Rao Anuradha Ck, Rao Lakshmi, Rao G Chennakeshav, Somayagi Vasudeva R
Department of Pathology, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
Indian J Dermatol. 2013 Sep;58(5):409. doi: 10.4103/0019-5154.117354.
Benign epithelioid peripheral nerve sheath tumor, a rare entity is an umbrella term describing benign, neural origin tumors with epithelioid morphology. Clinically indistinguishable from other benign cutaneous lesions, histopathology offers the only source of accurate diagnosis. Morphologic mimics include many benign and malignant soft tissue lesions. Besides a predominant epithelioid component, the lesion can also show a fair share of spindle cells. A circumscribed nodular tumour of low mitotic activity, it often exhibits areas resembling schwannoma or neurofibroma. An awareness of this entity and its varied morphological aspects helps to arrive at the correct diagnosis and hence avoid unnecessary extensive surgical procedures. This case presents features of this benign tumor which occurred in a 47 years old man.
良性上皮样周围神经鞘瘤是一种罕见的疾病,是一个描述具有上皮样形态的良性神经源性肿瘤的统称。临床上与其他良性皮肤病变难以区分,组织病理学是准确诊断的唯一来源。形态学上的相似病变包括许多良性和恶性软组织病变。除了主要的上皮样成分外,该病变还可显示相当数量的梭形细胞。它是一种有包膜的结节性肿瘤,有丝分裂活性低,常表现出类似神经鞘瘤或神经纤维瘤的区域。认识到这一疾病及其多样的形态学特征有助于做出正确诊断,从而避免不必要的广泛手术。本文报道了一名47岁男性发生的这种良性肿瘤的特征。