PMID- 10193326 OWN - NLM STAT- MEDLINE DCOM- 19990422 LR - 20190501 IS - 0021-9746 (Print) IS - 1472-4146 (Electronic) IS - 0021-9746 (Linking) VI - 51 IP - 11 DP - 1998 Nov TI - Schwannoma with features mimicking neuroblastoma: report of two cases with immunohistochemical and ultrastructural findings. PG - 842-5 AB - OBJECTIVE: A study of two cases of a rare variant of benign schwannoma showing areas mimicking neuroblastoma/peripheral primitive neuroectodermal tumour (PNET). METHODS: Sections of formalin fixed, paraffin embedded specimens were studied by tinctorial stains and immunohistochemistry, and the tissue retrieved from formalin was examined by electronmicroscopy in one case. RESULTS: The tumours were small and subcutaneous. Both showed features of benign schwannoma; one had a multinodular plexiform pattern. In addition, rosette-like structures consisting of collagenous cores surrounded by small round cells or slightly larger epithelioid cells were present. Tumour cells were positive for S100 protein, Leu7, and in one case GFAP, but were negative for neurofilament protein, synaptophysin, and MIC2. Type IV collagen surrounded individual cells. Electronmicroscopy in case 2 confirmed schwannian features (lamina, processes) and failed to show features of neuroblastoma (neuroendocrine granules). CONCLUSIONS: Benign schwannomas may contain rosette-like structures mimicking neuroblastoma/PNET. The techniques used confirmed schwannian differentiation only and eliminated neuroblastoma/PNET. These uncommon variants should be recognised by practising histopathologists to avoid erroneous diagnoses and inappropriate treatment. FAU - Bhatnagar, S AU - Bhatnagar S AD - Department of Pathology, Christie Hospital, Manchester, UK. FAU - Banerjee, S S AU - Banerjee SS FAU - Mene, A R AU - Mene AR FAU - Prescott, R J AU - Prescott RJ FAU - Eyden, B P AU - Eyden BP LA - eng PT - Case Reports PT - Journal Article PL - England TA - J Clin Pathol JT - Journal of clinical pathology JID - 0376601 SB - IM MH - Adult MH - Diagnosis, Differential MH - Female MH - Humans MH - Immunoenzyme Techniques MH - Middle Aged MH - Neurilemmoma/*pathology/ultrastructure MH - Neuroblastoma/*pathology PMC - PMC500979 EDAT- 1999/04/08 00:00 MHDA- 1999/04/08 00:01 PMCR- 2001/11/01 CRDT- 1999/04/08 00:00 PHST- 1999/04/08 00:00 [pubmed] PHST- 1999/04/08 00:01 [medline] PHST- 1999/04/08 00:00 [entrez] PHST- 2001/11/01 00:00 [pmc-release] AID - 10.1136/jcp.51.11.842 [doi] PST - ppublish SO - J Clin Pathol. 1998 Nov;51(11):842-5. doi: 10.1136/jcp.51.11.842.