Department of Obstetrics and Gynecology, The Hongqi Affiliated Hospital of Mudanjiang Medical College, Mudanjiang 157000, Heilongjiang, China.
Mudanjiang Medical College, Mudanjiang 157000, Heilongjiang, China.
Cancer Biomark. 2018;23(2):173-178. doi: 10.3233/CBM-170556.
In order to improve the understanding of granular cell tumor and avoid missing the best time of treatment, we report three patients with rare granular cell tumors admitted to our hospital in the past 10 years.
The characteristics, methods of treatment, postoperative pathological results and follow-up results of three cases of granular cell tumor were analyzed; and literatures related to granular cell tumors were reviewed.
All patients underwent surgical treatment, and the excised lesions were sent to the laboratory for testing. Postoperative pathological results were as follows: granular cell tumor of the vulva, granular cell tumor within the sheath of the rectus muscle, and granular cell tumor in the left cubit nerve. All three cases were benign, and no recurrence was found during follow-ups after the operation.
Granular cell tumors are rare tumors derived from the nerve sheath, are mostly benign tumors, and the incidence of malignancy is 2%. The gold standard for diagnosis of granular cell tumor is histopathology. Granular cell tumor is not sensitive to radiotherapy and chemotherapy, and needs to be surgically removed. Since this disease may have no solid lesions and tumor cells can infiltrate local tissues, based on the full excision of the lesion, the extent of resection may be extended to areas without infiltration. This disease has a possibility of recurrence, and patients need to be followed-up.
为提高对颗粒细胞瘤的认识,避免错失最佳治疗时机,报告近 10 年来我院收治的 3 例罕见颗粒细胞瘤患者。
分析 3 例颗粒细胞瘤患者的特征、治疗方法、术后病理结果及随访结果,并复习相关颗粒细胞瘤文献。
所有患者均行手术治疗,切除标本送检。术后病理结果为:外阴颗粒细胞瘤、直肠肌鞘内颗粒细胞瘤、左肘管内颗粒细胞瘤。3 例均为良性肿瘤,术后随访均未见复发。
颗粒细胞瘤是一种来源于神经鞘的罕见肿瘤,多为良性肿瘤,恶性发生率为 2%。诊断颗粒细胞瘤的金标准是组织病理学。颗粒细胞瘤对放化疗不敏感,需要手术切除。由于本病可能无实体瘤且肿瘤细胞可浸润局部组织,基于病变的完整切除,切除范围可扩大至无浸润区域。本病有复发的可能,患者需要随访。