The hemostatic skin edge clips were removed, and the skin was closed with staples. Xeroform gauze was applied to the wound, and the head was wrapped with gauze roll.
Type I neurofibromatosis is an autosomal dominant inherited condition, with the defective gene on the long arm of chromosome 17. It is identified in patients who have at least two of the seven characteristics: familial pattern (first degree relative); 6 or more cafe au lait spots greater than 15mm in size; axillary freckles; Lister's nodules (black hamartomas of the iris); more than 2 cutaneous neurofibromas; optic glioma; and bony dysplasias (long bones). The mother's lesion was discovered in the search for the parent with the abnormal gene. The cystic lesion with mural tumor is typical of astrocytoma, a tumor associated with hereditary neurofibromatosis.
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