Granular cell tumor: rare presentation in pediatric age

Granular cell tumors (GCT) are rare soft tissue neoplasms that usually present as solitary lesions, although occasionally, they may be multiple. Most of these tumors arise in the oral mucosa and skin of adults, usually evolving as a slow-growing tumors. It is considered very rare in children. Malign...

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Main Authors: Pedro R. Matos, Ana Nogueira, Filomena Azevedo, Elisabete Rios
Format: Article
Language:English
Published: Sociedade Portuguesa de Dermatologia e Venereologia 2023-04-01
Series:Revista da Sociedade Portuguesa de Dermatologia e Venereologia
Subjects:
Online Access:https://www.portuguesejournalofdermatology.com/frame_esp.php?id=81
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author Pedro R. Matos
Ana Nogueira
Filomena Azevedo
Elisabete Rios
author_facet Pedro R. Matos
Ana Nogueira
Filomena Azevedo
Elisabete Rios
author_sort Pedro R. Matos
collection DOAJ
description Granular cell tumors (GCT) are rare soft tissue neoplasms that usually present as solitary lesions, although occasionally, they may be multiple. Most of these tumors arise in the oral mucosa and skin of adults, usually evolving as a slow-growing tumors. It is considered very rare in children. Malignant transformation is very rare, and only 2% of cases are known to spread to distant sites. Here we report a case of a 10-year-old child with a hard painless nodule on the tongue evolving for 6 months. Histopathological examination revealed infiltration of the tongue mucosa by polygonal cells with small nuclei and abundant pale eosinophilic granular cytoplasm expressing S100 protein strongly and diffusely, compatible with a granular cell tumor. A right partial glossectomy was performed. This case highlights the importance of mucosal biopsy for the diagnosis. It also emphasizes that regardless of pediatric age, a biopsy should not be postponed whenever there is uncertainty in the clinical diagnosis.
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spelling doaj.art-629ce320c68c42b09da38d5fc1fa2e562023-07-11T22:05:19ZengSociedade Portuguesa de Dermatologia e VenereologiaRevista da Sociedade Portuguesa de Dermatologia e Venereologia2182-23952182-24092023-04-0181210.24875/PJDV.22000047Granular cell tumor: rare presentation in pediatric agePedro R. Matos0Ana Nogueira1Filomena Azevedo2Elisabete Rios3Department of Dermatology and Venereology, Centro Hospitalar e Universitário de São João (CHUSJ), Porto, PortugalDepartment of Dermatology and Venereology, Centro Hospitalar e Universitário de São João (CHUSJ), Porto, PortugalDepartment of Dermatology and Venereology, Centro Hospitalar Universitário de São João, Porto, PortugalDepartment of Pathological Anatomy, Centro Hospitalar e Universitário de São João (CHUSJ). Porto, PortugalGranular cell tumors (GCT) are rare soft tissue neoplasms that usually present as solitary lesions, although occasionally, they may be multiple. Most of these tumors arise in the oral mucosa and skin of adults, usually evolving as a slow-growing tumors. It is considered very rare in children. Malignant transformation is very rare, and only 2% of cases are known to spread to distant sites. Here we report a case of a 10-year-old child with a hard painless nodule on the tongue evolving for 6 months. Histopathological examination revealed infiltration of the tongue mucosa by polygonal cells with small nuclei and abundant pale eosinophilic granular cytoplasm expressing S100 protein strongly and diffusely, compatible with a granular cell tumor. A right partial glossectomy was performed. This case highlights the importance of mucosal biopsy for the diagnosis. It also emphasizes that regardless of pediatric age, a biopsy should not be postponed whenever there is uncertainty in the clinical diagnosis. https://www.portuguesejournalofdermatology.com/frame_esp.php?id=81Granular cell tumor. Oral mucosa. Tongue.
spellingShingle Pedro R. Matos
Ana Nogueira
Filomena Azevedo
Elisabete Rios
Granular cell tumor: rare presentation in pediatric age
Revista da Sociedade Portuguesa de Dermatologia e Venereologia
Granular cell tumor. Oral mucosa. Tongue.
title Granular cell tumor: rare presentation in pediatric age
title_full Granular cell tumor: rare presentation in pediatric age
title_fullStr Granular cell tumor: rare presentation in pediatric age
title_full_unstemmed Granular cell tumor: rare presentation in pediatric age
title_short Granular cell tumor: rare presentation in pediatric age
title_sort granular cell tumor rare presentation in pediatric age
topic Granular cell tumor. Oral mucosa. Tongue.
url https://www.portuguesejournalofdermatology.com/frame_esp.php?id=81
work_keys_str_mv AT pedrormatos granularcelltumorrarepresentationinpediatricage
AT ananogueira granularcelltumorrarepresentationinpediatricage
AT filomenaazevedo granularcelltumorrarepresentationinpediatricage
AT elisabeterios granularcelltumorrarepresentationinpediatricage