For example, the neurofibromas may involve small skin nerves and present as small bumps, or they may be confined to large nerves and produced elephantiasis. The management of neurofibromas is based upon the symptoms. They do not typically need to be surgically removed. Nevertheless, there are occasions when exploration and excision are indicated. The most common indication for removal of a neurofibroma is pain.
Painful neurofibromas are of just under the skin.
These globular lesions may present in the hand or other surfaces that are subject to pressure. Typically these lesions involve small fascicles of superficial nerves, and can be removed without creating a meaningful neurological deficit.