A1 Refereed original research article in a scientific journal

Cutaneous neurofibromas Current clinical and pathologic issues




AuthorsNicolas Ortonne, Pierre Wolkenstein, Jaishri O. Blakeley, Bruce Korf, Scott R. Plotkin, Vincent M. Riccardi, Douglas C. Miller, Susan Huson, Juha Peltonen, Andrew Rosenberg, Steven L. Carroll, Sharad K. Verma, Victor Mautner, Meena Upadhyaya, Anat Stemmer-Rachamimov

PublisherLIPPINCOTT WILLIAMS & WILKINS

Publication year2018

JournalNeurology

Journal name in sourceNEUROLOGY

Journal acronymNEUROLOGY

Volume91

Issue2 Suppl. 1

First page S5

Last pageS13

Number of pages9

ISSN0028-3878

DOIhttps://doi.org/10.1212/WNL.0000000000005792

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/35715450/


Abstract
ObjectiveTo present the current terminology and natural history of neurofibromatosis 1 (NF1) cutaneous neurofibromas (cNF).MethodsNF1 experts from various research and clinical backgrounds reviewed the terms currently in use for cNF as well as the clinical, histologic, and radiographic features of these tumors using published and unpublished data.ResultsNeurofibromas develop within nerves, soft tissue, and skin. The primary distinction between cNF and other neurofibromas is that cNF are limited to the skin whereas other neurofibromas may involve the skin, but are not limited to the skin. There are important cellular, molecular, histologic, and clinical features of cNF. Each of these factors is discussed in consideration of a clinicopathologic framework for cNF.ConclusionThe development of effective therapies for cNF requires formulation of diagnostic criteria that encompass the clinical and histologic features of these tumors. However, there are several areas of overlap between cNF and other neurofibromas that make distinctions between cutaneous and other neurofibromas more difficult, requiring careful deliberation with input across the multiple disciplines that encounter these tumors and ultimately, prospective validation. The ultimate goal of this work is to facilitate accurate diagnosis and meaningful therapeutics for cNF.

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