One case of primary neurilemmoma of the left leaf of the diaphragm occurring in a girl aged 5 is described. This brings the total number of primary neurogenic tumours of the diaphragm in the literature to six. This is the second case of neurilemmoma. The presenting feature of this case was severe hypertrophic pulmonary osteoarthropathy. This has occurred in half the cases reported. The removal of the tumour led to rapid improvement in the osteoarthropathy. The importance of early operative treatment is emphasised because of the high incidence of malignancy.

Neurilemmoma of the diaphragm causing severe hypertrophic pulmonary osteoarthropathy

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