Clinical Example: Neurofibroma of fingertip pulp space
| Neurofibromas of the hand are usually associated with neurofibromatosis. Less commonly, solitary neurofibromas represent spontaneous nerve sheath myxomas, also called Pacinian neurofibroma. |
| Click on each image for a larger picture |
| This painless fingertip pulp tumor had developed slowly over nearly ten years. |
| Plain Radiographs demonstrate soft tissue swelling only. |
| Anticipating the need for skin resection, a primary zigzag incision was used. |
| Unlike congenital neurofibromatosis, there was a clear plane between dermis and tumor. The digital nerves were stretched and flattened onto the surface of the tumor. |
| Specimen. |
| Final closure after excision of redundant skin. |
| Redundant skin. |
| One week postop. |
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