GIANT SOLITARY NEUROFIBROMA IN THE GLUTEAL AREA OF A PATIENT WITHOUT NEUROFIBROMATOSIS

Area of Science:

• Oncology
• Neurosurgery
• Pathology

Background:

• Neurofibromas are benign tumors originating from nerve and perineural cells.
• While common in neurofibromatosis, solitary neurofibromas can occur independently.
• Differentiating between syndromic and isolated neurofibromas is crucial for management.

Observation:

• A rare case of a giant gluteal mass in a male patient was investigated.
• The patient had no personal or family history of neurofibromatosis.
• Pre-operative imaging provided essential details on the mass's extent.

Findings:

• The giant gluteal mass was completely excised.
• Histological examination confirmed the tumor as a non-plexiform neurofibroma.
• The patient's condition was diagnosed as a solitary neurofibroma.

Implications:

• Solitary neurofibromas have a favorable prognosis following complete surgical resection.
• Accurate diagnosis is vital as treatment and outcomes differ from neurofibromatosis-associated tumors.
• This case highlights the importance of considering isolated presentations of neurofibromas.