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Peri-Operative Management of a Von Recklinghausen's Disease Royal Tumor: About a Case

Received: 16 May 2022    Accepted: 14 June 2022    Published: 27 June 2022
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Abstract

The royal tumor is a very hemorrhagic tumor reflecting the preponderant and monstrous development of a plexiform neurofibroma or a deep tumor of a nerve trunk. We report the case of a 29-year-old patient with a large and painful tumor attached to the lumbosacral region by an implantation base 40cm wide, avoiding dorsal decubitus and associated with symptoms of slow dorsal spinal cord compression and diffuse cutaneous neurofibromas localized on the face, neck and thorax. MRI showed a large soft tissue tumor with intraspinal invasion in D8. Histology of the tumor confirmed the diagnosis of neurofibromatosis at the stage of cancerization with a profile in favor of a leiomyosarcoma with a myxoid aspect. We present through this case the possibility of the preponderant and monstrous development of a neurofibroma of Von Recklinghausen, his cancerization and the challenge of the anesthetic management.

Published in International Journal of Anesthesia and Clinical Medicine (Volume 10, Issue 1)
DOI 10.11648/j.ijacm.20221001.17
Page(s) 38-43
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Neurofibroma, Von Recklinghausen, Anesthesia, Dakar

References
[1] Acko-Ohui E; Gui-Bilé L; Acko U et al (2020) The royal tumor of neurofibromatosis type 1: A case of discovery in Côte d'Ivoire RAFMI; 7 (2): 55-60.
[2] N Holl, L Kremer, R Wosfram- Gabel, J-L Dietmann (2010) Intracanal spinal spaces: from radiological anatomy to etiological diagnosis. J Radiol; 9: 950-68.
[3] Quekel LG, Versteege CW (1995) The "dural tail sign" in MRI of spinal meningiomas. J Comput Assist Tomogr; 19: 890-2 PMID: 8537521 DOI: 10.1097/00004728-199511000-00009.
[4] Mc Carron K, Goldblum J. (1998) Plexiform neurofibroma with and without associated malignant peripheral nerve sheath tumor: a clinicopathologic and immunohistochemical analysis of 54 cases. Mod Pathol; 11 (7): 612-7 PMID: 9688181.
[5] Tchernev G, Chokoeva A, Patterson JW, Bakardzhiev I, Wollina U, Tana C. (2016) Plexiform Neurofibroma: A Case Report. Médecine (Baltimore); 95 (6) DOI: 10.1097/MD.0000000000002663.
[6] Roth RR, Martines R, James WD. (1987) Neurofibromatosis segmental. Arch Dermatol; 123 (7): 917-20. PMID: 3111388.
[7] L. RAVOLAMANANA RALISATA, L. NANY (2001) Place of surgery in the treatment of extensive cutaneous lesions of Von Recklinghausen's disease Black African medicine: 2001, 48 (2).
[8] Boulay G, Hamza J. Anesthesia and a Full Stomach (2002) 44th National Congress of Anesthesia and Resuscitation. Doctors. Update conferences: SFAR 2002; 217-26. PMID: 15577733.
[9] Cissé M, Konaté I, Ka O, Dieng M, Tendeng J, et al. (2009) Emergency laparoscopy at the Surgical Clinic of Aristide Le Dantec Hospital in Dakar: the first 100 cases. e- memoirs of the National Academy of Surgery 2009; 8: 78-81.
[10] Youguang Gao, Bo Lin, Jinghao Huang, Xianzhong Lin* and Caizhu Lin. (2019) Flexible video endoscope versus Macintosh laryngoscope for orotracheal tracheal intubation in the lateral position: a study protocol for a randomized controlled trial. 20: 166 DOI: 10.1186/s13063-019-3263-1.
[11] Branka Maldini, Iljaz Hodžović, Tatjana Goranović, Jasna Mesarić. (2016) CHALLENGES IN THE USE OF VIDEO LARYNGOSCOPES Mar;55 Suppl 1: 41-50. PMID: 27276771.
[12] Ravi Bhat, Channabasavaraj S Sanickop, Manjunath C Patil, Vijay S Umrani, Mallikarjun G Dhorigol (2015) Comparison of Macintosh laryngoscope and C-MAC video laryngoscope for intubation in lateral position Apr-Jun 2015; 31 (2): 226-9. DOI: 10.4103/0970-9185.155221.
[13] S Molliex, J Ripart (2011) Positions in anesthesia: recent data 53rd national congress of anesthesia and resuscitation Physicians. Update Conference © 2011 Sfar. All rights reserved.
[14] Kla KM, Lee LA. (2016) Perioperative visual loss. Best practice & research Clinical anaesthesiology.; 30 (1): 69-77. PMID: 27036604 DOI: 10.1016/j.bpa.2015.11.004.
[15] Schonauer C, Bocchetti A, Barbagallo G, Albanese V, Moraci A. (2004) Positioning on surgical table. European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society. 2004; 13 Suppl 1: S50-5. PMID: 15221573 DOI: 10.1007/s00586-004-0728-y.
[16] Bruder Nicolas (2018) Anesthesia for Lumbar Spine Surgery. Update Conference 2018 Sfar. All rights reserved.
[17] Marret E, Ohana M. (2006) Management of thrombocytopenia in anesthesia. Update conferences SFAR: 95–112.
[18] Lin DM, Lin ES, Tran M-H. (2013) Efficacy and safety of erythropoietin and intravenous iron in perioperative blood management: a systematic review. Transfus Med Rev 2013; 27: 221–34. PMID: 24135037 DOI: 10.1016/j.tmrv.2013.09.001.
[19] Rajagopalan S, Mascha E, Na J, Sessler DI. (2008) The effects of mild perioperative hypothermia on blood loss and transfusion requirement. Anesthesiology 10 2008; 108: 71–7. PMID: 18156884 DOI: 10.1097/01.anes.0000296719.73450.52.
[20] Henry DA, Carless PA, Moxey AJ, O'Connell D, Stokes BJ, Fergusson DA, et al. (2011) Anti-fibrinolytic use for minimising perioperative allogeneic blood transfusion. Cochrane Database Syst Rev 2011: CD001886. PMID: 21412876 DOI: 10.1002/14651858.CD001886.pub4.
[21] Franklin GM, Rahman EA, Turner JA, Daniell WE, Fulton-Kehoe D. (2009) Opioid use for chronic low back pain: A prospective, population-based study among injured workers in Washington state, 2002-2005. The Clinical journal of pain. 2009; 25 (9): 743-51. PMID: 19851153 DOI: 10.1097/AJP.0b013e3181b01710.
[22] Webster BS, Verma SK, Gatchel RJ. (2007) Relationship between early opioid prescribing for acute occupational low back pain and disability duration, medical costs, subsequent surgery and late opioid use. Spine. 2007; 32 (19): 2127-32. PMID: 17762815 DOI: 10.1097/BRS.0b013e318145a731.
[23] Gall O, Aubineau JV, Berniere J, Desjeux L, Murat I. (2001) Analgesic effect of low- dose intrathecal morphine after spinal fusion in children. Anesthesiology. 2001; 94 (3): 447-52. PMID: 11374604 DOI: 10.1097/00000542-200103000-00014.
[24] Dunn LK, Durieux ME, Nemergut EC. (2016) Non-opioid analgesics: Novel approaches to perioperative analgesia for major spine surgery. Best practice & research Clinical anaesthesiology. 2016; 30 (1): 79-89. PMID: 27036605 DOI: 10.1016/j.bpa.2015.11.002.
[25] Peng C, Li C, Qu J, Wu D. (2017) Gabapentin can decrease acute pain and morphine consumption in spinal surgery patients: A meta-analysis of randomized controlled trials. Medicine. 2017; 96 (15): e6463. PMID: 28403075 DOI: 10.1097/MD.0000000000006463.
[26] Jiang HL, Huang S, Song J, Wang X, Cao ZS. (2017) Preoperative use of pregabalin for acute pain in spine surgery: A meta-analysis of randomized controlled trials. Medicine. 2017; 96 (11): e6129. PMID: 28296725 DOI: 10.1097/MD.0000000000006129.
[27] Farag E, Ghobrial M, Sessler DI, Dalton JE, Liu J, Lee JH, et al. (2013) Effect of perioperative intravenous lidocaine administration on pain, opioid consumption, and quality of life after complex spine surgery. Anesthesiology. 2013; 119 (4): 932-40. PMID: 23681143.DOI: 10.1097/ALN.0b013e318297d4a5.
Cite This Article
  • APA Style

    Mbaye Diaw, Papa Alassane Leye, Alioune Badara Thiam, Abdou Kane Diop, El Hadj Ndiasse Diop, et al. (2022). Peri-Operative Management of a Von Recklinghausen's Disease Royal Tumor: About a Case. International Journal of Anesthesia and Clinical Medicine, 10(1), 38-43. https://doi.org/10.11648/j.ijacm.20221001.17

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    ACS Style

    Mbaye Diaw; Papa Alassane Leye; Alioune Badara Thiam; Abdou Kane Diop; El Hadj Ndiasse Diop, et al. Peri-Operative Management of a Von Recklinghausen's Disease Royal Tumor: About a Case. Int. J. Anesth. Clin. Med. 2022, 10(1), 38-43. doi: 10.11648/j.ijacm.20221001.17

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    AMA Style

    Mbaye Diaw, Papa Alassane Leye, Alioune Badara Thiam, Abdou Kane Diop, El Hadj Ndiasse Diop, et al. Peri-Operative Management of a Von Recklinghausen's Disease Royal Tumor: About a Case. Int J Anesth Clin Med. 2022;10(1):38-43. doi: 10.11648/j.ijacm.20221001.17

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  • @article{10.11648/j.ijacm.20221001.17,
      author = {Mbaye Diaw and Papa Alassane Leye and Alioune Badara Thiam and Abdou Kane Diop and El Hadj Ndiasse Diop and Ndeye Aissatou Bagayogo and Sagar Diop and Mouhamadou Moustapha Ndongo and Papa Ibrahima Ndiaye and Elisabeth Diouf},
      title = {Peri-Operative Management of a Von Recklinghausen's Disease Royal Tumor: About a Case},
      journal = {International Journal of Anesthesia and Clinical Medicine},
      volume = {10},
      number = {1},
      pages = {38-43},
      doi = {10.11648/j.ijacm.20221001.17},
      url = {https://doi.org/10.11648/j.ijacm.20221001.17},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijacm.20221001.17},
      abstract = {The royal tumor is a very hemorrhagic tumor reflecting the preponderant and monstrous development of a plexiform neurofibroma or a deep tumor of a nerve trunk. We report the case of a 29-year-old patient with a large and painful tumor attached to the lumbosacral region by an implantation base 40cm wide, avoiding dorsal decubitus and associated with symptoms of slow dorsal spinal cord compression and diffuse cutaneous neurofibromas localized on the face, neck and thorax. MRI showed a large soft tissue tumor with intraspinal invasion in D8. Histology of the tumor confirmed the diagnosis of neurofibromatosis at the stage of cancerization with a profile in favor of a leiomyosarcoma with a myxoid aspect. We present through this case the possibility of the preponderant and monstrous development of a neurofibroma of Von Recklinghausen, his cancerization and the challenge of the anesthetic management.},
     year = {2022}
    }
    

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    AU  - Mbaye Diaw
    AU  - Papa Alassane Leye
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    VL  - 10
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Author Information
  • Anesthesia and Critical Care Medicine, Cheikh Anta Diop University (UCAD), Dakar, Senega

  • Faculty of Medicine, Pharmacy and Odonto-Stomatology, Cheikh Anta Diop University (UCAD), Dakar, Senegal

  • Department of Neurosurgery, Fann University National Hospital, Dakar, Senegal

  • Department of Anesthesia and Critical Care Medicine, Aristide Le Dantec University Hospital, Dakar, Senegal

  • Faculty of Medicine, Pharmacy and Odonto-Stomatology, Cheikh Anta Diop University (UCAD), Dakar, Senegal

  • Faculty of Medicine, Pharmacy and Odonto-Stomatology, Cheikh Anta Diop University (UCAD), Dakar, Senegal

  • Department of Neurosurgery, Fann University National Hospital, Dakar, Senegal

  • Department of Neurosurgery, Fann University National Hospital, Dakar, Senegal

  • Faculty of Medicine, Pharmacy and Odonto-Stomatology, Cheikh Anta Diop University (UCAD), Dakar, Senegal

  • Faculty of Medicine, Pharmacy and Odonto-Stomatology, Cheikh Anta Diop University (UCAD), Dakar, Senegal

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