Which Specialist Should I See for Neurofibroma Treatment? - Plastic Surgery

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Hello, doctor. I would like to ask which specialty I should see for neurofibromas?


Hello, Doctor.
I would like to ask which specialty I should consult for neurofibromas? Thank you.
I have a tumor on my palm, and I have already undergone three surgeries at Taichung Veterans General Hospital, but it still feels like there has been no progress, as the tumor remains and its size has not changed significantly since before the surgeries.
A friend recommended that I see a neurosurgeon; is that correct? Additionally, I am concerned about the appearance of my postoperative scars, which are unsightly due to hyperpigmentation.
Is it possible to perform a skin graft on my palm? I apologize for asking so many questions, but I hope you can assist me.
Thank you very much.

Su, 20~29 year old female. Ask Date: 2004/06/21

Dr. Lu Daokuan reply Plastic Surgery


The treatment for neurofibromas falls under the category of plastic surgery.
If there is a single tumor, it can typically be excised; however, if there are multiple tumors, it may be related to genetic factors.
Regarding skin grafting on the palm, it is generally possible if there is a skin defect.
However, if the purpose is to eliminate pigmentation, surgery is unnecessary, and alternative methods such as scar ointments can be used for assistance.

Reply Date: 2004/06/21

More Info


When it comes to the treatment of neurofibromas, it is essential to consult with the right specialists who have the expertise in managing this specific condition. Neurofibromas are benign tumors that arise from the nerve sheath and are often associated with Neurofibromatosis, a genetic disorder that can lead to the development of multiple tumors. Given your situation, where you have already undergone multiple surgeries without significant improvement, it is crucial to approach this matter with a comprehensive plan.

The first specialist you should consider seeing is a neurosurgeon. Neurosurgeons are trained to handle tumors that affect the nervous system, including neurofibromas. They can evaluate the tumor's location, size, and any potential impact on surrounding nerves and tissues. If the tumor is causing discomfort or functional impairment, a neurosurgeon can provide options for surgical intervention or other treatments. However, it is important to have realistic expectations, as complete removal of neurofibromas can sometimes be challenging due to their infiltrative nature.

In addition to a neurosurgeon, you may also benefit from consulting a dermatologist. Dermatologists can assess the skin changes associated with neurofibromas, such as the appearance of scars and hyperpigmentation. They can offer treatments for scar management, including topical therapies, laser treatments, or even surgical options like skin grafting if necessary. If the cosmetic appearance of the scars is a concern for you, a dermatologist can provide guidance on the best approaches to improve the aesthetic outcome.

Furthermore, if your neurofibromas are part of a broader condition like Neurofibromatosis, it may be beneficial to see a geneticist or a specialist in genetic disorders. They can provide insights into the genetic aspects of your condition, discuss the implications for your health, and offer guidance on monitoring for potential complications associated with Neurofibromatosis.

Regarding your concern about skin grafting for the scars on your palm, this is indeed a possibility. A plastic surgeon, particularly one specializing in reconstructive surgery, could evaluate your scars and determine if grafting or other reconstructive techniques would be appropriate. They can help improve the appearance of the scars and restore function if the scars are limiting your hand's mobility.

In summary, for the treatment of neurofibromas, you should consider consulting the following specialists:
1. Neurosurgeon - for evaluation and potential surgical intervention of the neurofibroma.

2. Dermatologist - for management of skin changes and scars.

3. Geneticist - if there is a suspicion of Neurofibromatosis or other genetic conditions.

4. Plastic Surgeon - for cosmetic concerns related to scarring.

It is essential to have a multidisciplinary approach to your treatment, as this can provide you with a comprehensive plan that addresses both the medical and cosmetic aspects of your condition. Don't hesitate to ask your healthcare providers for referrals to these specialists, and ensure that you communicate your concerns and expectations clearly during your consultations. This will help you receive the most appropriate care tailored to your needs.

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