Akdoğan Neslihan, Yalçın Başak, Gür Aksoy Güneş, Tuna Elvan Evrim, Ünal Devrim Tuba
Departments of *Dermatology and Venereology, †Otorhinolaryngology, and ‡Pathology, Ankara Numune Training and Research Hospital, Ankara, Turkey.
Am J Dermatopathol. 2017 May;39(5):393-396. doi: 10.1097/DAD.0000000000000779.
Plasma cell granuloma (PCG) is an uncommon benign tumor of unknown etiology, primarily located in the lungs. We report a case of PCG on the gingiva mimicking benign and malignant tumors in a 56-year-old woman. Histopathological examination revealed a relatively sharp circumscribed inflammatory cell infiltration under the mucosa-containing plasma cells, predominantly those including Russell bodies. Plasma cells are stained by CD138 immunohistochemistry. Polyclonal status of the lesion was confirmed by kappa and lambda light chaining. The typical histopathological and immunohistochemical findings in combination with the clinical features were consistent with PCG, about which the literature reports very few cases.
浆细胞性肉芽肿(PCG)是一种病因不明的罕见良性肿瘤,主要位于肺部。我们报告一例56岁女性牙龈部浆细胞性肉芽肿,其临床表现酷似良性和恶性肿瘤。组织病理学检查显示,黏膜下有相对界限清晰的炎性细胞浸润,其中含有浆细胞,主要是那些包含拉塞尔小体的浆细胞。浆细胞通过CD138免疫组化染色。通过kappa和lambda轻链检测证实病变为多克隆性。典型的组织病理学和免疫组化表现结合临床特征与浆细胞性肉芽肿相符,而关于此类病例的文献报道极少。