Janet Atieno O., 19

Janet is the fourth-born in a family of seven. She is partially orphaned, having lost her father at a young age. Her mother has no stable income. Despite the challenges, Janet is hardworking and responsible, often helping her mother with household chores and farm work. She enjoys listening to music in her free time and is an active churchgoer. Janet was referred to our facility from Awasi Mission Hospital for further management. Her mother depends on casual labor in sugarcane plantations, earning minimal income that is barely enough to support the family, making it difficult to meet the high medical costs. She presented with multiple generalized body swellings that began in early childhood and have progressively worsened. The swellings become particularly painful during cold seasons, and at the time of review, she was in severe distress due to the pian. After evaluation, the surgeon diagnosed her with multiple soft tissue masses, with a suspicion of neurofibromatosis. An excision biopsy was recommended to confirm the diagnosis, guide further management, and relieve her pain by removing the swellings.

Janet presents with multiple generalized soft tissue swellings associated with significant pain, especially during cold seasons, affecting her quality of life. Clinical evaluation raises suspicion of neurofibromatosis, and an excision biopsy has been recommended to confirm the diagnosis and guide further management. Surgical removal of the painful masses is expected to provide symptomatic relief and improve her overall comfort. Her current condition is stable, although she experiences considerable pain. With timely surgical intervention, appropriate follow-up, and supportive care, Janet has a fair to good prognosis. However, long-term monitoring will be essential, as the condition may recur or progress, requiring ongoing medical attention.