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瓦格纳-迈斯纳触觉小体肿瘤。瓦格纳-迈斯纳神经鞘瘤。

Tumour of Wagner-Meissner touch corpuscles. Wagner-Meissner neurilemmoma.

作者信息

Kaiserling E, Geerts M L

出版信息

Virchows Arch A Pathol Anat Histopathol. 1986;409(2):241-50. doi: 10.1007/BF00708331.

Abstract

Two benign tumours composed mainly or exclusively of Wagner-Meissner corpuscles are described. In the first case the touch corpuscles are composed of closely piled laminar cells and surrounded by argyrophilic fibres. In the second case some Schwann cells are observed in between the tactile corpuscles. The light microscopic, electron-microscopic and immunohistochemical results demonstrate that these corpuscles are comparable with the tactile end organs of the skin. Immunohistochemically, neuron-specific enolase, vimentin and protein S-100 could be demonstrated in the tactile corpuscles. Neural processes present in normal Meissner corpuscles are absent and immunohistochemically no nerve fibres or nerve endings can be demonstrated using antibodies to neurofilaments as they are observed in normal touch corpuscles of the skin. Tumours which consist mainly of multiple touch corpuscles have not been described in the literature. It is suggested to call these tumours Wagner-Meissner neurilemmoma.

摘要

描述了两种主要或仅由瓦格纳-迈斯纳小体组成的良性肿瘤。在第一个病例中,触觉小体由紧密堆积的层状细胞组成,并被嗜银纤维包围。在第二个病例中,在触觉小体之间观察到一些施万细胞。光镜、电镜和免疫组化结果表明,这些小体与皮肤的触觉终末器官相似。免疫组化显示,触觉小体中可检测到神经元特异性烯醇化酶、波形蛋白和蛋白质S-100。正常迈斯纳小体中存在的神经突起缺失,并且免疫组化显示,使用针对神经丝的抗体无法检测到神经纤维或神经末梢,而在正常皮肤触觉小体中可观察到这些结构。文献中尚未描述主要由多个触觉小体组成的肿瘤。建议将这些肿瘤称为瓦格纳-迈斯纳神经鞘瘤。

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