Diffuse Neurofibroma of the Scalp with Alopecia Areata as the Initial Presentation: A Case Report
January 2014
in “
International Journal of Dermatology and Venereology
”
TLDR A man with hair loss and a scalp lump was diagnosed with a diffuse neurofibroma but chose not to have surgery.
A 42-year-old male presented with alopecia areata and a scalp swelling, which was diagnosed as a diffuse neurofibroma. The mass, measuring 10 cm × 8 cm, was located on the left scalp and had a 'bag of worms' texture. Histopathological examination revealed an infiltrative mass in the dermis and subcutaneous tissue, composed of spindle cells, myxoid matrix, collagen fibers, and mast cells, with 50% of the tumor cells expressing S-100 protein. Despite the diagnosis, the patient declined surgical treatment due to the extensive involvement of the head, and was instead monitored through follow-up.