Surgical management of a giant plexiform neurofibroma of the lower extremity.
Identifieur interne : 007A78 ( PubMed/Checkpoint ); précédent : 007A77; suivant : 007A79Surgical management of a giant plexiform neurofibroma of the lower extremity.
Auteurs : Andrew L. Ross [États-Unis] ; Zubin Panthaki ; Allan D. LeviSource :
- World neurosurgery [ 1878-8769 ]
Descripteurs français
- KwdFr :
- Adulte, Cellulite sous-cutanée (), Cellulite sous-cutanée (étiologie), Complications postopératoires (), Complications postopératoires (étiologie), Drainage, Examen neurologique, Faiblesse musculaire (étiologie), Fièvre (), Fièvre (étiologie), Humains, Membre inférieur (), Mâle, Neurofibromatose de type 1 (), Neurofibrome plexiforme (), Oedème (), Oedème (étiologie), Procédures de neurochirurgie (), Traitement des plaies par pression négative, Tumeurs des gaines nerveuses (), Tumeurs du système nerveux périphérique ().
- MESH :
- étiologie : Cellulite sous-cutanée, Complications postopératoires, Faiblesse musculaire, Fièvre, Oedème.
- Adulte, Cellulite sous-cutanée, Complications postopératoires, Drainage, Examen neurologique, Fièvre, Humains, Membre inférieur, Mâle, Neurofibromatose de type 1, Neurofibrome plexiforme, Oedème, Procédures de neurochirurgie, Traitement des plaies par pression négative, Tumeurs des gaines nerveuses, Tumeurs du système nerveux périphérique.
English descriptors
- KwdEn :
- Adult, Cellulitis (etiology), Cellulitis (therapy), Drainage, Edema (etiology), Edema (therapy), Fever (etiology), Fever (therapy), Humans, Lower Extremity (surgery), Male, Muscle Weakness (etiology), Negative-Pressure Wound Therapy, Nerve Sheath Neoplasms (surgery), Neurofibroma, Plexiform (surgery), Neurofibromatosis 1 (complications), Neurologic Examination, Neurosurgical Procedures (methods), Peripheral Nervous System Neoplasms (surgery), Postoperative Complications (etiology), Postoperative Complications (therapy).
- MESH :
- complications : Neurofibromatosis 1.
- etiology : Cellulitis, Edema, Fever, Muscle Weakness, Postoperative Complications.
- methods : Neurosurgical Procedures.
- surgery : Lower Extremity, Nerve Sheath Neoplasms, Neurofibroma, Plexiform, Peripheral Nervous System Neoplasms.
- therapy : Cellulitis, Edema, Fever, Postoperative Complications.
- Adult, Drainage, Humans, Male, Negative-Pressure Wound Therapy, Neurologic Examination.
Abstract
The authors review their experience with the management of a giant 49-kg (108 lb) neurofibroma of the lower extremity in a 37-year-old male with NF1. The patient presented with right thigh pain, paresthesias, increasing edema, and accelerated growth of the mass. The patient was taken to the operating room, where approximately 39 kg (86 lb) of tumor and 10 L (22 lb) of interstitial fluid was removed. The postoperative course was complicated by cellulitis, delayed wound closure, and recurrent lymphedema. Complications were managed with antibiotics, ultrasound-guided drainage, surgical revision of closure, compressive dressings, passive drainage, and vacuum-assisted wound closure. Giant neurofibromas similar to this tumor require complex intraoperative and postoperative management strategies. Surgical closure is best managed with local flaps, and postoperative lymphedema is best managed with passive drainage and compressive dressings.
DOI: 10.1016/j.wneu.2010.09.030
PubMed: 21704948
Affiliations:
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Ross</name><affiliation wicri:level="2"><nlm:affiliation>Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida</wicri:regionArea><placeName><region type="state">Floride</region></placeName></affiliation></author><author><name sortKey="Panthaki, Zubin" sort="Panthaki, Zubin" uniqKey="Panthaki Z" first="Zubin" last="Panthaki">Zubin Panthaki</name></author><author><name sortKey="Levi, Allan D" sort="Levi, Allan D" uniqKey="Levi A" first="Allan D" last="Levi">Allan D. Levi</name></author></analytic><series><title level="j">World neurosurgery</title><idno type="eISSN">1878-8769</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Cellulitis (etiology)</term><term>Cellulitis (therapy)</term><term>Drainage</term><term>Edema (etiology)</term><term>Edema (therapy)</term><term>Fever (etiology)</term><term>Fever (therapy)</term><term>Humans</term><term>Lower Extremity (surgery)</term><term>Male</term><term>Muscle Weakness (etiology)</term><term>Negative-Pressure Wound Therapy</term><term>Nerve Sheath Neoplasms (surgery)</term><term>Neurofibroma, Plexiform (surgery)</term><term>Neurofibromatosis 1 (complications)</term><term>Neurologic Examination</term><term>Neurosurgical Procedures (methods)</term><term>Peripheral Nervous System Neoplasms (surgery)</term><term>Postoperative Complications (etiology)</term><term>Postoperative Complications (therapy)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Cellulite sous-cutanée ()</term><term>Cellulite sous-cutanée (étiologie)</term><term>Complications postopératoires ()</term><term>Complications postopératoires (étiologie)</term><term>Drainage</term><term>Examen neurologique</term><term>Faiblesse musculaire (étiologie)</term><term>Fièvre ()</term><term>Fièvre (étiologie)</term><term>Humains</term><term>Membre inférieur ()</term><term>Mâle</term><term>Neurofibromatose de type 1 ()</term><term>Neurofibrome plexiforme ()</term><term>Oedème ()</term><term>Oedème (étiologie)</term><term>Procédures de neurochirurgie ()</term><term>Traitement des plaies par pression négative</term><term>Tumeurs des gaines nerveuses ()</term><term>Tumeurs du système nerveux périphérique ()</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Neurofibromatosis 1</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Cellulitis</term><term>Edema</term><term>Fever</term><term>Muscle Weakness</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Neurosurgical Procedures</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Lower Extremity</term><term>Nerve Sheath Neoplasms</term><term>Neurofibroma, Plexiform</term><term>Peripheral Nervous System Neoplasms</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Cellulitis</term><term>Edema</term><term>Fever</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Cellulite sous-cutanée</term><term>Complications postopératoires</term><term>Faiblesse musculaire</term><term>Fièvre</term><term>Oedème</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Drainage</term><term>Humans</term><term>Male</term><term>Negative-Pressure Wound Therapy</term><term>Neurologic Examination</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Cellulite sous-cutanée</term><term>Complications postopératoires</term><term>Drainage</term><term>Examen neurologique</term><term>Fièvre</term><term>Humains</term><term>Membre inférieur</term><term>Mâle</term><term>Neurofibromatose de type 1</term><term>Neurofibrome plexiforme</term><term>Oedème</term><term>Procédures de neurochirurgie</term><term>Traitement des plaies par pression négative</term><term>Tumeurs des gaines nerveuses</term><term>Tumeurs du système nerveux périphérique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The authors review their experience with the management of a giant 49-kg (108 lb) neurofibroma of the lower extremity in a 37-year-old male with NF1. The patient presented with right thigh pain, paresthesias, increasing edema, and accelerated growth of the mass. The patient was taken to the operating room, where approximately 39 kg (86 lb) of tumor and 10 L (22 lb) of interstitial fluid was removed. The postoperative course was complicated by cellulitis, delayed wound closure, and recurrent lymphedema. Complications were managed with antibiotics, ultrasound-guided drainage, surgical revision of closure, compressive dressings, passive drainage, and vacuum-assisted wound closure. Giant neurofibromas similar to this tumor require complex intraoperative and postoperative management strategies. Surgical closure is best managed with local flaps, and postoperative lymphedema is best managed with passive drainage and compressive dressings.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">21704948</PMID><DateCreated><Year>2011</Year><Month>06</Month><Day>27</Day></DateCreated><DateCompleted><Year>2011</Year><Month>08</Month><Day>30</Day></DateCompleted><DateRevised><Year>2016</Year><Month>05</Month><Day>19</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1878-8769</ISSN><JournalIssue CitedMedium="Internet"><Volume>75</Volume><Issue>5-6</Issue><PubDate><MedlineDate>2011 May-Jun</MedlineDate></PubDate></JournalIssue><Title>World neurosurgery</Title><ISOAbbreviation>World Neurosurg</ISOAbbreviation></Journal><ArticleTitle>Surgical management of a giant plexiform neurofibroma of the lower extremity.</ArticleTitle><Pagination><MedlinePgn>754-7</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.wneu.2010.09.030</ELocationID><Abstract><AbstractText>The authors review their experience with the management of a giant 49-kg (108 lb) neurofibroma of the lower extremity in a 37-year-old male with NF1. The patient presented with right thigh pain, paresthesias, increasing edema, and accelerated growth of the mass. The patient was taken to the operating room, where approximately 39 kg (86 lb) of tumor and 10 L (22 lb) of interstitial fluid was removed. The postoperative course was complicated by cellulitis, delayed wound closure, and recurrent lymphedema. Complications were managed with antibiotics, ultrasound-guided drainage, surgical revision of closure, compressive dressings, passive drainage, and vacuum-assisted wound closure. Giant neurofibromas similar to this tumor require complex intraoperative and postoperative management strategies. Surgical closure is best managed with local flaps, and postoperative lymphedema is best managed with passive drainage and compressive dressings.</AbstractText><CopyrightInformation>Copyright © 2010 Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ross</LastName><ForeName>Andrew L</ForeName><Initials>AL</Initials><AffiliationInfo><Affiliation>Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Panthaki</LastName><ForeName>Zubin</ForeName><Initials>Z</Initials></Author><Author ValidYN="Y"><LastName>Levi</LastName><ForeName>Allan D</ForeName><Initials>AD</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D002363">Case Reports</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>World Neurosurg</MedlineTA><NlmUniqueID>101528275</NlmUniqueID><ISSNLinking>1878-8750</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002481" MajorTopicYN="N">Cellulitis</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004322" MajorTopicYN="N">Drainage</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004487" MajorTopicYN="N">Edema</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005334" MajorTopicYN="N">Fever</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D035002" MajorTopicYN="N">Lower Extremity</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018908" MajorTopicYN="N">Muscle Weakness</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D054843" MajorTopicYN="N">Negative-Pressure Wound Therapy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018317" MajorTopicYN="N">Nerve Sheath Neoplasms</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018318" MajorTopicYN="N">Neurofibroma, Plexiform</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009456" MajorTopicYN="N">Neurofibromatosis 1</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009460" MajorTopicYN="N">Neurologic Examination</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D019635" MajorTopicYN="N">Neurosurgical Procedures</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010524" MajorTopicYN="N">Peripheral Nervous System Neoplasms</DescriptorName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2010</Year><Month>08</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2010</Year><Month>09</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2011</Year><Month>6</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2011</Year><Month>6</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2011</Year><Month>8</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">21704948</ArticleId><ArticleId IdType="pii">S1878-8750(10)00700-X</ArticleId><ArticleId IdType="doi">10.1016/j.wneu.2010.09.030</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Floride</li></region></list><tree><noCountry><name sortKey="Levi, Allan D" sort="Levi, Allan D" uniqKey="Levi A" first="Allan D" last="Levi">Allan D. Levi</name><name sortKey="Panthaki, Zubin" sort="Panthaki, Zubin" uniqKey="Panthaki Z" first="Zubin" last="Panthaki">Zubin Panthaki</name></noCountry><country name="États-Unis"><region name="Floride"><name sortKey="Ross, Andrew L" sort="Ross, Andrew L" uniqKey="Ross A" first="Andrew L" last="Ross">Andrew L. Ross</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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