Summary
A clinicopathological and immunohistochemical study was done on 23 plexiform (multinodular) neurilemomas excised from 20 Japanese. Ages of the subjects ranged from 2 years to 69 years with a mean age of 30 years. The tumours occurred most often on the trunk (14), and were located commonly in the dermis and subcutis (19). Three lesions apparently originated from the peripheral nerve trunks. Multiple tumours were observed in six instances, and two were associated with von Recklinghausen's disease. Microscopically, they appeared as multinodular growths, most nodules were moderately cellular, and both Antoni A and B patterns were distinct in 10 tumours. Obvious Verocay bodies were noted in seven tumours and abortive ones in five. Immunohistochemical reactivity to S-100 protein was demonstrated in both nuclei and cytoplasm of almost all tumour cells of all lesions examined. Recurrences are nil among the 4 patients who could be followed. Correlations with trauma and with von Recklinghausen's disease are briefly discussed.
This is a preview of subscription content, access via your institution.
References
Barbosa J, Hansen LS (1984) Solitary multilobular schwannoma of the oral cavity. J Oral Med 39:232–235
Clark HB, Minesky JJ, Agrawal D, Agrawal HC (1985) Myelin basic protein and P2 protein are not immunohistochemical markers for Schwann cell neoplasms. A comparative study using antisera to S-100, P2, and myelin basic proteins. Am J Pathol 121:96–101
Dahl D, Chi NH, Miles LE, Nguyen BT, Bignami A (1982) Glial fibrillary acidic (GFA) protein in Schwann cells: Fact or artifact? J Histochem Cytochem 30:912–918
Dahl I (1977) Ancient neurilemoma (schwannoma). Acta Pathol Microbiol Scand (A) 85A:812–818
Enzinger FM, Weiss SW (1983) Soft Tissue Tumors. CV Mosby, St Louis, 587–589
Fletcher CDM, Davies SE (1986) Benign plexiform (multinodular) schwannoma: a rare tumour unassociated with neurofibromatosis. Histopathology 10:971–980
Harkin JC, Arrington JH, Reed RJ (1978) Benign plexiform schwannoma. A lesion distinct from plexiform neurofibroma (abstract). J Neuropathol Exp Neurol 37:622
Hsu S-M, Raine L, Fanger H (1981) The use of antiavidin antibody and avidin-biotin-peroxidase complex in immunoperoxidase technics. Am J Clin Pathol 75:816–821
Kleinman GM, Sanders FJ, Gagliardi JM (1985) Plexiform schwannoma. Clin Neuropathol 4:265–266
Kuramitsu M, Sawa H, Takeshita I, Iwaki T, Kato K (1986) Neuron-specificγ-enolase derived from human glioma. Neurochem Pathol 4:89–105
Masson P Human tumors: Histology, Diagnosis, and Technique. 2nd Ed. Translated by Kobernick S.D. (1970) Wayne State University Press, Detroit, 1103
Memoli VA, Brown EF, Gould VE (1984) Glial fibrillary acidic protein (GFAP) immunoreactivity in peripheral nerve sheath tumors. Ultrastruct Pathol 7:269–275
Mogollon R, Penneys N, Albores-Saavedra J, Nadji M (1984) Malignant schwannoma presenting as a skin mass: Confirmation by the demonstration of myelin basic protein within tumor cells. Cancer 53:1190–1193
Nakajima T, Kameya T, Watanabe S, Hirota T, Sato Y, Shimosato Y (1982) An immunoperoxidase study of S-100 protein distribution in normal and neoplastic tissues. Am J Surg Pathol 6:715–727
Penneys NS, Mogollon R, Kowalczyk A, Nadji M, Adachi K (1984) A survey of cutaneous neural lesions for the presence of myelin basic protein. An immunohistochemical study. Arch Dermatol 120:210–213
Reed RJ, Harkin JC (1983) Tumors of the peripheral nervous system. Suppl, fascicle 3, second series, Armed Forces Institute of Pathology, Washington, D.C., 12–13
Woodruff JM, Funkhouser JW, Marshall ML, Thompson NJ, Godwin TA, Erlandson RA (1983) Plexiform (multinodular) schwannoma. A tumor simulating the plexiform neurofibroma. Am J Surg Pathol 7:691–697
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Iwashita, T., Enjoji, M. Plexiform neurilemoma: A clinicopathological and immunohistochemical analysis of 23 tumours from 20 patients. Vichows Archiv A Pathol Anat 411, 305–309 (1987). https://doi.org/10.1007/BF00713373
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00713373
Key words
- Peripheral nerve sheath tumour
- Plexiform neurilemoma
- S-100 protein