Diffuse Neurofibroma in a Patient with Unknown History of NF1

Malignant peripheral nerve sheath tumor (MPNST) is a rare disease in the parotid gland with a poor prognosis in most cases. The disease most often develops in the setting of neurofibromatosis type 1 (NF1) but can also occur sporadically. Herein, we report a rare case of MPNST in the parotid gland, i...

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Main Authors: Mahmoud A. K. Ebrahim, Mishal M. AlMutairi, Khaled M. Hindi, Jassem M. Bastaki
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2018/8768472
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author Mahmoud A. K. Ebrahim
Mishal M. AlMutairi
Khaled M. Hindi
Jassem M. Bastaki
author_facet Mahmoud A. K. Ebrahim
Mishal M. AlMutairi
Khaled M. Hindi
Jassem M. Bastaki
author_sort Mahmoud A. K. Ebrahim
collection DOAJ
description Malignant peripheral nerve sheath tumor (MPNST) is a rare disease in the parotid gland with a poor prognosis in most cases. The disease most often develops in the setting of neurofibromatosis type 1 (NF1) but can also occur sporadically. Herein, we report a rare case of MPNST in the parotid gland, in a patient with no previous history of NF1. Initial investigations of the patient, which consisted of laboratory investigations, ultrasound imaging of the swelling, fine-needle aspiration (FNA), computed tomography (CT) scan, and magnetic resonance imaging (MRI) of the neck and swelling, were compatible with a benign pleomorphic adenoma of the parotid gland. However, intraoperatively, the dissection was challenging as the tumor was adherent to the neighboring tissue. A diagnosis of MPNST arising from a diffuse neurofibroma was established based on clinicopathologic features of the disease. The patient, who exhibited clinical features compatible with (NF1), proceeded for radiotherapy following surgery to continue his treatment.
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institution Kabale University
issn 2090-6765
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publishDate 2018-01-01
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series Case Reports in Otolaryngology
spelling doaj-art-668836368a384934a0aa69477370386d2025-02-03T05:52:03ZengWileyCase Reports in Otolaryngology2090-67652090-67732018-01-01201810.1155/2018/87684728768472Diffuse Neurofibroma in a Patient with Unknown History of NF1Mahmoud A. K. Ebrahim0Mishal M. AlMutairi1Khaled M. Hindi2Jassem M. Bastaki3Farwaniya Hospital, Ministry of Health, Kuwait City, KuwaitZain Hospital, Ministry of Health, Kuwait City, KuwaitKuwait Institute Medical Specialties, Kuwait City, KuwaitAl-Sabah Hospital, Ministry of Health, Kuwait City, KuwaitMalignant peripheral nerve sheath tumor (MPNST) is a rare disease in the parotid gland with a poor prognosis in most cases. The disease most often develops in the setting of neurofibromatosis type 1 (NF1) but can also occur sporadically. Herein, we report a rare case of MPNST in the parotid gland, in a patient with no previous history of NF1. Initial investigations of the patient, which consisted of laboratory investigations, ultrasound imaging of the swelling, fine-needle aspiration (FNA), computed tomography (CT) scan, and magnetic resonance imaging (MRI) of the neck and swelling, were compatible with a benign pleomorphic adenoma of the parotid gland. However, intraoperatively, the dissection was challenging as the tumor was adherent to the neighboring tissue. A diagnosis of MPNST arising from a diffuse neurofibroma was established based on clinicopathologic features of the disease. The patient, who exhibited clinical features compatible with (NF1), proceeded for radiotherapy following surgery to continue his treatment.http://dx.doi.org/10.1155/2018/8768472
spellingShingle Mahmoud A. K. Ebrahim
Mishal M. AlMutairi
Khaled M. Hindi
Jassem M. Bastaki
Diffuse Neurofibroma in a Patient with Unknown History of NF1
Case Reports in Otolaryngology
title Diffuse Neurofibroma in a Patient with Unknown History of NF1
title_full Diffuse Neurofibroma in a Patient with Unknown History of NF1
title_fullStr Diffuse Neurofibroma in a Patient with Unknown History of NF1
title_full_unstemmed Diffuse Neurofibroma in a Patient with Unknown History of NF1
title_short Diffuse Neurofibroma in a Patient with Unknown History of NF1
title_sort diffuse neurofibroma in a patient with unknown history of nf1
url http://dx.doi.org/10.1155/2018/8768472
work_keys_str_mv AT mahmoudakebrahim diffuseneurofibromainapatientwithunknownhistoryofnf1
AT mishalmalmutairi diffuseneurofibromainapatientwithunknownhistoryofnf1
AT khaledmhindi diffuseneurofibromainapatientwithunknownhistoryofnf1
AT jassemmbastaki diffuseneurofibromainapatientwithunknownhistoryofnf1