Isolated Plexiform Neurofibroma Over Left Palm: A Case Report and Review of Literature
A 19-year-old female presented to skin outpatient department with soft, asymptomatic swelling over middle of left palm of 8 years duration. The onset of the swelling was spontaneous and gradually progressive. As the swelling was asymptomatic, parents neglected the swelling until they started to plan her marriage. There was no past history of trauma or surgery over left palm or similar complaints in family. Examination revealed large 4 × 6 soft skin colored growth over left palm with feel of ‘bag of worms’ on palpation []. CALM were conspicuously absent and there were no other nodules present on the body. The growth was completely excised under local anesthesia and sent for histopathological study. Histopathology of the tumor showed bundles of spindle-shaped cells arranged in whorl pattern in deep dermis, which confirmed the clinical diagnosis of plexiform neurofibroma [].