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Singh A, Singh G, Verma A, Verma YN. A Giant Scrotal Neurofibroma in a Child Masquerading as Filariasis: Uncommon Presentation of a Common Disease. Prague Med Rep 2024; 125:56-61. [PMID: 38380454 DOI: 10.14712/23362936.2024.5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/22/2024] Open
Abstract
Neurofibroma of the scrotum is a very uncommon benign neoplasm, specifically when it affects teenagers and is not associated with neurofibromatosis type I. To the best of our knowledge, only a couple of cases of neurofibroma in children have been documented. Here, we report a case study of a 17-year-old boy who had a giant scrotal lump for ten years masquerading clinically as filariasis. A provisional diagnosis of benign nerve sheath neoplasm was made based on cytology findings. The lump was surgically removed from the patient, and a histopathological and immunohistochemistry examination established the diagnosis of neurofibroma. The combined clinical, preoperative cytological, histological, and immunohistochemistry findings were not presented in the literature in any of the formerly documented cases of scrotal neurofibroma. The current case expands the spectrum of differential diagnoses for scrotal tumours that clinicians have previously observed.
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Affiliation(s)
- Anurag Singh
- Department of Pathology, King George Medical University, Lucknow, India
| | - Gyanendra Singh
- Department of Pathology, All India Institute of Medical Sciences Rajkot, Gujarat, India.
| | - Anuragani Verma
- Department of Microbiology, King George Medical University, Lucknow, India
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2
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Kumar P, Sengar M, Mohta A. Atypical scrotal masses: Surgical surprise. Trop Doct 2021; 52:116-119. [PMID: 34369826 DOI: 10.1177/00494755211036588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
We present three unusual cases of atypical scrotal lesions in children. The first was a firm left scrotal mass with the testis indistinguishable. The second with apparently a large hydrocoele, which was a cyst, and the third with multiple nodular lesions, pushing the left testis into the right hemiscrotum. These turned out to be a pigmented neuroectodermal tumour, a lymphatic malformation and neurofibromas respectively. Paediatric surgeons should be aware of such surgical surprises.
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Affiliation(s)
- Parveen Kumar
- Assistant Professor, Department of Paediatric Surgery, Chacha Nehru Bal Chikitsalya, New Delhi 110031, India
| | - Mamta Sengar
- Professor, Department of Pediatric Surgery, Chacha Nehru Bal Chikitsalya, New Delhi 110031, India
| | - Anup Mohta
- Director Professor, Department of Pediatric Surgery, Chacha Nehru Bal Chikitsalya, New Delhi 110031, India
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Boto J, Boudabbous S, Lobrinus JA, Gourmaud J, Terraz S. Solitary Neurofibroma Of The Spermatic Cord: A Case Report. J Radiol Case Rep 2015; 9:19-28. [PMID: 26622934 DOI: 10.3941/jrcr.v9i6.2206] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023] Open
Abstract
We report the ultrasound, computerized tomography, positron emission tomography and magnetic resonance imaging findings of a 38-year-old man with a biopsy proven solitary neurofibroma of the spermatic cord. Solitary neurofibromas of the male genital tract are exceedingly rare benign peripheral nerve sheath neoplasms composed of Schwann cells and fibroblasts. In contrast to schwannomas they are not bound by a capsule thus allowing infiltration between the nerve fascicles. Although they are benign lesions whose potential for malignant degeneration is very low, especially in the absence of neurofibromatosis type 1, accurate diagnosis is important as neurofibromas in this location can cause significant morbidity and psychological distress. Despite the extensive differential diagnosis of masses in the male inguinal canal, including both benign and malignant entities, a diagnosis of benign peripheral nerve sheath tumor can be potentially suggested based on imaging, particularly if MRI is performed. Surgical resection is the treatment of choice and the final diagnosis should be provided by histopathology, as was the case with this patient.
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Affiliation(s)
- José Boto
- Department of Radiology, Geneva University Hospital, Geneva, Switzerland
| | - Sana Boudabbous
- Department of Radiology, Geneva University Hospital, Geneva, Switzerland
| | | | - Jolanta Gourmaud
- Department of Clinical Pathology, University Medical Center, Geneva, Switzerland
| | - Sylvain Terraz
- Department of Radiology, Geneva University Hospital, Geneva, Switzerland
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Ypsilantis P, Lambropoulou M, Alexiadis G, Papadopoulos N, Simopoulos C. A case of diffuse bilateral scrotal neurofibroma in a rabbit. J Small Anim Pract 2013; 54:491-4. [PMID: 23551182 DOI: 10.1111/jsap.12053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
This report details a rare case of diffuse bilateral scrotal neurofibroma complicated by hindlimb paralysis in a rabbit. The animal was evaluated for unusual bilateral scrotal enlargement. After physical examination, ultrasound scan, radiography, computed tomography and laparoscopy, surgical exploration of the scrotum was undertaken. A homogeneous rubbery firm mass was revealed in contact with the subcutaneous tissue expanding to the entire scrotum without involving the testicles. The mass was excised and diagnosed as diffuse scrotal neurofibroma based on histological and immunohistochemical findings (S-100 antibody positive). Over the following month, progressive neurological signs (faecal incontinence, flaccid bladder and hindlimb paralysis) were observed. After excluding central nervous system infection with Encephalitozoon cuniculi, expansion of the neurofibroma to the vertebral canal causing compression of the spinal cord was suspected, although not histopathologically verified.
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Affiliation(s)
- P Ypsilantis
- Laboratory of Experimental Surgery and Surgical Research, School of Medicine, Democritus University of Thrace, Alexandroupolis, Greece
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5
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Mohammed RH, Hussein YR. Intrascrotal multiple neurofibromas unassociated with neurofibromatosis: a case report. Int J Surg Pathol 2012. [PMID: 23204034 DOI: 10.1177/1066896912467372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
We report the case of a 33-year-old male with multiple intrascrotal neurofibromas not associated with neurofibromatosis, treated by surgical excision.
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Hosseini MM, Geramizadeh B, Shakeri S, Karimi MH. Intrascrotal solitary neurofibroma: A case report and review of the literature. Urol Ann 2012; 4:119-21. [PMID: 22629013 PMCID: PMC3355698 DOI: 10.4103/0974-7796.95569] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2010] [Accepted: 02/27/2011] [Indexed: 11/25/2022] Open
Abstract
Solitary Neurofibroma of the scrotum is an extremely rare benign tumor, particularly when it is not associated with neurofibromatosis type I. To the best of our knowledge, less than 10 cases have been reported in the English literature. Herein, we report a 52-year-old man with the diagnosis of scrotal solitary neurofibroma.
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7
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Soyer T, Vargel I, Ayva S, Cavuşoğlu T, Cesur O, Bülbül S, Cakmak M. Intrascrotal extratesticular neurofibroma as a possible cause of failed descent in ipsilateral testis. Indian J Pediatr 2012; 79:117-9. [PMID: 21617903 DOI: 10.1007/s12098-011-0473-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/21/2011] [Accepted: 05/05/2011] [Indexed: 11/25/2022]
Abstract
Intrascrotal extratesticular neurofibromas (IEN) often originate from genitofemoral nerve (GFN) and present as a paratesticular mass. Synchronous presence of IEN and undescended testis has not been reported previously. A 12-year-old boy with neurocutaneous syndrome and congenital giant melanocytic nevi along with IEN and ipsilateral undescended testis is presented, to discuss the underlying pathophysiology of failed testicular descent in the presence of IEN.
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Affiliation(s)
- Tutku Soyer
- Department of Pediatric Surgery, School of Medicine, Kırıkkale University, 71100 Kırıkkale, Turkey.
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Atalla H, Al Hetmi T, Makki A, Al sharkawy M. Abnormal Presentation of Neurofibromatosis: Review of the Literature. Qatar Med J 2011. [DOI: 10.5339/qmj.2011.1.17] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Multiple Neurofibromatosis (NF) is a disease of great interest because of the familial nature of the disease, the complexity of its morphology, the progressive character of its course and the numerous complications that may develop during its evolution. The authors present a late presentation of a genital NF type 1 affecting the penis and the right lower limb of a young adult.
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Affiliation(s)
- H.H. Atalla
- Plastic Surgery Unit, Department of Surgery, Hamad Medical Corporation Doha, Qatar
| | - T. Al Hetmi
- Plastic Surgery Unit, Department of Surgery, Hamad Medical Corporation Doha, Qatar
| | - A.S. Makki
- Plastic Surgery Unit, Department of Surgery, Hamad Medical Corporation Doha, Qatar
| | - M. Al sharkawy
- Plastic Surgery Unit, Department of Surgery, Hamad Medical Corporation Doha, Qatar
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9
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Gupta S, Gupta R, Singh S, Pant L. Solitary intrascrotal neurofibroma: a case diagnosed on aspiration cytology. Diagn Cytopathol 2010; 39:843-6. [PMID: 21994196 DOI: 10.1002/dc.21558] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2010] [Accepted: 09/02/2010] [Indexed: 11/07/2022]
Abstract
Solitary neurofibroma of the scrotum is exceedingly rare and very few cases of this unusual occurrance have been reported till date. None of the previously reported cases had a preoperative cytologic diagnosis. A young man presented with an eight-month history of right scrotal swelling. Fine-needle aspiration cytology showed a spindle cell tumor with fibrillary matrix and wavy slender nuclei. A cytologic diagnosis of benign nerve sheath tumor was rendered. The patient underwent surgical excision of the mass and histopathologic examination confirmed the diagnosis of a neurofibroma. This case is the first reported instance of aspiration cytologic diagnosis of intrascrotal neurofibroma. This rare tumor should be considered in the cytologic differential diagnoses of testicular and paratesticular tumors.
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Affiliation(s)
- Shilpa Gupta
- Department of Pathology, Hindu Rao Hospital, Delhi, India
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Shibano S, Iguchi T, Nakatani T. A case of scrotal neurofibroma originating from subcutaneous neural tissue. Int J Urol 2010; 17:387-8. [PMID: 20409236 DOI: 10.1111/j.1442-2042.2010.02481.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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11
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Neurofibroma solitario en pared abdominal en paciente sin neurofibromatosis: reporte de caso. BIOMEDICA 2009. [DOI: 10.7705/biomedica.v29i4.123] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
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12
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Milathianakis KN, Karamanolakis DK, Mpogdanos IM, Trihia-Spyrou EI. Solitary neurofibroma of the spermatic cord. Urol Int 2004; 72:271-4. [PMID: 15084777 DOI: 10.1159/000077130] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2001] [Accepted: 10/29/2002] [Indexed: 11/19/2022]
Abstract
Neurofibromas, which arise from perineural and Schwann cells, commonly occur throughout the body, but they rarely have been reported to originate from the spermatic cord. The solitary neurofibroma is a localized tumour that, by definition, occurs in patients who do not have von Recklinghausen's disease. Its exact incidence is unknown because of the difficulty in excluding von Recklinghausen's disease in some cases. Leiomyomas, lipomas, fibromas, haemangiomas, and epidermoid cysts have been described as benign tumours of the scrotum, but rarely has an extratesticular solitary neurofibroma of the spermatic cord been reported. We report a case of a solitary neurofibroma arising from the left spermatic cord. No signs of von Recklinghausen's disease were identified.
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Türkyilmaz Z, Sönmez K, Karabulut R, Dursun A, Işik I, Başaklar C, Kale N. A childhood case of intrascrotal neurofibroma with a brief review of the literature. J Pediatr Surg 2004; 39:1261-3. [PMID: 15300541 DOI: 10.1016/j.jpedsurg.2004.04.026] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Solitary neurofibroma unassociated with neurofibromatosis type I (NFI) arising within the scrotum is an extremely rare benign tumor. There are 8 cases reported in the literature with only 1 that occurred in childhood. In the current report the authors describe an additional adolescent patient, the second case encountered in childhood and the ninth case reported in the literature, together with a review of the related articles.
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Affiliation(s)
- Zafer Türkyilmaz
- Department of Pediatric Surgery, Gazi University Medical Caculty, Ankara, Turkey
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Deliveliotis C, Albanis S, Skolarikos A, Varkarakis J, Protogerou V, Tamvakis N, Alargof E. Solitary neurofibroma of the spermatic cord. Int Urol Nephrol 2004; 34:373-5. [PMID: 12899231 DOI: 10.1023/a:1024415016017] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
We report a case of solitary neurofibroma of the spermatic cord. Such benign tumors arise from perineural and Schwann cells and may be located in various parts of the body, but are rarely observed in the spermatic cord. No clinical or laboratorial manifestations of von Recklinghausen disease (Neurofibromatosis) were identified. Distinct criteria have been established for a diagnosis of von Recklinghausen disease, so that a solitary neurofibroma may not represent this complex. Only a little number of solitary neurofibromas of the spermatic cord are reported in the literature.
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Affiliation(s)
- Charalampos Deliveliotis
- Department of Urology, Sismanoglio Hospital, Medical School of Kapodistrian, University of Athens, Greece
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15
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Mishra VC, Kumar R, Cooksey G. Intrascrotal neurofibroma. SCANDINAVIAN JOURNAL OF UROLOGY AND NEPHROLOGY 2003; 36:385-6. [PMID: 12487746 DOI: 10.1080/003655902320783926] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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