Granular cell
tumor is a relatively rare, mostly benign lesion, that can be found in
almost every organ, however, only 2% of the cases is esophageal. Malignant case has
also been reported.
Clinical
presentation:
Esophageal GCTs are usually
asymptomatic, small, and found incidentally
on endoscopy done for other reasons.
In some cases
the patient complains of heartburn and
dysphagia.
Site:
Lower third of the esophagus.
Gross:
Single
or multiple pale yellow submucosal nodule.
Microscopic features
are similar to those found in other sites.
Histopathologic reveals nests of polygonal cells with small
hyperchromatic nuclei and abundant granular cytoplasm located in the
lamina propria of the mucosa. Infiltrative
granular cell tumours of the esophagus can invade the muscularis propria
and the adventitia as well as the periesophageal organs. The diagnosis
of malignant granular cell tumours of the esophagus can be established
by demonstrating metastases.
Visit:
Granular
Cell Tumour of Bronchus
Image link:(ESCOP):
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