ulcerative granular cell tumor a clinicopathological and immunohistochemical study溃疡性颗粒细胞瘤临床病理和免疫组织化学研究.pdf

Hindawi Publishing Corporation Journal of Skin Cancer Volume 2011, Article ID 497648, 6 pages doi:10.1155/2011/497648 Clinical Study Ulcerative Granular Cell Tumor: A Clinicopathological and Immunohistochemical Study Mohamed El-Khalawany,1 Al-Sadat Mosbeh,1 Fatma Abd-Al Salam,2 and Amany Abou-Bakr3 1 Department of Dermatology, Al-Hussein University Hospital, Al-Azhar University, Box 32515, Al-Darasah, Cairo, Egypt 2 Department of Dermatology, Al-Zahraa University Hospital, Al-Azhar University, Cairo, Egypt 3 Department of Pathology, National Cancer Institute, Cairo University, Cairo, Egypt Correspondence should be addressed to Mohamed El-Khalawany, makhalawany@ Received 30 June 2011; Accepted 2 September 2011 Academic Editor: Mohammed Kashani-Sabet Copyright © 2011 Mohamed El-Khalawany et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Granular cell tumor (GCT) is uncommonly presented with cutaneous ulcer. We examined the clinicopathological and immunohistochemical features of this ulcerative form in fourteen cases that may raise the awareness of this variant. The study included 11 males and 3 females with a mean age 31.5 ± 7.42 years. All cases were presented with large solitary ulcer with indurated base, elevated border, skin colored margin, and necrotic floor. Twelve lesions were located on the extremities and two lesions on the genital region. Histologically, the lesions showed dermal infiltrate composed of large polygonal cells with granular cytoplasm and characteristic infiltration of the dermal muscles in all cases. Immunostaining showed positive reacti