粘膜内シュワン細胞性過誤腫 (mucosal Schwann cell hamartoma) の1例

Shintaro Sagami, Akira Fukumoto, Mio Amano, Kentaro Yamao, Yoshimasa Hashimoto, Tomohiro Iiboshi, Seiji Onogawa, Naomichi Hirano, Keiji Hanada, Hajime Amano, Fumiaki Hino, S. Yonehara
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引用次数: 3

Abstract

: A 40-year-old man was referred to our hospital because of a positive fecal occult blood test. Colonoscopy revealed many small whitish nodules in the mucosa of the sigmoid colon. Specimens endoscopically resected from the lesions revealed spindle cell proliferation in the lamina propria. Immunohistochemical study revealed strong and diffuse positivity for S-100 protein. Results of staining for neurofilament protein and epithelial membrane antigen were negative. The neurogenic tumors were diagnosed as mucosal Schwann cell hamartoma. No clinical features of multiple endocrine neoplasia type 2B or neurofibromatosis type 1 were found in the present case.
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粘膜内施万细胞性过误瘤(mucosal Schwann cell hamartoma)的一个例子
例一名四十岁男子因粪便隐血试验阳性而被转介至我院。结肠镜检查发现乙状结肠粘膜有许多白色小结节。内镜下切除的病变标本显示固有层梭形细胞增生。免疫组化研究显示S-100蛋白呈强弥漫阳性。神经丝蛋白和上皮膜抗原染色均为阴性。神经源性肿瘤诊断为粘膜雪旺细胞错构瘤。本病例未发现多发性内分泌瘤2B型和1型神经纤维瘤病的临床特征。
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