BMJ Case Reports 2010; doi:10.1136/bcr.01.2010.2696
  • Reminder of important clinical lesson

Solitary plexiform neurofibroma, a pitfall in diagnosis of lipoma

  1. M Mirza1
  1. 1Department of General Surgery, Sandwell & West Birmingham Hospitals, Birmingham, UK
  2. 2Department of Pathology, Sandwell & West Birmingham Hospitals, Birmingham, UK
  1. Correspondence to G H Chieng, g.chieng{at}
  • Published 21 September 2010


Plexiform neurofibromatosis is almost invariably associated with neurofibromatosis type I. A case of an isolated back plexiform neurofibroma, initially thought to be a lipoma, is presented, with emphasis on the importance of eliciting family history in reaching a diagnosis of neurofibromatosis. Currently, surgical resection is still the treatment of choice though a management plan is not well defined. Patients need appropriate regular follow-up to detect malignancy or early recurrence.


  • Competing interests None.

  • Patient consent Obtained.

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