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| | Final Diagnosis -- Case 389 |
 | | A large number of systemic manifestations of NF1 are described, including: visceral involvement (neurofibromas, cardiac rhabdomyoma, carcinoid tumors, malignant nerve sheath tumors, rhabdomyosarcoma), skeletal deformities (sphenoid wing dysplasia, kyphoscoliosis), pheochromocytomas, chronic myelogenous leukemia, mental retardation, learning disabilities, macrocephaly and stenosis of the aqueduct of Sylvius with subsequent obstructive hydrocephalus. |
 | | It is seen only in patients with NF1 and appears on the first decade as an infiltrating lesion involving all aspects of the orbit and producing deformity of the region. |
 | | Also, NF1 patients with optic gliomas have a tendency to develop a second primary neoplasm of the CNS (6,7, 8) found in up to 52% of patients and identified on average four years after the diagnosis of the optic glioma. |
| path.upmc.edu /cases/case389/dx.html (2193 words) |
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