Chatelain D, Ricard J, Colombat M, Ghighi C, Thelu F, Cordonnier C, Gontier M F, Sevestre H
Service d'Anatomie Pathologique, Hôpital Nord, Amiens.
Ann Pathol. 2000 May;20(3):225-7.
Cellular neurothekeoma is an unusual cutaneous tumor described in 1986. We report two new cases in 14-year-old girls. Both tumors measured less than one centimeter and were located on the forearm and the shoulder. They had a plexiform architecture and were developed in the dermis and the dermo-hypodermic junction. Spindle and epithelioid tumor cells were immunoreactive for vimentin, NKI-C3, NSE, CD68 and smooth muscle actin. There was no recurrence 2 and 7 months after the operation. Cellular neurothekeoma is a benign tumor. Its histogenesis is still unknown. Histological and immunohistochemical features, with positivity of the tumor cells for NKI-C3, a non specific melanocytic marker, and negativity for S-100 protein and HMB-45, allow to differentiate cellular neurothekeoma from myxoid neurothekeoma and melanocytic tumors.
细胞性神经鞘黏液瘤是1986年描述的一种罕见的皮肤肿瘤。我们报告了两例发生在14岁女孩身上的新病例。两个肿瘤均小于1厘米,位于前臂和肩部。它们具有丛状结构,发生于真皮和真皮-皮下交界处。梭形和上皮样肿瘤细胞对波形蛋白、NKI-C3、神经元特异性烯醇化酶、CD68和平滑肌肌动蛋白呈免疫反应性。术后2个月和7个月均无复发。细胞性神经鞘黏液瘤是一种良性肿瘤。其组织发生仍不清楚。组织学和免疫组化特征,肿瘤细胞对非特异性黑素细胞标志物NKI-C3呈阳性,而对S-100蛋白和HMB-45呈阴性,有助于将细胞性神经鞘黏液瘤与黏液样神经鞘黏液瘤和黑素细胞肿瘤区分开来。