1
|
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.
Collapse
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
| | | |
Collapse
|
2
|
Yu M, Li K, Liu D, Tan Y. Safety and Efficacy of Endoscopic Treatment of Solitary Gastric Neurofibroma. Int J Gen Med 2022; 15:279-289. [PMID: 35023965 PMCID: PMC8747736 DOI: 10.2147/ijgm.s339564] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Accepted: 12/16/2021] [Indexed: 12/02/2022] Open
Abstract
Purpose The studies on solitary gastric neurofibroma (GN) consist of only individual case reports, with little data and relevant information. We aimed to summarize the clinical features, endoscopic features, imaging findings, and pathological features and study the safety and efficacy of endoscopic treatment of solitary GN. Patients and Methods We retrospectively collected and analyzed clinical data of patients who underwent endoscopic treatment in Department of Gastroenterology of a well-known tertiary hospital from August 2007 to September 2019 and were accurately diagnosed as having solitary GN. Results A total of 788 patients with gastric submucosal tumors underwent endoscopic treatment, among whom 11 patients were found to have solitary GNs. The incidence of solitary GNs was 1.4%. All 11 patients were treated with endoscopy. Five patients underwent endoscopic full-thickness resection (EFTR) and six patients underwent endoscopic submucosal excavation (ESE). The en bloc resection rate of the 11 lesions was 100.0%. The median endoscopic operation time was 80 minutes. Average length of hospital stay was 6.4 ± 1.6 days. The median follow-up time was 29 months. No recurrence, distant metastasis, or disease-related death occurred during the follow-up. Conclusion EFTR and ESE can serve as feasible, safe, and effective treatments for solitary GN.
Collapse
Affiliation(s)
- Meihong Yu
- Department of Gastroenterology, The Second Xiangya Hospital of Central South University, Changsha, Hunan, People's Republic of China.,Research Center of Digestive Disease, Central South University, Changsha, Hunan, People's Republic of China
| | - Kaixuan Li
- Department of Urology, Xiangya Hospital of Central South University, Changsha, Hunan, People's Republic of China
| | - Deliang Liu
- Department of Gastroenterology, The Second Xiangya Hospital of Central South University, Changsha, Hunan, People's Republic of China.,Research Center of Digestive Disease, Central South University, Changsha, Hunan, People's Republic of China
| | - Yuyong Tan
- Department of Gastroenterology, The Second Xiangya Hospital of Central South University, Changsha, Hunan, People's Republic of China.,Research Center of Digestive Disease, Central South University, Changsha, Hunan, People's Republic of China
| |
Collapse
|
3
|
Abdullah, Xing JP. A case report of solitary neurofibroma of the Vas deferens. Urol Case Rep 2019; 28:101057. [PMID: 31763167 PMCID: PMC6861589 DOI: 10.1016/j.eucr.2019.101057] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2019] [Revised: 10/21/2019] [Accepted: 10/23/2019] [Indexed: 11/03/2022] Open
Abstract
Solitary neurofibroma of the male genital tract is a rare benign peripheral nerve sheath tumor which is considered to originate from the Schwann cell. Neurofibroma of the male genital tract has been reported extremely rarely in the literature. We present a case of neurofibroma of the Vas deferens in a 59-year-old patient. The clinical and pathological data of a patient with Neurofibroma of the Vas deferens were retrospectively analyzed and radical resection of the left side spermatic cord tumor was performed. This case report will help in understanding this rare tumor.
Collapse
Affiliation(s)
- Abdullah
- Department of Urology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061, PR China
| | - Jun-Ping Xing
- Department of Urology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061, PR China
| |
Collapse
|
4
|
Affiliation(s)
- S Rajaian
- Department of Urology, MIOT International, 4/112, Mount Poonamallee Road, Manapakkam, Chennai - 600 089, Tamil Nadu, India
| | - A S Paulraj
- Department of Urology, MIOT International, 4/112, Mount Poonamallee Road, Manapakkam, Chennai - 600 089, Tamil Nadu, India
| | - L Murugesan
- Department of Urology, MIOT International, 4/112, Mount Poonamallee Road, Manapakkam, Chennai - 600 089, Tamil Nadu, India
| |
Collapse
|
5
|
Dagur G, Gandhi J, Kapadia K, Inam R, Smith NL, Joshi G, Khan SA. Neoplastic diseases of the spermatic cord: an overview of pathological features, evaluation, and management. Transl Androl Urol 2017; 6:101-110. [PMID: 28217455 PMCID: PMC5313312 DOI: 10.21037/tau.2017.01.04] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
Extracellular tumors found with the spermatic cord, known as neoplasms, are usually identified to be benign. However, the accurate and timely diagnosis of spermatic cord masses is highly crucial, especially when most results are often overlooked or unclear. In this review, we discuss the anatomy and embryology of the spermatic cord. Upon rooting these fundamental concepts, we discuss an array of benign and malignant neoplastic tumors, including their origin, pathological features, clinical evaluation and management, as well as other case-specific characteristics of unique presentation. Many of these neoplasms are based on local neurological, vascular, muscular, bone, soft tissue, or lymphatic origin, while others have metastasized from particular areas of the body.
Collapse
Affiliation(s)
- Gautam Dagur
- Department of Physiology and Biophysics, Stony Brook University School of Medicine, Stony Brook, NY, USA
| | - Jason Gandhi
- Department of Physiology and Biophysics, Stony Brook University School of Medicine, Stony Brook, NY, USA
| | - Kailash Kapadia
- Department of Physiology and Biophysics, Stony Brook University School of Medicine, Stony Brook, NY, USA
| | - Rafid Inam
- Department of Physiology and Biophysics, Stony Brook University School of Medicine, Stony Brook, NY, USA
| | | | - Gargi Joshi
- Department of Physiology and Biophysics, Stony Brook University School of Medicine, Stony Brook, NY, USA
| | - Sardar Ali Khan
- Department of Physiology and Biophysics, Stony Brook University School of Medicine, Stony Brook, NY, USA;; Department of Urology, Stony Brook University School of Medicine, Stony Brook, NY, USA
| |
Collapse
|
6
|
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.
Collapse
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
| |
Collapse
|
7
|
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: 9] [Impact Index Per Article: 0.8] [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.
Collapse
|
8
|
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.
Collapse
Affiliation(s)
- Shilpa Gupta
- Department of Pathology, Hindu Rao Hospital, Delhi, India
| | | | | | | |
Collapse
|
9
|
Panteris V, Vassilakaki T, Vaitsis N, Elemenoglou I, Mylonakou I, Karamanolis DG. Solitary colonic neurofibroma in a patient with transient segmental colitis: Case report. World J Gastroenterol 2005; 11:5573-6. [PMID: 16222760 PMCID: PMC4320377 DOI: 10.3748/wjg.v11.i35.5573] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
Neurofibromas of the large bowel are very rare and usually are part of the colonic involvement in neurofibromatosis type 1 (Nf1, von Recklinghausen’s disease). Solitary neurofibromas of the colon are extremely rare. We describe a case of an isolated neurofibroma that was found in the large bowel of a patient who suffered from segmental colitis and presented with bloody diarrhea. A review of the literature is also included, concerning the disclosure of isolated neurofibromas in the gut and other body parts and the type of gastrointestinal involvement in von Recklinghausen’s disease.
Collapse
Affiliation(s)
- Vasilios Panteris
- Department of Gastroenterology, Tzaneion General Hospital, Zanni and Afentouli 1, Piraeus 18536, Greece.
| | | | | | | | | | | |
Collapse
|