Biologic and Diagnostic Sciences, College of Dentistry, University of Tennessee Health Science Center, Memphis, Tennessee, USA.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2012 Feb;113(2):161-7. doi: 10.1016/j.tripleo.2011.07.037. Epub 2012 Jan 20.
A 33-year-old woman presented with a slow growing palatal gingival mass. The clinical differential diagnosis included benign tumors and tumor-like lesions, including the pyogenic granuloma, peripheral giant cell granuloma, peripheral ossifying fibroma, giant cell fibroma, peripheral odontogenic tumors, and oral focal mucinosis.
The lesion was excised and histopathological examination followed by immunohistochemical staining was carried out.
The microscopic findings and the immunohistochemical reactivity was diagnostic for a nerve sheath myxoma.
The clinical features, microscopic findings, immunohistochemistry, and the differential diagnosis including the relationship to the neurothekeoma are discussed.
一位 33 岁女性因腭牙龈缓慢生长的肿块就诊。临床鉴别诊断包括良性肿瘤和肿瘤样病变,包括化脓性肉芽肿、外周巨细胞肉芽肿、外周骨化性纤维瘤、巨细胞纤维瘤、外周牙源性肿瘤和口腔局灶性黏液病。
切除病变后进行组织病理学检查和免疫组织化学染色。
显微镜检查和免疫组织化学反应提示神经鞘黏液瘤。
讨论了临床特征、显微镜检查、免疫组化和鉴别诊断,包括与神经鞘瘤的关系。