A rare cause of cervical swelling: Solitary plexiform neurofibroma

Ahmed Brahim Ahmedou; Mennouni Mohamed Amine; Oukessou Youssef; Rouadi Sami; Redallah Abada; Roubal Mohamed; Mahtar Mohamed; Regragui Meriem; Karkouri Mehdi

doi:10.1016/j.amsu.2021.102225

A rare cause of cervical swelling: Solitary plexiform neurofibroma

Ann Med Surg (Lond). 2021 Mar 16:64:102225. doi: 10.1016/j.amsu.2021.102225. eCollection 2021 Apr.

Authors

Ahmed Brahim Ahmedou¹, Mennouni Mohamed Amine¹, Oukessou Youssef¹, Rouadi Sami¹, Redallah Abada¹, Roubal Mohamed¹, Mahtar Mohamed¹, Regragui Meriem², Karkouri Mehdi²

Affiliations

¹ ENT, Head and Neck Surgery Department, Ibn Rochd University Hospital, Faculty of Medicine and Pharmacy, Hassan II, Casablanca, Morocco.
² Pathology Department, Centre IBN ROCHD, Casablanca, Morocco.

Abstract

Introduction: Plexiform cervical neurofibromas are benign neoplasm, extremely rare, difficult to diagnose and to manage. Only some cases have been reported in the literature.

Case presentation: We report the case of a 60-year-old man admitted for a lateral neck mass, for which the surgical indication was the increase in volume of this mass, as well as the aesthetical impairment, the surgical exploration found the tumor attached to the cervical plexus. The excision of the mass was performed without damaging nerve. The pathological study was in favor of a plexiform neurofibroma.

Discussion: Even though Plexiform cervical neurofibroma are extremely rare, and their diagnosis are not often primary evoked in front of any growing mass of this region, the surgeon must keep in mind the existence of these neoplasms as a differential diagnosis of a neck tumor.

Conclusion: Surgery remains the gold standard in the treatment of these locally invasive tumors. It is essential that the surgeon keep in mind the possibility of these tumors as a differential diagnosis of a neck tumor.

Keywords: Neck region; Solitary neurofibroma; Surgery.

Publication types

Case Reports