Clinical and radiological repercussions of plexiform neurofibroma in the pelvic region.
The authors report the case of a plexiform neurofibroma located in the pelvis, affecting the bladder, prostate and spine (lumbar/sacral), followed-up for three years and six months. Surgical removal was contraindicated and the patient underwent biannual clinical and radiological follow-up that did not demonstrate any tumor increase. The clinical manifestations of neurofibromatosis type 1 are variable, and the medical team should be attentive to further investigations, considering possible unexpected rare findings. Large pelvic masses may correspond to plexiform neurofibromas, so the diagnostic hypothesis of neurofibromatosis should be taken into consideration.
Trainee in Dermatology at Instituto de Dermatologia Prof. Rubem David Azulay - Santa Casa da Misericórdia do Rio de Janeiro (IDPRDA/SCMRJ), MD, Collaborator of Centro Nacional de Neurofibromatose (CNNF), Rio de Janeiro, RJ, Brazil.
Érica Bertolace
ÉB
Slaibi
Specialist in Medical Genetics, Physician at Centro Nacional de Neurofibromatose (CNNF), Rio de Janeiro, RJ, Brazil.
João Gabriel Lima
JG
Daher
Specialist in Medical Genetics, Physician at Instituto de Puericultura e Pediatria Martagão Gesteira - Universidade Federal do Rio de Janeiro (IPPMG-UFRJ), Rio de Janeiro, RJ, Brazil.
Gustavo Guida Godinho
GG
da Fonseca
MD, Radiologist, Casa de Saúde João XXIII, Itaocara, RJ, Brazil.
Carlos Magno
CM
Daher
Full Professor of Clinical Immunology, Instituto de Pós-Graduação Médica Carlos Chagas (IPGMCC), Teacher and Coordinator, Unit of Phakomatosis, Service of Genetics, Instituto de Puericultura e Pediatria Martagão Gesteira - Universidade Federal do Rio de Janeiro (IPPMG/UFRJ), Rio de Janeiro, RJ, Brazil.
Mauro
M
Geller
PhD of Biological Sciences (Genetics), Associate Professor, Department of Pediatrics, School of Medicine, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.
Márcia Gonçalves
MG
Ribeiro
Neurofibromatosis type 1; Pelvis; Plexiform neurofibroma