Figure 14. A–E. Debulking of large plexiform/diffuse neurofibroma of the elbow (patient at age 21 years). F. Photograph taken at the age of 41 years, 20 years after first debulking procedure.

In the meantime, small corrective operations had been carried out. The result of the initial tumor reduction has remained constant over the decades. Restriction in stretching the arm at the elbow has existed since early childhood and was not influenced by the surgical interventions.