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Information about Neurofibromas or lipomas - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3393 Questions
Doctor :   hi
Doctor :   How may i help you?
User :   May I talk to a neurology specialist
Doctor :   Sorry we have only general physicians online
User :   oh i see
Doctor :   Neurologists are avialable only for E opnions
User :   can you suggest any such doc name
Doctor :   You can proceed with your query will helop to my expertise'
Doctor :   Location
Doctor :   Do you want an e-opnion or consulattion
Doctor :   Exact location (city)
Doctor :   Ok
Doctor :   For consultation right?
User :   Actually I have consulted you
User :   yes sir for consultation
Doctor :   Ok
User :   my7 prob is with skin lumps
Doctor :   Ok
Doctor :   Then why do want an neuro consultation
User :   I feel it is related to thge nervous system
Doctor :   Can you breif me
User :   oh yes
User :   I asked you for neurofibromas/lipomas
Doctor :   Ok
Doctor :   I remeber it was regarding lipomas right
User :   yes dr
User :   can you just figure out some of the characteristics of neurofibromas
Doctor :   To confirm neurofibromas all required is an histopathology or biopsy of the lump
Doctor :   will not require neuro opnion till confirmation
Doctor :   Let me breif you
User :   okk
Doctor :   Its is a benign nerve sheath tumor in the peripheral nervous system
Doctor :   Produces a range of symptoms from physical disfiguration and pain to cognitive disability.
Doctor :   There are two types of them
User :   oh
Doctor :   1. dermal
Doctor :   2. plexiform
Doctor :   Dermal neurofibromas are associated with a single peripheral nerve
Doctor :   Plexiform neurofibromas are associated with multiple nerve bundles
User :   oh i see
User :   i have collected some info regarding that doc
Doctor :   Dermal ones appear as lumps on or under the skin. and produce stinging, itching, pain and disfiguration, there is no evidence of malignant transformation.
User :   The lumps i have are painless
Doctor :   Plexiform ones are often caused due to congenital defects, and are the more troublesome type. They can be very large and can cause pain, disfigurement, neurological and other clinical deficits.
Doctor :   Thats what i meant to and told you that you are having lipomas
User :   oh i see
Doctor :   And not neurofibromas
User :   okk doc
User :   sometimes i feel as if i am having nurofibromas and associated NF
Doctor :   If you are so much worried plz get an biopsy and histopathology report for the same
User :   probably that tells me the exact problem
Doctor :   You will not require consultation unless confirmed with reports
Doctor :   Yes it will confirm your diagnosis#
User :   okk dosc
User :   one thing i found out by browsing the internet is that most of neurofibromas protrude from the skin
Doctor :   I had already mentioned you not to browse the internet that will confuse you
User :   for primary info i browsed
Doctor :   Plz avoid
User :   okk doc probably i need to concentrate on my work rather than thinking much abt it
Doctor :   Yes that will cure you
Doctor :   And make you feel better
Doctor :   From my experience can assure you its not neurofibromas
User :   ohh
User :   like i said most opf the docs said the same
User :   except the surgeon i met
Doctor :   Ok
Doctor :   There is always a differnce in diagnosis with different docs
User :   okk doctor
User :   sorry fopr coming up with my prob more than once
Doctor :   No issues
User :   it just causing cosmetic related issues to me
User :   nothing else
Doctor :   Then the only measure is surgery
User :   I have many of them
User :   may be around 30
User :   some very small
Doctor :   Ok
Doctor :   They are prone for multiple locations
User :   oho
User :   what are the chances of recurrence at the same location once i remove them by surgery
Doctor :   15%
User :   that's fine
User :   can they all be removed
Doctor :   Yes will cost a lot
Doctor :   And take times to
Doctor :   Will require many sittings
User :   oh i see
User :   okk doc, will think abt the surgery ionce they grow to bifgger sizes
Doctor :   Wishing you a speedy recovery
User :   thanks
User :   have a good day
Doctor :   Thank you
Doctor :   Bye for now
User :   bye doc
Doctor :   Bye take care
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