Beware of chest wall lesions

Beware of chest wall lesions Eur J Plast Surg (2011) 34:285–287 DOI 10.1007/s00238-010-0463-z CASE REPORT Niroshan Sivathasan & Gonzalo Ansede & Kaushik H. Chakrabarty Received: 3 May 2010 /Accepted: 27 May 2010 /Published online: 17 June 2010 Springer-Verlag 2010 Sir, surgeon in 2009 for excision of a hemispherical soft well- Neurofibromatoses (NF) are genetically and clinically circumscribed very slowly enlarging, but otherwise asymp- distinct neurocutaneous disorders, inherited in an autoso- tomatic subcutaneous lesion on the anteroinferior part of mal dominant fashion. The two key types comprise 95% of the chest wall (Fig. 1). This patient was fit and healthy and patients with NF and are classified as types 1 (NF1 or von had not had any similar lesions. Due to its size, location and Recklinghausen's disease) and 2 (NF2 or MISME syn- history, imaging was undertaken. Magnetic resonance drome), the latter being significantly rarer than the former. imaging revealed a well-defined flattened oval, enhancing NF1 has a predilection for cutaneous and peripheral 3 cm subcutaneous lesion intimately related to the left nervous pathologies, whereas NF2 is characterized by anterior thoracic wall and extending through the intercostal central neurological manifestations, notably vestibular muscles to reach the pleura. Imaging characteristics were schwannomas. suggestive of a neurofibroma. European Journal of Plastic Surgery Springer Journals

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Medicine & Public Health; Plastic Surgery
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