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Clinical manifestations of a 61-year-old male patient. (A) Cafe-au-lait macules in the right thigh. (B) Freckles in the right axilla. (C) Multiple neurofibromas in the anterior chest wall. (D) Axial image of abdominal computed tomography scan shows descending colon tumor infiltration to the left anterior renal fascia (white arrow head) and pneumoperitoneum (white arrow).
