Feb, 2023

An old man, nearly 70 years of age, presented in OPD with huge plexiform neurofibromatosis of the face and back, with a history going back to more than 50 years. He was now distressed particularly by the big facial lesion and wanted excision.

The facial lesion had brought down his pinna too, and he was unable to hear on that side. An MRI showed much deeper involvement, with destruction of the facial and cranial skeleton, suggesting malignant transformation. Was referred to neurosurgery department PGI.