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[Neurofibroma in Children hand - Case Report and Literature Review]
C Biehl1, C Schäfer1, C Heiss1
1Klinik und Poliklinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätskliniken Gießen und Marburg GmbH (UKGM), Standort Gießen.
Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|March 6, 2020
Summary
A rare symptomatic neurofibroma occurred in a 9-year-old girl's hand, affecting nerves and grip function. This case highlights the unusual presentation of neurofibromas in pediatric patients, particularly on the hand.
Area of Science:
- Pediatric Oncology
- Surgical Oncology
- Clinical Case Reports
Background:
- Neurofibromas are typically benign nerve sheath tumors, often associated with neurofibromatosis.
- Pediatric neurofibromas are uncommon, with onset usually occurring after age 7.
- Hand neurofibromas are exceedingly rare, especially when symptomatic.
Observation:
- A 9-year-old female presented with symptoms affecting the third and fourth metacarpals of her right palm.
- Clinical examination revealed sensory disturbances and impaired gripping function.
- Imaging and biopsy confirmed the presence of a neurofibroma.
Findings:
- The patient was diagnosed with a symptomatic neurofibroma of the right palm.
- The tumor's location and associated functional deficits are highly unusual for pediatric cases.
- Histopathological analysis confirmed the diagnosis of neurofibroma.
Implications:
- This case underscores the importance of considering rare presentations of common conditions in pediatric patients.
- Early diagnosis and surgical intervention are crucial for managing symptomatic neurofibromas and preserving hand function.
- Further research into the etiology and management of pediatric hand neurofibromas is warranted.
