Gastrointestinal Stromal Tumour

          

http://www.histopathology-india.net/SoftTissuePath.htm

                      HISTOPATHOLOGY INDIA.COM

              Normal Anatomy of the Peripheral Nerve

        Dr  Sampurna Roy  MD

 
Web www.histopathology-india.net
June 2007 

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Reactive and hamartomatous lesions:

Traumatic neuroma

Morton's neuroma

Digital Pacinian neuroma

Nerve Sheath Ganglion

Fibrolipomatous hamartoma of nerve

Benign tumours:

Solitary circumscribed neuroma
(palisaded encapsulated neuroma)

Schwannoma (neurilemmoma)
and variants                          

Neurofibroma and variants 

Perineurioma   

Dermal nerve sheath myxoma
(neurothekeoma)

Cellular neurothekeoma

Granular cell tumour

              
Malignant tumour:

Malignant peripheral nerve sheath tumour
  


Neuroendocrine Carcinoma:

Merkel cell (neuroendocrine) carcinoma

Malignant primitive neuroectodermal tumour   

Miscellaneous neuroectodermal tumours presenting in soft tissue

Subcutaneous Myxopapillary Ependymoma  

Heterotopic Glial Nodule

Heterotopic Meningeal Lesions

                      

The peripheral nervous system is the nervous tissue outside the brain and spinal cord and include somatic and autonomic nerve, end organ receptors and supporting structures.

The major peripheral nerve trunks form by fusion and division of segmental spinal nerves and often contains a mixture of sensory, motor and autonomic elements.

During the formation of peripheral nerve, the Schwann cells  migrate peripherally from the spinal ganglia, orient themselves parallel to the axons and encase them. 

In myelinated nerves, one axon segment is encased by one Schwann cell.
In nonmyelinated nerves, several axon segments are encased by a common Schwann cell.

In a fully developed nerve a layer of connective tissue or Epineurium surrounds the entire nerve trunk. Each peripheral nerve trunk is composed of one or more  bundles or fascicles of nerve fibres.
Each nerve fascicle is surrounded by a well defined sheath known as Perineurium.
Within the fascicles individual nerve fiber with its investing Schwann cell is surrounded by  Endoneurium.           
Image 1  ;  Image 2




Special stains used to identify the different components:

Perineurium- EMA positive
Schwann cells- S100 positive
Axons- Neurofilament positive. Silver stains selectively stain the axon.
Myelin-
Luxol fast blue stain
 

                                      

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