Solitary intrascrotal neurofibroma in a child: A case report


  • Ghadir Jaber Consultant Pediatric surgeon
  • Vipul Gupta Senior Specialist Registrar
  • Usman Javaid Senior Specialist
  • Diary Mohammed Consultant Paediatric Surgeon
  • Mamoun AlMarzouqi Consultant Paediatric Surgeon



Background: Neurofibroma (NF) remains a rare entity among various scrotal masses in the pediatric age group. We report a case of solitary intrascrotal extra testicular plexiform neurofibroma in a 6-year-old child with the clinical management of this rare entity and review of the literature.  

Case Summary: A 6-year-old male presented with incidentally noticed intrascrotal swelling. Clinical examination confirmed the presence of solitary intrascrotal swelling with normal testis. Radiological imaging showed the presence of a hypoechoic mass in the left hemiscrotum with normal both testes. Surgical exploration showed the presence of unencapsulated soft tissue mass and histopathological examination (HPE) confirmed the diagnosis of plexiform neurofibroma. Thorough evaluation ruled out features of neurofibromatosis 1 thus confirming the diagnosis of solitary intrascrotal extratesticular plexiform neurofibroma. Complete surgical excision resulted in satisfactory recovery with no recurrence on follow-up

Conclusion: Neurofibroma although rare should be considered as a differential in the diagnosis of an intrascrotal mass in the pediatric age group. The benign nature of the lesion and extratesticular origin usually makes testis sparing surgical excision feasible which remains the treatment of choice with excellent prognosis and minimal chances of recurrence. A thorough histopathological examination is mandatory to rule out neurofibromatosis.


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Zafer T, Kaan S, Ramazan K, Ays ̧D, Ipek I, Can BA, et al. A childhood case of intrascrotal neurofibroma with a brief review of the literature. J Pediatr Surg. 2004; 39:1261-3.

Stoller D, Tirman P, Bredella M. Amirsys. First Edition. Salt Lake City, Utah, USA: 2004. Diagnostic Imaging: Orthopedics; pp. 30–32.

Yammamoto M, Miyake K, Mitsuya H. Intrascrotal extratesticular neurofibroma. Urol. 1982; 20:200-201.

Ogawa A, Watanabe K. Genitourinary neurofibromatosis in a child presenting with an enlarged penis and scrotum. J Urol 1986; 135:755-57.

Boto J, Boudabbous S, Lobrinus JA, Gourmaud J, Terraz S. Solitary neurofibroma of the spermatic cord: a case report. J Radiol Case Rep. 2015; 9(6):19-28.

Issa MM, Yagol R, Tsang D. Intrascrotal neurofibromas. Urol 1993; 41:350-52.

Bergeron M, Bolduc S, Labonté S, Moore K. Intrascrotal extra testicular schwannoma: A first pediatric case: Can Urol Assoc J 2014; 8(3-4):e279-81.

Arciola AJ, Golden S, Zapinsky J. Primary intrascrotal nontesticular schwannoma. Urol 1985; 26:304-6.

Yoshimura K, Maeda O, Saiki S. Solitary neurofibroma of scrotum. J Urol 1990; 143:823.

Livolsi VA, Schiff M. Myxoid neurofibroma of the testis. J Urol 1977; 118:341-42.



How to Cite

Jaber G, Gupta V, Javaid U, Mohammed D, AlMarzouqi M. Solitary intrascrotal neurofibroma in a child: A case report. J Pediatr Adolesc Surg [Internet]. 2021Mar.25 [cited 2022Aug.7];1(2):101-3. Available from:
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