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Giant Neurofibroma of the Chest Wall

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IMAGES IN CARDIOTHORACIC SURGERY

Giant Neurofibroma of the Chest Wall

Nurettin Karaog˘lanog˘lu,

MD

, Ibrahim Can Ku¨rkc¸u¨og˘lu,

MD

, and Atilla Erog˘lu,

MD

Atatu¨rk University, Medical Faculty, Department of Thoracic Surgery, Erzurum, Turkey

A

20-year-old female was admitted with a slow-growing, painless, giant mass originating from the right axillary and thorax wall. On physical examination, the mass was hard, fixed, necrotized, and nontender (Fig 1). Magnetic resonance imaging and Computed tomog-raphy of the chest (Fig 2) confirmed a well-defined heterogeneous soft tissue density tumor without signs of rib erosion or axillary vascular connection. An incisional

biopsy of the tumor established the diagnosis of neuro-fibroma (Fig 3). Resection of the entire soft tissue mass was performed. At surgery a well-circumscribed mass not attached to ribs and axillary vascular tissue was found. After resecting a 27⫻ 19 ⫻ 16 cm mass, the chest wall and axillary cutaneous defect was reconstructed with musculocutaneous flap. She had an uneventful recovery and was discharged home 10 days after surgery. She is doing well at the 10-month follow-up visit (Fig 4). It is impossible to surgically remove all neurofibromas, but resection of large and aggressive fibromas can im-prove a patient’s condition and provide good quality of life.

Address reprint requests to Dr Dr Karaog˘lanog˘lu, Department of Tho-racic Surgery, Faculty of Medicine, Atatu¨rk University, 25240 Erzurum, Turkey; e-mail: nkaraoglanoglu@hotmail.com.

Fig 1.

Fig 2.

Fig 3.

Fig 4.

© 2004 by The Society of Thoracic Surgeons Ann Thorac Surg 2004;78:718 • 0003-4975/04/$30.00 Published by Elsevier Inc doi:10.1016/S0003-4975(03)01187-1

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