Gilg M M, Mrak K, Vieth M, Langner C
Institut für Pathologie, Medizinische Universität Graz, Auenbruggerplatz 25, 8036, Graz, Österreich.
Pathologe. 2012 Feb;33(1):61-4. doi: 10.1007/s00292-011-1547-7.
Granular cell tumors are peripheral neuroectodermal tumors. Within the gastrointestinal tract, they have to be differentiated from gastrointestinal stromal tumors (GIST). We present the case of a 61-year-old patient who was diagnosed with a granular cell tumor of the stomach. The tumor cells showed transmural infiltration form the mucosa into the adipose tissue of the lesser curvature. The tumor cells were diffusely positive for S100-protein and negative for KIT, CD34 und SMA. The MIB1-proliferation index was below 2%. Granular cell tumors rarely occur within the gastrointestinal tract. Oesophagus and colon are most commonly affected. Diagnostic criteria and differential diagnosis of this peculiar lesion are thoroughly discussed.
颗粒细胞瘤是外周神经外胚层肿瘤。在胃肠道内,它们必须与胃肠道间质瘤(GIST)相鉴别。我们报告一例61岁被诊断为胃颗粒细胞瘤的患者。肿瘤细胞呈跨壁浸润,从黏膜浸润至小弯侧的脂肪组织。肿瘤细胞S100蛋白弥漫性阳性,KIT、CD34和SMA阴性。MIB1增殖指数低于2%。颗粒细胞瘤很少发生在胃肠道内。食管和结肠是最常受累的部位。本文对这种特殊病变的诊断标准和鉴别诊断进行了深入讨论。