Monday, September 9, 2013

Neurofibroma.....an uncommon skin nodule


Lumps,bumps,nodules and polyps are interchangeable clinical terms that doctors and laity alike use to describe various protruding skin conditions that are of significance.

One such lump is a Neurofibroma(see pic.)

Neurofibroma(singular)/neurofibromata(plural) is a protruding skin nodule of varying sizes that occur on any skin surface.

They are usually painless but can be painful if large enough.

They can grow in size or remain small for a long time.

They arise from the nerve sheath cell that surrounds nerve cells.

They are genetically determined and as such familial in nature, i.e..it runs in family.

If they are small and few in numbers,there are no clinical significance.If they are large in size and numbers and located in clinically important areas like face,then it becomes a very important clinical problem that needs treatment.

The only treatment for a few clinically significant Neurofibromata is Surgical Excision.But for a large numbers,no surgery is possible,and patient is counseled to accept to live with the condition.Painkillers can be given.

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