Solitary circumscribed neuroma (syn. palisaded encapsulated neuroma)

LAST UPDATED: Aug 01, 2021

Introduction

A solitary circumscribed neuroma is a benign cutaneous tumour that was first described under the name "palisaded encapsulated neuroma" over 15 years ago. It is not uncommon, accounting for approximately 25% of all nerve sheath tumours of the dermis.

This chapter is set out as follows:

History
Clinical findings
Images
Management

History

Lesions most frequently present in patients aged 40 to 60
There is a slight predilection for women
Lesions are asymptomatic and slow growing

Clinical findings

Distribution

Lesions almost always present on the face, and are predominantly found close to a mucocutaneous junction

Morphology

Solitary lesions
Firm, dome-shaped, skin-coloured papules between 2 and 6 mm in diameter

Clinical Images

Please refer to notes on image rights at bottom of the page with regards to individual image ownership.

Management

Treatment is not normally needed

If the lesion becomes problematic, eg when shaving, it can be removed by shave excision and sent for histology

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Image Rights - The PCDS would like to thank Dermatoweb, DermQuest (Galderma), and others who have contributed images. All named individuals and organisations maintain copyright for the relevant images.