BACKGROUND: Type 1 neurofibromatosis considerably increases the risk o
f cancer development, particularly neurosarcoma. We report a case in a
patient with chemosensitive metastatic neurosarcoma. CASE REPORT: A y
oung female patient with familial type 1 neuro fibromatosis developed
pleural metastasis of a neurosarcoma located on the arm. This tumor wa
s initially highly sensitive to chemotherapy, but relapse occured. DIS
CUSSION: Follow-up in the order members of the family was particulary
difficult to organize. One sister developed cerebral astrocytoma. Neur
osarcomas develop earlier in patients with type 1 neurofibromatosis, w
orsening prognosis. We suggest a prospective and structured registrati
on of such cases using a network of clinicians and pathologists in ord
er to improve management schemes.