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Dumbbell-Shaped Neurofibroma Over the External Ear.

Shirol SS, Kodaganur S, Dani AA, Bhagwat PV - J Cutan Aesthet Surg (2015 Jul-Sep)

Bottom Line: Dumbbell-shaped swellings in neurofibroma have been commonly described in the spine, thorax, cranial cavity, and pelvis; however, dumbbell-shaped swellings in the peripheries are rare.Here, we report a dumbbell-shaped neurofibroma over the pinna in an 18-year-old female patient, its successful surgical management, and its association with Hashimoto thyroiditis.To the best of our knowledge, this is the first ever case to be reported of a dumbbell-shaped neurofibroma over the external ear and only the fourth case of neurofibromatosis type 1 (NF1) to be associated with Hashimoto thyroiditis.

View Article: PubMed Central - PubMed

Affiliation: Department of Plastic Surgery, Karnataka Institute of Medical Sciences (KIMS), Hubli, Karnataka, India.

ABSTRACT
Dumbbell-shaped swellings in neurofibroma have been commonly described in the spine, thorax, cranial cavity, and pelvis; however, dumbbell-shaped swellings in the peripheries are rare. Here, we report a dumbbell-shaped neurofibroma over the pinna in an 18-year-old female patient, its successful surgical management, and its association with Hashimoto thyroiditis. To the best of our knowledge, this is the first ever case to be reported of a dumbbell-shaped neurofibroma over the external ear and only the fourth case of neurofibromatosis type 1 (NF1) to be associated with Hashimoto thyroiditis.

No MeSH data available.


Related in: MedlinePlus

(a) Preoperative clinical photograph of the pinna (anterior) (b) Preoperative clinical photograph of the pinna (posterior) (c) Postoperative clinical photograph of the pinna (anterior) (d) Postoperative clinical photograph of the pinna (posterior)
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Figure 2: (a) Preoperative clinical photograph of the pinna (anterior) (b) Preoperative clinical photograph of the pinna (posterior) (c) Postoperative clinical photograph of the pinna (anterior) (d) Postoperative clinical photograph of the pinna (posterior)

Mentions: A female patient aged 18 years presented with a swelling over the left ear of 1-year duration associated with decreased hearing. Clinical examination revealed a soft swelling measuring about 2 cm × 2 cm obliterating the concha of the left ear and the external auditory canal [Figure 2a]. Similarly, there was another soft swelling of 3 cm × 2 cm in the retroauricular region completely obliterating the retroauricular groove [Figure 2b]. There were multiple cafe au lait macules of varying sizes over the body. There was also a diffuse thyroid swelling involving both the lobes with no apparent nodularity. On subjecting the patient to slit-lamp examination, there were multiple Lisch nodules over both the irises. Tuning fork tests revealed mild conductive hearing loss in the left ear. Fine-needle aspiration cytology (FNAC) of the thyroid swelling showed features suggestive of Hashimoto thyroiditis [Figure 4b].


Dumbbell-Shaped Neurofibroma Over the External Ear.

Shirol SS, Kodaganur S, Dani AA, Bhagwat PV - J Cutan Aesthet Surg (2015 Jul-Sep)

(a) Preoperative clinical photograph of the pinna (anterior) (b) Preoperative clinical photograph of the pinna (posterior) (c) Postoperative clinical photograph of the pinna (anterior) (d) Postoperative clinical photograph of the pinna (posterior)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4645150&req=5

Figure 2: (a) Preoperative clinical photograph of the pinna (anterior) (b) Preoperative clinical photograph of the pinna (posterior) (c) Postoperative clinical photograph of the pinna (anterior) (d) Postoperative clinical photograph of the pinna (posterior)
Mentions: A female patient aged 18 years presented with a swelling over the left ear of 1-year duration associated with decreased hearing. Clinical examination revealed a soft swelling measuring about 2 cm × 2 cm obliterating the concha of the left ear and the external auditory canal [Figure 2a]. Similarly, there was another soft swelling of 3 cm × 2 cm in the retroauricular region completely obliterating the retroauricular groove [Figure 2b]. There were multiple cafe au lait macules of varying sizes over the body. There was also a diffuse thyroid swelling involving both the lobes with no apparent nodularity. On subjecting the patient to slit-lamp examination, there were multiple Lisch nodules over both the irises. Tuning fork tests revealed mild conductive hearing loss in the left ear. Fine-needle aspiration cytology (FNAC) of the thyroid swelling showed features suggestive of Hashimoto thyroiditis [Figure 4b].

Bottom Line: Dumbbell-shaped swellings in neurofibroma have been commonly described in the spine, thorax, cranial cavity, and pelvis; however, dumbbell-shaped swellings in the peripheries are rare.Here, we report a dumbbell-shaped neurofibroma over the pinna in an 18-year-old female patient, its successful surgical management, and its association with Hashimoto thyroiditis.To the best of our knowledge, this is the first ever case to be reported of a dumbbell-shaped neurofibroma over the external ear and only the fourth case of neurofibromatosis type 1 (NF1) to be associated with Hashimoto thyroiditis.

View Article: PubMed Central - PubMed

Affiliation: Department of Plastic Surgery, Karnataka Institute of Medical Sciences (KIMS), Hubli, Karnataka, India.

ABSTRACT
Dumbbell-shaped swellings in neurofibroma have been commonly described in the spine, thorax, cranial cavity, and pelvis; however, dumbbell-shaped swellings in the peripheries are rare. Here, we report a dumbbell-shaped neurofibroma over the pinna in an 18-year-old female patient, its successful surgical management, and its association with Hashimoto thyroiditis. To the best of our knowledge, this is the first ever case to be reported of a dumbbell-shaped neurofibroma over the external ear and only the fourth case of neurofibromatosis type 1 (NF1) to be associated with Hashimoto thyroiditis.

No MeSH data available.


Related in: MedlinePlus