丛状栅栏状有包膜神经瘤

发布时间：2018-06-15 16:23

本文选题：神经瘤 + 有包膜　；参考：《临床皮肤科杂志》2017年12期

【摘要】：报告1例丛状栅栏状有包膜神经瘤。患者男,42岁。右口角外侧丘疹8年。皮肤科检查:右口角外侧一肤色丘疹,质中,表面光滑。皮损组织病理:真皮内可见多个肿瘤团块,境界清楚,瘤团内梭形细胞增生,其间可见较多裂隙,瘤团外层细胞呈栅栏状排列,细胞异形性不明显。免疫病理:增生的梭形瘤细胞S-100蛋白阳性,肿瘤细胞间可见散在神经纤维丝蛋白(NFPR)阳性的神经轴突,肿瘤周围可见上皮膜抗原(EMA)弱阳性的不完整的包膜。诊断:丛状栅栏状有包膜神经瘤。
[Abstract]:A case of plexiform palisade capsular neuroma was reported. The patient was 42 years old. Right angle lateral papules for 8 years. Dermatology examination: a skin papules on the lateral side of the right horn, medium, smooth surface. Histopathology of the lesions: there were many tumor masses in the dermis. The boundary was clear. The spindle cells in the tumor masses were proliferated and there were many cracks in them. The outer cells of the tumor masses were arranged in a palisade shape, and the cell heterogeneity was not obvious. The immunopathology showed that S-100 protein was positive in proliferative spindle tumor cells, the axons of neurofibronectin (NFPRP) -positive were seen between tumor cells, and the incomplete capsule with weak positive epithelium membrane antigen (EMA) was found around the tumor. Diagnosis: plexiform palisade with capsular neuroma.
【作者单位】：第四军医大学西京皮肤医院;西安市长庆油田职工医院皮肤科;
【分类号】：R739.5

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