EXCISION OF A GIANT ANTERIOR CHEST WALL NEUROFIBROMA AND CHEST WALL RECONSTRUCTION WITH METHLYMETHACRYLATE AND VERTICAL RECTUS ABDOMINIS MUSCULOCUTANEOUS FLAP: CASE REPORT

Abubakar U., Legbo JN , Opara AC, Sahabi SM, Ray Abubakar Y, Jacob J., Kesieme EB, Okonta EK

Available online Jul 19, 2018.

[ Report ] Volume 23, Issue 4, 2014, Pages 344-350


Abstract

INTRODUCTION
Plexiformneurofibromas (PNFs) are benign nerve tumours resulting from aberrant growth of cells of nerve
sheath.PNFs are generally painless, slow growing neoplasms.Although most neoplasms are asymptomatic, they
can be particularly debilitating due to their potential to grow to very large sizes. They have potential for
transformation into highly malignant peripheral nerve sheath tumours which occur in approximately 5% of
patients.They can affect most parts of the body.When they occur in the chest wall,they are amenable to excision.
Following excision, a surgeon is faced with a large skeletal and soft tissue defects which pose functional and
cosmetic challenges.
CASE PRESENTATION
We present a 24-year-old farmer that presented with a giant anterior chest wall plexiformneurofibroma that was
noticed since childhood. He had excision of the mass and skeletal reconstruction with methylmethacrylate
sandwiched in prolene mesh and soft tissue coverage with vertical rectus abdominismusculocutaneous flap.
CONCLUSION
We conclude that the use of methylmethacrylate and myocutaneous flaps give both good functional and cosmetic
outcome following excision of large chest wall tumours.


Keywords

neoplasms, giant anterior,

October December 2014

Volume 23 | Issue 4

Page Nos. 344-350

Online since Jul 13, 2018

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