001-2009, DermAtlas
Image Name: plexiform_neurofibroma_2_090401   File Type: jpg
Diagnosis: NEUROFIBROMA, PLEXIFORM /
NEUROFIBROMATOSIS
  Category: neoplasm, neural /
neoplasm, benign /
genodermatosis/genetic disorder
Body Site: thigh   Age: 19 years
Contributor: Greg Hosler, MD, PhD    
Description: The tumor is made up of mulltiple cell types, including fiboblasts, Schwann cells and interspersed mast cells. These appear well-contained within the nerve sheath. Thre is no significant cytologic atypia or mitotic activity. The stroma is fibromyxoid.
Comments: This young man with NF-1 mutation developed a slow growing mass on his thigh. The mass was ill-defined and measured several centimeters in greatest dimension. There was a reported "bag of worms" quality to the mass, as is often the case with plexiform neurofibromas. This gross description is due to the tumor snaking around as a tube in three dimensions. When this is cut on a two dimensional slide, it appears as separate circumscribed nodules, as in this case. The tumo is made up of multiple cell types, the cells normally observed in the nerve sheath - mast cells, fibroblasts, Schwann cells, etc. The plexiform variant is virtually pathognomonic neurofibromatosis type 1.
Related Images: plexiform_neurofibroma_1_090401 

DermAtlas: BACK - neurofibromatosis
© 2001-2009, DermAtlas
Image Name: NF1_1_081007   File Type: jpg
Diagnosis: NEUROFIBROMATOSIS   Category: neurologic disorder /
hyperpigmentation /
genodermatosis/genetic disorder
Body Site: back   Age: 3 years
Contributor: Will Sorey, MD    
Description: multiple well-demarcated uniformly brown pigmented 2 mm to 3 cm macules and patches
Comments: This 3-year-old boy had multiple café au lait spots since birth. His mother and brother have an established diagnosis of neurofibromatosis type 1. The case was prepared by University of Mississippi Year 4 Medical Student Sarah M H Jones.

DermAtlas: CHEST - neurofibromatosis
© 2001-2009, DermAtlas
Image Name: neurofibromatosis_1_080424   File Type: jpg
Diagnosis: NEUROFIBROMATOSIS   Category: neoplasm, benign /
genodermatosis/genetic disorder
Body Site: chest / total body / abdomen   Age: 70 years
Contributor: Syed Imam, MD    
Description: generalized 5 mm-5 cm soft spongy skin colored to slightlyt pink tumors
Comments: A 70-year-old man had generalized slowly progressive neurofibromas without neurologic complications. His daughter was also affected.
Related Images: All related Images  neurofibromatosis_9_080424  neurofibromatosis_8_080424  neurofibromatosis_7_080424  neurofibromatosis_6_080424  neurofibromatosis_5_080424  neurofibromatosis_4_080424  neurofibromatosis_3_080424  neurofibromatosis_2_080424 

DermAtlas: CHEST - neurofibromatosis
© 2001-2009, DermAtlas
Image Name: neurofibromatosis_2_080424   File Type: jpg
Diagnosis: NEUROFIBROMATOSIS   Category: neoplasm, benign /
genodermatosis/genetic disorder
Body Site: chest / total body / abdomen   Age: 70 years
Contributor: Syed Imam, MD    
Description: generalized 5 mm-5 cm soft spongy skin colored to slightlyt pink tumors
Comments: A 70-year-old man had generalized slowly progressive neurofibromas without neurologic complications. His daughter was also affected.
Related Images: All related Images  neurofibromatosis_9_080424  neurofibromatosis_8_080424  neurofibromatosis_7_080424  neurofibromatosis_6_080424  neurofibromatosis_5_080424  neurofibromatosis_4_080424  neurofibromatosis_3_080424  neurofibromatosis_1_080424 

DermAtlas: CHEST - neurofibromatosis
© 2001-2009, DermAtlas
Image Name: neurofibromatosis_3_080424   File Type: jpg
Diagnosis: NEUROFIBROMATOSIS   Category: neoplasm, benign /
genodermatosis/genetic disorder
Body Site: chest / total body
arm / abdomen
  Age: 70 years
Contributor: Syed Imam, MD    
Description: generalized 5 mm-5 cm soft spongy skin colored to slightlyt pink tumors
Comments: A 70-year-old man had generalized slowly progressive neurofibromas without neurologic complications. His daughter was also affected.
Related Images: All related Images  neurofibromatosis_9_080424  neurofibromatosis_8_080424  neurofibromatosis_7_080424  neurofibromatosis_6_080424  neurofibromatosis_5_080424  neurofibromatosis_4_080424  neurofibromatosis_2_080424  neurofibromatosis_1_080424 

DermAtlas: BACK - neurofibromatosis
© 2001-2009, DermAtlas
Image Name: neurofibromatosis_4_080424   File Type: jpg
Diagnosis: NEUROFIBROMATOSIS   Category: neoplasm, benign /
genodermatosis/genetic disorder
Body Site: back / total body   Age: 70 years
Contributor: Syed Imam, MD    
Description: generalized 5 mm-5 cm soft spongy skin colored to slightlyt pink tumors
Comments: A 70-year-old man had generalized slowly progressive neurofibromas without neurologic complications. His daughter was also affected.
Related Images: All related Images  neurofibromatosis_9_080424  neurofibromatosis_8_080424  neurofibromatosis_7_080424  neurofibromatosis_6_080424  neurofibromatosis_5_080424  neurofibromatosis_3_080424  neurofibromatosis_2_080424  neurofibromatosis_1_080424 

DermAtlas: BACK - neurofibromatosis
© 2001-2009, DermAtlas
Image Name: neurofibromatosis_5_080424   File Type: jpg
Diagnosis: NEUROFIBROMATOSIS   Category: neoplasm, benign /
genodermatosis/genetic disorder
Body Site: back / total body
shoulder
  Age: 70 years
Contributor: Syed Imam, MD    
Description: generalized 5 mm-5 cm soft spongy skin colored to slightlyt pink tumors
Comments: A 70-year-old man had generalized slowly progressive neurofibromas without neurologic complications. His daughter was also affected.
Related Images: All related Images  neurofibromatosis_9_080424  neurofibromatosis_8_080424  neurofibromatosis_7_080424  neurofibromatosis_6_080424  neurofibromatosis_4_080424  neurofibromatosis_3_080424  neurofibromatosis_2_080424  neurofibromatosis_1_080424 

DermAtlas: CHEST - neurofibromatosis
© 2001-2009, DermAtlas
Image Name: neurofibromatosis_6_080424   File Type: jpg
Diagnosis: NEUROFIBROMATOSIS   Category: neoplasm, benign /
genodermatosis/genetic disorder
Body Site: chest / total body
arm / abdomen
  Age: 70 years
Contributor: Syed Imam, MD    
Description: generalized 5 mm-5 cm soft spongy skin colored to slightlyt pink tumors
Comments: A 70-year-old man had generalized slowly progressive neurofibromas without neurologic complications. His daughter was also affected.
Related Images: All related Images  neurofibromatosis_9_080424  neurofibromatosis_8_080424  neurofibromatosis_7_080424  neurofibromatosis_5_080424  neurofibromatosis_4_080424  neurofibromatosis_3_080424  neurofibromatosis_2_080424  neurofibromatosis_1_080424 

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© DermAtlas, Johns Hopkins University; 2000-2009
Bernard A. Cohen, MD, Christoph U. Lehmann, MD

DermAtlas was last updated: Oct-28-2009
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