neurofibroma quick summary introduction references photos clinical features histopathology treatment prognosis  multiple facial nodules in patient with neurofibromatosis. cheap viagra              (courtesy of dr. B. Neville, charleston, sc)           quick review for patients     top of this page       introduction note: click on underlined words for more detail or photos. The most common of the peripheral nerve tumors is the benign neurofibroma, derived from an admixture of schwann cells and perineural fibroblast proliferations. online generic viagra Multiple lesions are seen in persons with von recklinghausen neurofibromatosis (neurofibromatosis type i) and certain melanotic macules are considered by some to be a variant of neurofibroma.   an epidemiologic investigation has determined a prevalence rate of 1 lesion per 25,000 adults (table 1). order viagra Top of this page clinical features the oral or pharyngeal neurofibroma is usually diagnosed in teenagers and young adults, although all ages are susceptible. breaking viagra pill half There is no gender predilection and most examples arise from the tongue, buccal or labial mucosa. The lesion presents as a slowly enlarging, painless, soft nodule which is readily movable if situated immediately beneath the mucosa but is less so when located in deeper tissues. Many lesions feel like a "bag of worms" on palpation. viagra sale Typically less than 2 cm. viagra pills In largest diameter at the time of diagnosis (figures 1 & 2), some lesions have reached more than 8 cm. In size, and even larger oral lesions have been reported in patients with von recklinghausen neurofibromatosis. viagra online without prescription Larger lesions may be lobulated or may produce a generalized local enlargement, such as macroglossia. generic viagra super active sildenafil 100mg Neurofibromas have been reported as well-demarcated radiolucencies within the jawbones, usually within the mandible, in patients with neurofibromatosis (figure 3). viagra email virus 2011 Von recklinghausen neurofibromatosis is a hereditary condition which occurs in one of every 2,000-3,000 adults and is associated with multiple neurofibromas of the skin, mucous membranes and visceral tissues. get viagra prescription your doctor   surface lesions may number in the hundreds and will vary from small, firm pa.