[Neurofibromatosis von Recklinghausen].

Klin Onkol

Klinika detské neurologie, 2. LF UK a FN Motol, Praha.

Published: December 2009

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Neurofibromatosis type 1 (NF1, formerly Recklinghausen's disease) is a genetic tumor predisposition syndrome in which the mutation of a tumor suppressor gene (neurofibromin) leads to the development of mostly benign neurofibromas of the skin and the central and peripheral nervous systems and malformations or tumors of other organ systems. Patients with NF1 should receive lifelong interdisciplinary care in specialized centers and important treatment decisions should be made by a regularly meeting interdisciplinary panel of experts. Plastic surgery plays an important role in the multidisciplinary management of all clinical forms of NF1-associated peripheral nerve sheath tumors, from cutaneous and subcutaneous to deep nodular and diffuse plexiform neurofibromas.

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  • * A 68-year-old man with NF1 had multiple small intestinal GISTs causing anemia and underwent surgery to remove them; two years later, he developed an enlarging mass in the appendix that was surgically removed due to concerns about its potential malignancy.
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