Atipik granüler hücreli tümör: olgu sunumu

Yıl 2021, Cilt: 2 Sayı: 2, 62 - 65, 05.06.2021

Mehmet Zengın , Zuhal Gucın , Bilgin Aksoy , Acar Aren

https://doi.org/10.47582/jompac.831757

Öz

Granüler hücreli tümör (GHT), nadir görülen mezenkimal bir neoplazmdır. Çoğunlukla baş-boyun bölgesinde özellikle de dilde yerleşim göstermekte olup nadiren rekürrens gösterir. Bu çalışmada 6 ay içerisinde nüks eden bir GHT olgusu sunduk. 53 yaşında erkek hastada sırtta yavaş büyüyen kitle GHT olarak rapor edilmiş olup tümörde pleomorfizim, mitoz, nekroz ve atipi mevcut değildi. Olgunun 6 aylık takibinde lezyon nüks etmiş ve tekrar eksize edilmiştir. Nüks lezyon eskisi ile aynı özelliklere sahipti ancak daha düzensiz sınırlı, etraf dokuya infiltratif görünümde ve yüksek Ki- 67 oranına (%10) sahipti. Belirsiz davranışlı kabul edilen olgumuzun 3 yıllık takiplerinde lokal-uzak yayılım saptanmadı. GHT genellikle benign gidişli stromal bir tümör olmakla beraber öngörülemeyen agresiv davranma potansiyeli nedeniyle tüm olgular takip altında tutulmalıdır.

Anahtar Kelimeler

Granüler hücreli tümör, nüks, sırt

Destekleyen Kurum

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Proje Numarası

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Teşekkür

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Atypical granular cell tumour: case report

Öz

Granular cell tumour (GHT) is a rare mesenchymal neoplasm. It is mostly located in the head and neck region, especially in the tongue, and it rarely recurs. In this study, we present a case of GHT recurring within 6 months. A slow-growing mass on the back in a 53-year-old male patient was reported as GHT, and the tumour did not have pleomorphism, mitosis, necrosis or atypia. During the 6-month follow-up of the case, the lesion recurred and was excised again. The recurrent lesion had the same features as before, but with a more irregular border, infiltrative appearance to surrounding tissue, and a high Ki-67 ratio (10%). No local-distant spread was detected in the 3-year follow-up of our case, which was considered to have uncertain behaviour. Although GHT is generally a benign stromal tumour, all cases should be followed up because of its unpredictable potential for aggressive behaviour.

Anahtar Kelimeler

Granular cell tumour, recurrence, back

Proje Numarası

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Kaynakça

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