Primary adrenal microcystic/reticular schwannoma: clinicopathological and immunohistochemical studies of an extremely rare case

被引:1
作者
Zhou, Jun [1 ,2 ]
Zhang, Dandan [1 ,2 ]
Wang, Guannan [1 ,2 ]
Li, Wencai [1 ,2 ]
Xu, Jingjing [1 ,2 ]
Ma, Yihui [1 ,2 ]
Zhang, Jing [1 ,2 ]
Li, Zhen [1 ,2 ]
Zhao, Zhihua [1 ,2 ]
机构
[1] Zhengzhou Univ, Dept Pathol, Affiliated Hosp 1, Zhengzhou 450052, Peoples R China
[2] Zhengzhou Univ, Basic Med Coll, Zhengzhou 450052, Peoples R China
来源
INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL PATHOLOGY | 2015年 / 8卷 / 05期
关键词
Microcystic/reticular schwannoma; adrenal gland; pathology; immunohistochemistry; differential diagnosis; INCIDENTALOMA; SPECTRUM; TUMORS; GLAND;
D O I
暂无
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
A case of primary adrenal microcystic/reticular schwannoma affecting the right adrenal gland in a 31-year-old female was reported. Histologically, the tumor significantly consisted of strikingly anastomosing strands of spindle cells imparting a microcystic and reticular pattern with a focal transition to epithelioid nests. Immunohistochemically, S-100 and CD56 protein showed a uniform and strong positivity, GFAP and EMA weakly and focally expressed, but AE1/AE3, CK5/6, CD31, CD34, calrentin, D2-40, WT1, CgA, Melan-A and Neu-N were negative. The patient live through a calm period for 4 months after the whole right paranephros was removed with no evidence of relapse. This interesting case showed primary adrenal microcystic/reticular schwannoma is characteristic of a distinctive and infrequent morphology compared to another subtype of schwannoma involved in the paranephros. To be familiar with its significant histological features would prompt us to take it into consideration when facing the mimickers.
引用
收藏
页码:5808 / 5811
页数:4
相关论文
共 11 条
[1]   Myxoid adrenocortical adenoma with a pseudoglandular pattern [J].
Bollito, ER ;
Papotti, M ;
Porpiglia, F ;
Terzolo, M ;
Cracco, CM ;
Cappia, S ;
Gubetta, L ;
Mikuz, G .
VIRCHOWS ARCHIV, 2004, 445 (04) :414-418
[2]   Adenomatoid tumor of the adrenal gland: Case report with immunohistochemical study [J].
Hamamatsu, A ;
Arai, T ;
Iwamoto, M ;
Kato, T ;
Sawabe, M .
PATHOLOGY INTERNATIONAL, 2005, 55 (10) :665-669
[3]   Evaluation of MDM2 and CDK4 amplification by real-time PCR on paraffin wax-embedded material:: a potential tool for the diagnosis of atypical lipomatous tumours/well-differentiated liposarcomas [J].
Hostein, I ;
Pelmus, M ;
Aurias, A ;
Pedeutour, F ;
Mathoulln-Pélissier, S ;
Coindre, JM .
JOURNAL OF PATHOLOGY, 2004, 202 (01) :95-102
[4]   An uncommon type of adrenal incidentaloma: a case report of a schwannoma of the adrenal medulla with cytological, histological, and ultrastructural correlation [J].
Jakowski, Joseph D. ;
Wakely, Paul E., Jr. ;
Jimenez, Rafael E. .
ANNALS OF DIAGNOSTIC PATHOLOGY, 2008, 12 (05) :356-361
[5]  
KNIGHT JC, 1995, CANCER RES, V55, P24
[6]  
Kurtkaya-Yapicier Ö, 2003, HISTOL HISTOPATHOL, V18, P925, DOI 10.14670/HH-18.925
[7]   Benign epithelioid peripheral nerve sheath tumors of the soft tissues - Clinicopathologic spectrum of 33 cases [J].
Laskin, WB ;
Fetsch, JE ;
Lasota, J ;
Miettinen, M .
AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 2005, 29 (01) :39-51
[8]   Schwannoma of the adrenal gland - Report of two cases [J].
Lau, SK ;
Spagnolo, DV ;
Weiss, LM .
AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 2006, 30 (05) :630-634
[9]   microcystic/reticular schwannoma: A distinct variant with predilection for visceral locations [J].
Liegl, Bernadette ;
Bennett, Michael W. ;
Fletcher, Christopher D. M. .
AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 2008, 32 (07) :1080-1087
[10]   Adrenal Schwannoma A Rare Type of Adrenal Incidentaloma [J].
Mohiuddin, Yaseen ;
Gilliland, Mary G. F. .
ARCHIVES OF PATHOLOGY & LABORATORY MEDICINE, 2013, 137 (07) :1009-1014