[Clinicopathological characteristics and differential diagnosis of 6 cases of congenital granular cell tumor]

Zhonghua Kou Qiang Yi Xue Za Zhi. 2022 Apr 9;57(4):410-414. doi: 10.3760/cma.j.cn112144-20210811-00361.
[Article in Chinese]

Abstract

To provide references for the diagnosis and treatment of congenital granular cell tumor (CGCT), by comprehensive analysis of the clinical data, histopathological and immunohistochemical results. Patients with CGCT were involede, from March 2015 to November 2020, at the Department of Oral and Maxillofacial Surgery of the First Affiliated Hospital of Zhengzhou University. A total of 6 children, aged 3-16 days, 1 male and 5 female, 5 maxillary and 1 mandibular, with maximum tumor diameter of 6-70 mm, were included. The lesions of CGCT were single and connected to the alveolar ridge by a pedicle. The surface of the tumor was covered with a vascular network, and two cases had ulcers on the surface of the tumor. All 6 cases had the tumor removed surgically and there was no recurrence or metastasis in the follow-up visit. Although CGCT is rare, it is a benign tumor and generally does not recur or metastasize after surgery, and has a good prognosis. The prenatal imaging, clinical manifestations after delivery, pathological characteristics and immunohistochemical analyses may provide reference for early diagnosis and treatment of CGCT.

选取2015年3月至2020年11月就诊于郑州大学第一附属医院口腔颌面外科的先天性颗粒细胞龈瘤(congenital granular cell tumor,CGCT)患者,通过分析其临床资料、组织病理及免疫组化表现,结合国内外报道进行综合分析,初步探讨CGCT的临床特点、组织病理及免疫组化特点,为其诊断及鉴别诊断提供参考。共纳入6例患儿,术前年龄3~16 d;男性1例,女性5例;上颌5例,下颌1例;肿瘤最大径为6~70 mm。6例CGCT均为单发,通过蒂与牙槽嵴相连。肿瘤表面覆盖血管网,2例瘤体表面出现溃疡。6例患儿均通过手术摘除肿瘤。随访4~61个月未见肿瘤复发或转移。CGCT虽罕见但属于良性肿瘤,一般不复发或转移,预后好。产前影像学检查、娩出后的临床表现、病理特点及免疫组化检查,可为CGCT早期诊断及治疗提供参考。.

MeSH terms

  • Child
  • Diagnosis, Differential
  • Female
  • Gingival Neoplasms* / surgery
  • Granular Cell Tumor* / diagnosis
  • Granular Cell Tumor* / metabolism
  • Granular Cell Tumor* / surgery
  • Humans
  • Male
  • Pregnancy