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皮肤颗粒细胞瘤:病例系列、综述及更新

Cutaneous granular cell tumor: A case series, review, and update.

作者信息

Fahim Shabnam, Aryanian Zeinab, Ebrahimi Zahra, Kamyab-Hesari Kambiz, Mahmoudi Hamidreza, Alizadeh Nilufar, Heidari Nazila, Livani Fatemeh, Ghanadan Alireza, Goodarzi Azadeh

机构信息

Autoimmune Bullous Diseases Research Center, Razi Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Department of Dermatology, School of Medicine, Babol University of Medical Sciences, Babol, Iran.

出版信息

J Family Med Prim Care. 2022 Nov;11(11):6955-6958. doi: 10.4103/jfmpc.jfmpc_642_22. Epub 2022 Dec 16.

Abstract

BACKGROUND

Granular cell tumor (GCT) or Abrikossoff's tumor is an uncommon neuro-derived tumor in which Schwann cells are found and express S-100 protein. Often, it is a benign lesion. Histopathologically, there are granular cell infiltrations through the entire dermis without necrosis which are periodic acid Schiff (PAS) stain positive and reactive with S-100. The aim of this study is the clinicopathological evaluation of GCT.

MATERIAL AND METHODS

In this paper, we described the experience of 6 patients with a GCT in different locations (4 cases in the skin and 2 cases in the mucosa), for example, a case with a tumor in the abdomen and a keloidal-like presentation with a highly sclerotic pattern (an uncommon pathological feature). Another case developed a lesion secondary to physical trauma.

RESULT

In one case, the presence of a lesion in the lower lip associated with actinic damage secondary to chronic sun exposure resulted in misdiagnosis with actinic cheilitis and squamous cell carcinoma.

CONCLUSION

Histopathologically, there were granular cell infiltrations through the entire dermis without necrosis which are PAS-positive and reactive with S-100.

摘要

背景

颗粒细胞瘤(GCT)或阿布里科索夫瘤是一种罕见的神经源性肿瘤,其中可发现施万细胞并表达S-100蛋白。它通常是一种良性病变。组织病理学上,整个真皮层有颗粒细胞浸润,无坏死,过碘酸希夫(PAS)染色阳性且与S-100反应。本研究的目的是对颗粒细胞瘤进行临床病理评估。

材料与方法

在本文中,我们描述了6例不同部位颗粒细胞瘤患者的经验(4例发生于皮肤,2例发生于黏膜),例如,1例腹部肿瘤患者,呈瘢痕疙瘩样表现,具有高度硬化模式(一种罕见的病理特征)。另一例患者因物理创伤继发病变。

结果

1例下唇病变与长期日晒继发的光化性损伤相关,导致误诊为光化性唇炎和鳞状细胞癌。

结论

组织病理学上,整个真皮层有颗粒细胞浸润,无坏死,PAS染色阳性且与S-100反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/045b/10041277/ff3e2ac66d66/JFMPC-11-6955-g001.jpg

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