1
|
Kiskinov PI, Palavurov AM, Mollova-Kyosebekirova AY, Atliev KT, Zanzov EI, Anastasova VN. Unique Case of Rare Non-Neural Granular Cell Tumor of the Rectus Abdominis Muscle. MEDICINA (KAUNAS, LITHUANIA) 2024; 60:576. [PMID: 38674222 PMCID: PMC11051885 DOI: 10.3390/medicina60040576] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/04/2024] [Revised: 03/25/2024] [Accepted: 03/29/2024] [Indexed: 04/28/2024]
Abstract
Background and Objectives: Our report contributes a unique case of a non-neural GCT occurring in an unusual location, with its development during pregnancy adding to its rarity. Materials and Methods: Granular cell tumors (GCTs), also known as Abrikossoff's tumors, are rare neoplasms of Schwann cell origin with predominantly benign behavior. We present a case of a 29-year-old female with a non-neural variant of a GCT discovered incidentally during a cesarean section, situated on the posterior surface of the rectus abdominis muscle. Results: Histologically, the tumor exhibited features consistent with a benign non-neural GCT, confirmed through an immunohistochemical analysis. Despite the atypical presentation and challenging surgical removal due to prior scarring, the patient experienced no postoperative complications and showed no signs of recurrence during follow-up. Conclusions: This case highlights the importance of considering GCTs in differential diagnoses, particularly in unusual anatomical locations, and underscores the favorable prognosis associated with timely surgical intervention.
Collapse
Affiliation(s)
- Petar Ivanov Kiskinov
- Department of Propaedeutics of Surgical Diseases, Section of Plastic, Reconstructive and Aesthetic Surgery and Thermal Trauma, Medical University Plovdiv, “Saint George” University Hospital, 4002 Plovdiv, Bulgaria; (E.I.Z.); (V.N.A.)
| | - Anastas Metaxov Palavurov
- Department of Urology and General Medicine, Medical University Plovdiv, “Saint George” University Hospital, 4002 Plovdiv, Bulgaria; (A.M.P.); (K.T.A.)
| | | | - Kiril Todorov Atliev
- Department of Urology and General Medicine, Medical University Plovdiv, “Saint George” University Hospital, 4002 Plovdiv, Bulgaria; (A.M.P.); (K.T.A.)
| | - Elean Ivanov Zanzov
- Department of Propaedeutics of Surgical Diseases, Section of Plastic, Reconstructive and Aesthetic Surgery and Thermal Trauma, Medical University Plovdiv, “Saint George” University Hospital, 4002 Plovdiv, Bulgaria; (E.I.Z.); (V.N.A.)
| | - Vania Nikolaeva Anastasova
- Department of Propaedeutics of Surgical Diseases, Section of Plastic, Reconstructive and Aesthetic Surgery and Thermal Trauma, Medical University Plovdiv, “Saint George” University Hospital, 4002 Plovdiv, Bulgaria; (E.I.Z.); (V.N.A.)
| |
Collapse
|
2
|
Lv X, Sun X, Zhou J, Zhang Y, Lv G. Granular cell tumor of the appendix: a case report and literature review. J Int Med Res 2022; 50:3000605221109369. [PMID: 35850553 PMCID: PMC9310069 DOI: 10.1177/03000605221109369] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
A granular cell tumor (GCT) is an unusual benign soft tissue tumor that can occur
at any age and in any part of the body. GCTs are mostly found in the skin and
subcutaneous tissues, bronchi, esophagus, breast tissue, and tongue. A GCT
originating in the digestive tract, particularly in the appendix, is relatively
rare and usually diagnosed as an incidental finding. We herein describe the
first case of abdominal distension and occasional pain secondary to a GCT of the
appendix in our hospital. The findings from this case suggest that a GCT of the
appendix is a rare entity for which surgical resection is an efficient
therapy.
Collapse
Affiliation(s)
- Xing Lv
- Clinical College, Jilin University, Changchun, Jilin, China
| | - Xiaodong Sun
- Department of Hepatobiliary and Pancreatic Surgery, The First Hospital of Jilin University, Changchun, Jilin, China
| | - Jianpeng Zhou
- Department of Hepatobiliary and Pancreatic Surgery, The First Hospital of Jilin University, Changchun, Jilin, China
| | - Yang Zhang
- Department of Gastrointestinal Surgery, The First Hospital of Jilin University, Changchun, Jilin, China
| | - Guoyue Lv
- Department of Hepatobiliary and Pancreatic Surgery, The First Hospital of Jilin University, Changchun, Jilin, China
| |
Collapse
|
3
|
Kavak ZN, Gökaslan H, Küllü S. Vulvar granular cell tumor (ABRIKOSSOFF TUMOR); a tumor of vulva which is rare but needs care. Gynecol Oncol Rep 2021; 36:100767. [PMID: 33997222 PMCID: PMC8102154 DOI: 10.1016/j.gore.2021.100767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/09/2021] [Revised: 04/04/2021] [Accepted: 04/14/2021] [Indexed: 11/18/2022] Open
Abstract
•Abrikossoff tumor is a rare tumor but not always benign.•Re-excission for positive margins in benign tumors may not be invariably necessary.•Cosmetic issues may play role in the treatment and follow-up in benign tumors.
Collapse
Affiliation(s)
| | - Hüsnü Gökaslan
- Obstetric and Gynecology, Academic Hospital, İstanbul, Turkey
- Corresponding author at: Ob &Gyn, Academic Hospital, Nuhkuyusu caddesi No: 95, Bağlarbaşı, Üsküdar, İstanbul, Turkey.
| | - Sevgi Küllü
- Pathology, Academic Hospital, İstanbul, Turkey
| |
Collapse
|
4
|
Yankov GS, Yanev NA, Valev DG, Yamakova YT, Gabrovska NN, Kostadinov DT. A case of retrotracheal granular cell tumor. Chirurgia (Bucur) 2020. [DOI: 10.23736/s0394-9508.19.05014-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
|
5
|
Malignant granular cell tumor of the median nerve: a case report with a literature review of 157 cases. Skeletal Radiol 2019; 48:307-316. [PMID: 29980826 DOI: 10.1007/s00256-018-3017-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/01/2018] [Revised: 06/15/2018] [Accepted: 06/18/2018] [Indexed: 02/02/2023]
Abstract
Malignant granular cell tumors are an extremely rare, high-grade sarcoma with a schwannian phenotype and are composed of malignant granular cells with cytoplasmic lysosomal inclusion. To date, 157 cases of malignant granular cell tumors have been reported. We report the first case of a malignant granular cell tumor arising from the digital nerve to the median nerve in the palm, and we review the 157 previously reported cases and summarize the clinical profile, treatment, and outcome of this tumor. The median age, tumor size, and follow-up periods were 51 years, 6 cm, and 24 months respectively. With respect to the oncological result, 53 patients (33.8%) had no evidence for disease, 31 (19.7%) were alive with the disease, and 51 (32.5%) died because of the disease. Our case report indicates that rare malignant tumors can arise from the digital nerve to the median nerve in the palm, an anatomical site that is usually affected by benign lesions. Exhaustive discussions between surgeons and pathologists are necessary for the treatment of this rare malignant tumor.
Collapse
|
6
|
Deskoulidi P, Koufopoulos N, Diamantopoulos P, Basagiannis E, Maltzaris N, Nikolaidou T, Kydonakis M, Kotrotsiou M, Benetatos K, Arnogiannaki N, Stavrianos S. Intramuscular granular cell tumor of the gluteal region. J Surg Case Rep 2018; 2018:rjy004. [PMID: 29423168 PMCID: PMC5798141 DOI: 10.1093/jscr/rjy004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2017] [Revised: 12/17/2017] [Accepted: 01/07/2018] [Indexed: 11/14/2022] Open
Abstract
Granular cell tumors are uncommon, usually benign neoplasms, mainly observed in the head and neck region, chest wall and upper extremities. These tumors account for ~0.5% of all soft-tissue tumors. Less than 2% are malignant. These are associated with poor prognosis. Clinical signs suspicious for malignancy are large size, rapid growth, invasion, recurrence and metastasis. Malignancy is confirmed by histological examination. We present the case of a 79-year-old patient with a 6-month history of a rapidly growing mass in the left gluteal region giving the clinical impression of a malignant tumor. The patient underwent surgical excision of the tumor and the pathology report revealed a granular cell tumor. In difficult cases, multidisciplinary approach is necessary for appropriate diagnosis and management.
Collapse
Affiliation(s)
- Parthena Deskoulidi
- Plastic Surgery Department, St. Savvas Cancer Hospital of Athens, Athens, Greece
| | | | | | | | - Nikolaos Maltzaris
- Plastic Surgery Department, St. Savvas Cancer Hospital of Athens, Athens, Greece
| | - Thaleia Nikolaidou
- Plastic Surgery Department, St. Savvas Cancer Hospital of Athens, Athens, Greece
| | - Michael Kydonakis
- Plastic Surgery Department, St. Savvas Cancer Hospital of Athens, Athens, Greece
| | - Maria Kotrotsiou
- Plastic Surgery Department, Evangelismos General Hospital, Athens, Greece
| | | | - Niki Arnogiannaki
- Pathology Department, St. Savvas Cancer Hospital of Athens, Athens, Greece
| | - Spiros Stavrianos
- Plastic Surgery Department, St. Savvas Cancer Hospital of Athens, Athens, Greece
| |
Collapse
|
7
|
Costa Almeida CE, Caroço T, Silva M, Albano MN. Abrikossoff's tumour on the upper limb: a rare presentation. BMJ Case Rep 2017; 2017:bcr-2017-222006. [PMID: 29127127 DOI: 10.1136/bcr-2017-222006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022] Open
Abstract
Abrikossoff's tumour or granular cell tumour is a rare entity. Most common locations are the head and neck, with only a few cases reported on the upper limbs. A 55-year-old man with a nodular lesion on the left arm resorted to surgery consultation. Nodule was firm, mobile, painless and non-ulcerated. Total excision using a Limberg flap procedure was performed. Following 3 months of follow-up, the patient is fine. Abrikossoff's tumour is frequently presented in the second to sixth decade of life as an ulcerated nodule with progressive growth. Malignant form is rare, with metastases occurring in up to 3% of patients. Excision must be accomplished with free margins. Recurrence is rare. Abrikossoff's tumour on the upper limbs is rare. Although benignity is the rule, doctors must be aware of the possibility of harbouring a cancer. Surgery is the treatment of choice.
Collapse
Affiliation(s)
- Carlos E Costa Almeida
- Department of Surgery C (Covões), Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal
| | - Teresa Caroço
- Department of Surgery C (Covões), Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal
| | - Marta Silva
- Department of Surgery C (Covões), Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal
| | - Miguel Nico Albano
- Department of Surgery C (Covões), Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal
| |
Collapse
|
8
|
Primary cutaneous malignant granular cell tumor: an immunohistochemical study and review of the literature. Am J Dermatopathol 2016; 37:334-40. [PMID: 25794371 DOI: 10.1097/dad.0000000000000106] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
Granular cell tumors (GCTs) are uncommon soft tissue tumors characterized by cytoplasmic granular appearance of the neoplastic cells. Malignant granular cell tumors (MGCTs) comprise less than 2% of GCTs and are mostly found in the subcutaneous soft tissues of the lower extremities, especially the thighs. Very few cases have been reported in the skin. The uncommon occurrence of cutaneous MGCTs and their histopathologic similarities with their benign counterpart make difficult the diagnosis of this particular malignancy. We describe a primary cutaneous MGCT that presented as a left posterior chest wall mass in a 51-year-old woman. Local excision was performed for the primary tumor, which was first interpreted as an atypical GCT, but 3 months later a left axillary mass appeared, and subsequent axillary lymph node dissection demonstrated metastatic disease in 4 of 12 excised lymph nodes. We report the immunophenotype of this primary cutaneous MGCT, which was studied with an ample panel of antibodies and compare our results with those of the few previously reported cases in the skin and subcutaneous soft tissues.
Collapse
|
9
|
Pushpa G, Karve PP, Subashini K, Narasimhan MN, Ahmad PB. Abrikossoff's Tumor: An Unusual Presentation. Indian J Dermatol 2013; 58:407. [PMID: 24082205 PMCID: PMC3778800 DOI: 10.4103/0019-5154.117335] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Abrikossoff's tumor or granular cell tumor is an infrequent benign neoplasm, first described by the Russian pathologist Abrikossoff in 1926. The neoplasm can affect all parts of the body with head and neck areas affected in 45-65% of patients. More than half of the head and neck lesions are localized to the oral cavity, especially the tongue. An aggressive malignant form of granular cell myoblastoma that metastasizes is rare. The treatment of choice of Abrikossoff's tumor is local surgical excision with a wide margin. Here, we present a case of Abrikossoff's tumor, occurring in the upper arm, presenting as a panniculitis-like lesion.
Collapse
Affiliation(s)
- Gnanaraj Pushpa
- Department of Dermatology, SRM Medical College Hospital and Research Centre, Kattankulathur, Kancheepuram, Tamilnadu, India
| | | | | | | | | |
Collapse
|
10
|
Chen J, Wang L, Xu J, Pan T, Shen J, Hu W, Yuan X. Malignant granular cell tumor with breast metastasis: A case report and review of the literature. Oncol Lett 2012; 4:63-66. [PMID: 22807961 DOI: 10.3892/ol.2012.702] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2012] [Accepted: 04/24/2012] [Indexed: 02/06/2023] Open
Abstract
Malignant granular cell tumors (MGCT) are rare mesenchymal soft tissue neoplasms of Schwann cell origin without adequate follow-up. This study describes a case of MGCT with right breast metastasis following two local recurrences. The patient consented to a right breast lumpectomy with right axillary dissection, a right abdominal wall lumpectomy and a right inguinal lumpectomy with dissection. Pathological examination revealed that the two initial lesions were consistent with benign histological performance. The later lesions were classified as malignant due to the observation of spindling of the tumor cells, vesicular nuclei with large nucleoli and increased mitotic rate. Immunohistochemical study of the lesions revealed positivity for S100 protein. The Ki-67 proliferation index increased from 1 to 10%. Twenty-seven months after surgery, the patient was in good health with no sign of further tumor development. We recommend wide local excision with regional lymph node dissection as the first choice of treatment for MGCT.
Collapse
Affiliation(s)
- Jida Chen
- Department of Surgical Oncology, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang 310016, P.R. China
| | | | | | | | | | | | | |
Collapse
|
11
|
Thacker MM, Humble SD, Mounasamy V, Temple HT, Scully SP. Case report. Granular cell tumors of extremities: comparison of benign and malignant variants. Clin Orthop Relat Res 2007; 455:267-73. [PMID: 16936589 DOI: 10.1097/01.blo.0000238786.06231.17] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Granular cell tumors are uncommon soft tissue neoplasms that arise from cells of neural origin. We present three patients with this rare tumor: one with a benign tumor, one with a malignant tumor, and one with a histologically benign tumor that later metastasized to the lung. We studied the difficulty in differentiating between the benign and malignant variants using only histology. We also compared the clinical, radiographic, and pathologic features and the criteria for malignancy, natural history, and prognosis.
Collapse
Affiliation(s)
- Mihir M Thacker
- Department of Orthopaedic Surgery, Alfred I duPont Hospital for Children, Wilmington, DE, USA
| | | | | | | | | |
Collapse
|
12
|
Tomson N, Abdullah A, Tan CY. Multiple granular cell tumors in a child with growth retardation. Report of a case and review of the literature. Int J Dermatol 2006; 45:1358-61. [PMID: 17076726 DOI: 10.1111/j.1365-4632.2006.02828.x] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Nevianna Tomson
- Department of Dermatology, Birmingham Skin Center, City Hospital, Birmingham, UK
| | | | | |
Collapse
|
13
|
Kobayashi TK, Bamba M, Oka H, Hino A, Fujimoto M, Katsumori T, Moritani S, Kushima R, Kaneko C. Granular cell tumour of the neurohypophysis on cytological squash preparations. Cytopathology 2006; 17:153-4. [PMID: 16719859 DOI: 10.1111/j.1365-2303.2006.00298.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
14
|
Aksoy S, Abali H, Kilickap S, Harputluoglu H, Erman M. Metastatic granular cell tumor: a case report and review of the literature. Acta Oncol 2006; 45:91-4. [PMID: 16464802 DOI: 10.1080/02841860500341132] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
|
15
|
Janousková G, Campr V, Konkol'ová R, Zemanová R, Hoch J, Hercogová J. Multiple granular cell tumour. J Eur Acad Dermatol Venereol 2004; 18:347-9. [PMID: 15096153 DOI: 10.1111/j.1468-3083.2004.00925.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Myoblastic myoma was first described in 1926. Immunohistochemical methods have proven the neuroectodermal origin of this tumour. It most frequently affects individuals between 30 and 60 years of age, with a significant female predominance. In most cases it is a benign solitary tumour, with multiple lesions found in 25% of cases. The malignant variant of the tumour is diagnosed in less than 3% of cases. This case report of a 30-year-old woman describes the appearance of a solid resistance between her breasts following delivery of her child, with similar findings on the neck and wrists. Histopathological examination confirmed the presence of a benign variant of myoblastic myoma.
Collapse
Affiliation(s)
- G Janousková
- Department of Dermatology and Venereology, the 2nd Medical School of Charles University and University Hospital Motol, Prague 5, V Uvalu 84, Czech Republic.
| | | | | | | | | | | |
Collapse
|
16
|
Machado A, Souto de Moura C, Queiroga H. [Cell granular tumor of the lung--clinical case]. REVISTA PORTUGUESA DE PNEUMOLOGIA 2004; 9:515-20. [PMID: 15190436 DOI: 10.1016/s0873-2159(15)30703-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Lung granular cells tumour is a rare disease, almost always benign, with good prognostic after surgical treatment. Although it can present local aggressiveness, cases of malignancy have rarely been described. The authors describe a case of granular cells tumour of the lung and they make a revision on this clinical entity.
Collapse
Affiliation(s)
- Augusta Machado
- Interna Complementar de Pneumologia, Assistente Hospitalar de Anatomia Patológica, Porto, Portugal
| | | | | |
Collapse
|
17
|
Montagnese MD, Roshong-Denk S, Zaher A, Mohamed I, Staren ED. Granular Cell Tumor of the Breast. Am Surg 2004. [DOI: 10.1177/000313480407000112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Granular cell tumors (GCT) are uncommon, usually benign, neoplasms that are thought to derive from Schwann cells of the peripheral nerves. They can originate anywhere in the body but are most frequently found in the head and neck, particularly in the oral cavity. When they are located in the breast, as may occur in 5–8 per cent of cases, the clinical and pathologic appearance is similar to that of a malignant tumor. Immunohistochemical analysis, including reactivity for periodic acid–Schiff, CD68, and S100 and negative reactivity for cytokeratin, is required for definitive diagnosis. Awareness of this tumor's unique characteristics might aid in differentiating it from the more common malignant tumors of the breast.
Collapse
Affiliation(s)
| | | | - Aiman Zaher
- Departments of Pathology, Medical College of Ohio, Toledo, Ohio
| | - Iman Mohamed
- Departments of Pathology, Medical College of Ohio, Toledo, Ohio
| | - Edgar D. Staren
- Departments of Surgery, Medical College of Ohio, Toledo, Ohio
| |
Collapse
|
18
|
Ng SB, Chuah KL. Fine needle aspiration cytology of metastatic malignant granular cell tumour: a case report and review of the literature. Cytopathology 2002; 13:164-70. [PMID: 12060079 DOI: 10.1046/j.1365-2303.2002.00392.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Affiliation(s)
- S B Ng
- Department of Pathology, Singapore General Hospital, Singapore.
| | | |
Collapse
|
19
|
Wieczorek TJ, Krane JF, Domanski HA, Akerman M, Carlén B, Misdraji J, Granter SR. Cytologic findings in granular cell tumors, with emphasis on the diagnosis of malignant granular cell tumor by fine-needle aspiration biopsy. Cancer 2001; 93:398-408. [PMID: 11748580 DOI: 10.1002/cncr.10143] [Citation(s) in RCA: 44] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
BACKGROUND Granular cell tumors (GCTs) are uncommon tumors of putative schwannian derivation that are rarely malignant. Although recent studies have addressed a histologic correlation with malignant behavior, similar studies have not been done on cytologic material. METHODS The authors evaluated 3 malignant GCTs and 17 benign GCTs (comprising 17 fine-needle aspiration biopsy samples and 3 samples from direct scrapes) for the following cytologic features: hyperchromasia; coarse chromatin; nuclear-to-cytoplasmic (N/C) ratio; nuclear pleomorphism; and vesicular nuclei with enlarged nucleoli, mitoses, necrosis, and spindle cell morphology. RESULTS Hyperchromasia, coarse chromatin, increased N/C ratio, nuclear pleomorphism, and vesicular nuclei with enlarged nucleoli and spindle cell morphology were associated the most closely with malignancy when they were present throughout the cytologic sample. All were diffusely present in three of three malignant tumors, except vesicular nuclei and spindle cell morphology, which were present diffusely in two tumors and focally in one tumor. By contrast, although one to five of these features were present focally in 8 of 17 benign GCTs, none was present diffusely in any benign GCTs, with one exception, which had a combination of focal nuclear pleomorphism and hyperchromasia together with diffuse vesicular nuclei, large nucleoli, and coarse chromatin. The N/C ratio in this tumor was not increased, and there were no spindle cells or mitoses. Mitoses were present in 2 of 3 malignant GCTs and absent from all 17 benign GCTs. Necrosis was not seen in any tumors. CONCLUSIONS Malignant GCTs have characteristic cytologic features that differ from those of benign GCTs. However, morphologic heterogeneity precludes definitive classification of some tumors by cytologic features alone.
Collapse
Affiliation(s)
- T J Wieczorek
- Department of Pathology, Brigham and Women's Hospital, Boston, Massachusetts 02115, USA
| | | | | | | | | | | | | |
Collapse
|
20
|
Dorta S, Sánchez R, García-Bustínduy M, Guimerá F, Sáez M, Noda A, Martín-Herrera A, García-Montelongo R. Multiple granular cell tumour in a teenager. Br J Dermatol 2000; 143:906-7. [PMID: 11069490 DOI: 10.1046/j.1365-2133.2000.03805.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
|
21
|
Gibbons D, Leitch M, Coscia J, Lindberg G, Molberg K, Ashfaq R, Saboorian MH. Fine Needle Aspiration Cytology and Histologic Findings of Granular Cell Tumor of the Breast: Review of 19 Cases with Clinical/Radiologic Correlation. Breast J 2000; 6:27-30. [PMID: 11348331 DOI: 10.1046/j.1524-4741.2000.99017.x] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Granular cell tumors (GCTs) are rare lesions in the breast of putative schwannian origin. These tumors are found in multiple sites throughout the body and have a characteristic histologic appearance. Recognition of these usually benign tumors is important since clinically, radiologically, and grossly GCTs of the breast often mimic carcinoma. The literature on these lesions in the breast is confined to isolated case reports. We describe the epidemiologic, cytologic, pathologic, and radiologic findings in 19 GCTs of the breast in 16 patients diagnosed at the University of Texas Southwestern Medical Center between 1991 and 1997.
Collapse
Affiliation(s)
- D. Gibbons
- Departments of Pathology,Surgery, and Radiology, University of Texas Southwestern Medical Center, Dallas, Texas
| | | | | | | | | | | | | |
Collapse
|
22
|
Campanacci M. Granular Cell Tumor. BONE AND SOFT TISSUE TUMORS 1999:1145-1147. [DOI: 10.1007/978-3-7091-3846-5_82] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/02/2023]
|
23
|
Schoedel KE, Bastacky S, Silverman A. An S100 negative granular cell tumor with malignant potential: report of a case. J Am Acad Dermatol 1998; 39:894-8. [PMID: 9810925 DOI: 10.1016/s0190-9622(98)70375-5] [Citation(s) in RCA: 22] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Malignant granular cell tumors are rare, but exhibit typical histologic, immunohistochemical, and electron microscopic features that also characterize their benign counterparts. Although most granular cell tumors are S100 protein positive, we report an S100 negative granular cell tumor with histopathologic evidence supporting malignancy. This tumor is best categorized as a malignant granular cell tumor rather than a granular cell variant of a malignant histiocytic, mesenchymal, or epithelial neoplasm. A multidisciplinary approach is essential to diagnosis.
Collapse
Affiliation(s)
- K E Schoedel
- Department of Pathology University of Pittsburgh Medical Center, Pennsylvania, USA
| | | | | |
Collapse
|
24
|
Farmer RW, Scher RL. Granular cell tumor of the larynx presenting with airway obstruction. Otolaryngol Head Neck Surg 1998; 118:874-6. [PMID: 9627256 DOI: 10.1016/s0194-5998(98)70288-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Affiliation(s)
- R W Farmer
- Division of Otolaryngology--Head and Neck Surgery, Duke University Medical Center, Durham, North Carolina 27710, USA
| | | |
Collapse
|
25
|
Sangüeza OP, Requena L. Neoplasms with neural differentiation: a review. Part II: Malignant neoplasms. Am J Dermatopathol 1998; 20:89-102. [PMID: 9504678 DOI: 10.1097/00000372-199802000-00018] [Citation(s) in RCA: 55] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
Malignant peripheral nerve sheath tumors (MPNSTs) encompass a wide and unusual group of neoplasms with features of neural differentiation. They most commonly present as spindle cell neoplasms and it can be difficult to differentiate them from other spindle cell neoplasms such as leiomyosarcomas, fibrosarcomas and synovial sarcomas. Strict criteria need to be applied in order to make the diagnosis of MPNSTs. Helpful features include contiguity with a nerve or an association with von Recklinghausen disease. The use of immunohistochemical stains may also help to confirm the diagnosis. Markers such as S-100 protein, neurofilament, epithelial membrane antigen and Leu-7 (CD57) are frequently used to assess neural differentiation in these neoplasms. In addition to the spindle cell pattern, MPNSTs may also display an epithelioid pattern. Rarely, other elements may be seen including glands in the so-called glandular MPNST or muscle in triton tumors. In more unusual cases cartilage, adipose tissue and even bone are present. Also included in the group of MPNSTs are the peripheral neuroepithelial tumor, neurotropic or desmoplastic melanomas and malignant granular cell tumors. MPNSTs are highly aggressive tumors and should be treated accordingly.
Collapse
Affiliation(s)
- O P Sangüeza
- Department of Pathology, Medical College of Georgia, Augusta 30912, USA
| | | |
Collapse
|
26
|
Abstract
BACKGROUND Granular cell tumor was first described by Abrikossoff in 1926. It is rare and usually presents as a benign solitary lesion. Multifocal and malignant forms are known to occur. METHODS This presentation illustrates an additional case of granular cell tumor. Clinical and histological features to distinguish malignant and benign forms are presented. RESULTS Tumor can develop years after therapy for the primary lesion. Treatment recommendations are presented. CONCLUSIONS Patients diagnosed with granular cell tumor require close follow-up. Radiographic evaluation for the presence of metastatic disease is necessary if a malignant variant is suspected.
Collapse
Affiliation(s)
- B V Curtis
- Department of Surgery, UCLA Medical Center, Los Angeles, California 90095-1624, USA
| | | | | |
Collapse
|
27
|
Abstract
We report a case of an extremely rare neoplasm, malignant granular cell tumor (MGCT). The tumor occurred in the infratemporal fossa of a 30-year-old man, extended to the left orbital base, into the foramen ovale, and invaded the mandible. A granular cell tumor (GCT) was diagnosed by fine-needle aspiration and core needle biopsy of the mass. The patient underwent a radical subtotal debulking procedure followed by radiotherapy. He is alive with recurrent disease 12 months after presentation. Cytologically, the aspirated material was abundantly cellular showing large polygonal cells with ample granular eosinophilic cytoplasm, eccentric nuclei, and often prominent nucleoli. Histologically, the tumor consisted of solid sheets of similar cells that stained strongly with S-100 protein, neuron-specific enolase (NSE), and vimentin. There was moderate nuclear pleomorphism and broad zones of necrosis. Four mitotic figures per 100 high-power field (HPF) were counted. By electron microscopy, the cytoplasm of the tumor cells was filled with lysosomes. Although, some observers advocate that the diagnosis of a MGCT should be reserved for cases in which lymph node and/or distant organ metastasis is evident, we believe malignancy ought to be considered in any GCT with aggressive clinical course defined by persistent local recurrence and destruction of neighboring structures. Nuclear pleomorphism, necrosis, and presence of any mitotic activity should indicate malignancy.
Collapse
Affiliation(s)
- A Simsir
- Department of Pathology, Columbia University, College of Physicians & Surgeons, New York, NY 10032, USA
| | | | | |
Collapse
|