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Intermittent dysphagia revealing a lateropharyngeal neurofibroma in a child: Case report: A case report
Wydadi Omar1, Ahmed Brahim Ahmedou1, Oukessou Youssef1
1ENT, Head and Neck Surgery Department, Ibn Rochd UniversityHospital, Faculty of Medicine and Pharmacy, Hassan II, Casablanca, Morocco.
Insights
Neurofibromatosis type 1 (NF1) can present with cervical neurofibromas causing dysphagia. Conservative management with regular monitoring may be appropriate for slow-growing tumors in NF1 patients.
Area of Science:
- Medical Genetics
- Pediatric Neurology
Background:
- Neurofibromatosis type 1 (NF1) is a genetic disorder.
- Characterized by café-au-lait spots, neurofibromas, and potential neoplasms.
Observation:
- A 12-year-old patient with NF1 presented with dysphagia and a cervical neurofibroma.
- Symptoms included intermittent dysphagia and a sensation of food attachment.
Findings:
- The patient was monitored for two years with annual CT scans.
- Minimal progression of dysphagia and no significant growth of the cervical mass were observed.
Implications:
- Treatment for NF1-related cervical neurofibromas is not standardized.
- Conservative management and watchful waiting can be a viable approach.
Introduction:
Neurofibromatosis type 1 (NF1) is an disorder characterised by various phenotypic features like hyperpigmented spots, neurofibromas, Lisch nodules, skeletal abnormalities and tendency to develop neoplasms.
Case Presentation:
We present the case of a 12-year-old patient referred by his pediatrician for intermittent dysphagia and a sensation of food attachment, in whom several café-au-lait spots on the body had been found, and a case of type 1 neurofibromatosis in the patient's siblings. The decision was to closely follow-up the patient, the progression of his symptoms and the size of the cervical neurofibroma. The patient's current follow-up has been two years, with a minimal increase in the frequency of episodes of dysphagia, and with Ct-scan performed every year. No major growth of the cervical mass was noted.
Discussion:
Neurofibromatosis type 1 (NF1) is an autosomal dominant disorder characterised by various phenotypic features like hyperpigmented spots, neurofibromas, Lisch nodules, skeletal abnormalities and tendency to develop neoplasms.
Conclusion:
The treatment is not codified and abstention therapeutic may be a wise decision.
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