Ancient schwannoma arising in a lymph node: report of a case and review of the literature

Pathol Res Pract. 2002;198(1):51-4. doi: 10.1078/0344-0338-00184.

Abstract

We report a case of an intranodal schwannoma in a 79-year-old woman. The patient underwent a left colectomy for a colonic adenocarcinoma, with regional lymph node dissection. Macroscopic examination of the specimen revealed a well-circumscribed 4 cm nodule located in the pericolic fat. Macroscopically, it was interpreted as a metastatic lymph node. Microscopically, the nodule was composed of a proliferation of bland spindle cells, was immunohistochemically positive for S100 protein, and negative for smooth muscle actin, desmin, and cytokeratin. The pathological findings led to the diagnosis of a very rare case of primary schwannoma of the lymph node.

Publication types

  • Case Reports

MeSH terms

  • Abdomen
  • Adenocarcinoma / pathology
  • Aged
  • Biomarkers, Tumor / analysis
  • Colonic Neoplasms / pathology
  • Diagnosis, Differential
  • Female
  • Humans
  • Immunohistochemistry
  • Lymph Node Excision
  • Lymph Nodes / chemistry
  • Lymph Nodes / pathology*
  • Neoplasms, Multiple Primary
  • Neurilemmoma / chemistry
  • Neurilemmoma / pathology*

Substances

  • Biomarkers, Tumor