Cutaneous ganglioneuroma associated with overlying hyperkeratotic epidermal changes: a report of 2 cases.

Autor: Furmanczyk PS; University of Washington, Department of Pathology, Seattle, WA 98195-6100, USA. pfurman@u.washington.edu, Hughes SR, Walsh JS, Bass J, McFarlane JR, Argenyi ZB
Jazyk: angličtina
Zdroj: The American Journal of dermatopathology [Am J Dermatopathol] 2008 Dec; Vol. 30 (6), pp. 600-3.
DOI: 10.1097/DAD.0b013e3181834acd
Abstrakt: The occurrence of primary cutaneous ganglioneuroma is rare. We report 2 separate cases of primary cutaneous ganglioneuroma, both of which are associated with prominent overlying hyperkeratosis. The first case was in a 38-year-old woman with overlying verrucous keratosis. The second case was in a 93-year-old man with epidermal changes reminiscent of a seborrheic keratosis. Histologically, both lesions were composed of a proliferation of hyperplastic nerve fibers with spindled Schwann cells and axons with intermingled ganglion cells. Immunohistochemistry for neurofilament highlighted nerve fascicles; S100 protein displayed the associated Schwann cells, and neuron-specific enolase stained the interspersed ganglion cells. Variation in immunohistochemical staining was present between the 2 cases. A review of the literature demonstrates variable immunohistochemical staining of ganglion and Schwann cells in prior cases. Familiarity with these findings is important in establishing a diagnosis. The significance of the associated hyperkeratosis remains speculative.
Databáze: MEDLINE