University of Rochester Medical Center, Rochester, NY, USA.
Kaiser Airport Way Regional Laboratory, Portland, OR, USA.
Int J Surg Pathol. 2023 May;31(3):301-306. doi: 10.1177/10668969221101872. Epub 2022 May 29.
Perineuriomas of the gastrointestinal tract, formerly known as benign fibroblastic polyps, most commonly occur as polyps on screening colonoscopy, particularly in the distal colon. Gastric examples are exceedingly rare. We report the sixth patient with a gastric perineurioma in a 57-year-old female. Histologically, the lesion was composed of bland spindle cells without cytologic atypia or mitotic activity located in the gastric lamina propria. The spindled cells were strongly positive for GLUT1 and focally reactive for epithelial membrane antigen (EMA). The morphologic and immunophenotypic findings were those of gastric perineurioma.
胃肠道周围神经鞘瘤,以前称为良性纤维母细胞瘤,最常作为筛查结肠镜检查的息肉出现,特别是在远端结肠。胃的例子非常罕见。我们报告了第六例胃周围神经鞘瘤患者,为 57 岁女性。组织学上,病变由位于胃固有层的无细胞异型性或有丝分裂活性的温和梭形细胞组成。梭形细胞对 GLUT1 呈强阳性,对上皮膜抗原(EMA)呈局灶性反应。形态学和免疫表型发现符合胃周围神经鞘瘤。