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Mobarki M, Musawi S, Alibrahim MY, Péoc'h M, Karpathiou G. Gastrointestinal Tactile Corpuscle-Like Bodies: Report of Two Cases and Review of the Literature. Int J Surg Pathol 2024; 32:825-829. [PMID: 37715640 DOI: 10.1177/10668969231195076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/18/2023]
Abstract
Gastrointestinal tactile corpuscle-like bodies are a rare, incidental, entirely benign finding. It is mainly reported in the colorectum and esophagus/gastro-esophageal junction. Rare cases have been documented in the stomach. Here, we present two cases of gastric and colonic tactile corpuscle-like bodies of a 38-year-old female and a 55-year-old male, respectively. Endoscopically, the colonic lesion was resected as an adenomatous polyp, while the gastric biopsies were taken to rule out Helicobacter pylori (H. pylori) gastritis. Microscopically, both specimens revealed the same histopathologic aspects of eosinophilic fibrillary material with round to oval cells and peripherally placed nuclei. Immunohistochemically, these lesions were positive for anti-S100, confirming the diagnosis of tactile corpuscle-like bodies. A thorough literature review is provided.
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Affiliation(s)
- Mousa Mobarki
- Pathology Department, Faculty of Medicine, Jazan University, Jazan, Saudi Arabia
- Histopathology Department, Jazan Regional Laboratory and Blood Bank, Jazan, Saudi Arabia
| | - Shaqraa Musawi
- Department of Medical Laboratories Technology, College of Applied Medical Sciences, Jazan University, Jazan, Saudi Arabia
| | | | - Michel Péoc'h
- Pathology Department, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - Georgia Karpathiou
- Pathology Department, University Hospital of Saint-Etienne, Saint-Etienne, France
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Altaf F, Javed N, Ghazanfar H, Dev A. Schwann Cell Hamartoma Presenting as a Colonic Polyp: A Rare Case Report With a Literature Review. Cureus 2024; 16:e57674. [PMID: 38707060 PMCID: PMC11070221 DOI: 10.7759/cureus.57674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/05/2024] [Indexed: 05/07/2024] Open
Abstract
Mucosal Schwann cell hamartomas (MSCHs) are non-common noncancerous growths derived from Schwann cells in the peripheral nervous system, often found unexpectedly during routine colonoscopy examinations. These growths primarily occur in the colon, although they can also appear in the esophagus and are not linked to familial cancer syndromes. Diagnosis relies on specific histological characteristics and staining patterns. It is essential to distinguish MSCHs accurately since their appearance can closely resemble that of malignant tumors. Characteristically, these hamartomas test positive for S-100 protein but do not exhibit markers typical of other gastrointestinal growths, such as gastrointestinal stromal tumors (negative for KIT), leiomyomas (negative for smooth muscle actin), neurofibromas (negative for CD34), and perineuromas (negative for epithelial membrane antigen or claudin-1). This report discusses the case of a 48-year-old woman who was diagnosed with MSCH during a screening colonoscopy.
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Affiliation(s)
- Faryal Altaf
- Internal Medicine, BronxCare Health System, New York, USA
| | - Nismat Javed
- Internal Medicine, BronxCare Health System, Icahn School of Medicine at Mount Sinai, New York, USA
| | | | - Anil Dev
- Gastroenterology, BronxCare Health System, New York, USA
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Gofar K, Yearsley M, Gallardo M, Ghebrat HB, Chakraborty S. Colon Conundrum: A Fascinating Case Report Unraveling the Enigmatic Tactoid Bodies. Cureus 2023; 15:e45444. [PMID: 37859887 PMCID: PMC10583482 DOI: 10.7759/cureus.45444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/18/2023] [Indexed: 10/21/2023] Open
Abstract
Tactile corpuscle-like bodies (TCLBs) are specialized mechanoreceptors found in the dermal papilla of glabrous skin. They are normally not found in the gastrointestinal (GI) mucosa. There has been an increase in incidental detection in the GI mucosa due to the widespread use of colonoscopy procedures. However, TCLB's clinical implications in the GI tract remain unknown. We present a case of a 74-year-old man who was noted to have TCLBs in the rectosigmoid mucosa following resection for iatrogenic perforation. The TCLBs were spindle-shaped, positive for S-100, and negative for CD68. We review the literature on TCLBs in the GI tract and discuss their potential function in the GI mucosa.
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Affiliation(s)
- Kebire Gofar
- Gastroenterology, The Ohio State University Wexner Medical Center, Columbus, USA
| | - Martha Yearsley
- Pathology, The Ohio State University College of Medicine, Columbus, USA
| | - Matthew Gallardo
- Internal Medicine, The Ohio State University College of Medicine, Columbus, USA
| | - Hermon B Ghebrat
- Internal Medicine, Afabet Community Hospital, Northern Red Sea Branch, Afabet, ERI
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Salam S, Abosheaishaa H, Haseeb Ul Rasool M, Qasim N, Shahzad G. An Unusual Case of Schwann Cell Hamartoma in Colon. Cureus 2023; 15:e39301. [PMID: 37346199 PMCID: PMC10281544 DOI: 10.7759/cureus.39301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/21/2023] [Indexed: 06/23/2023] Open
Abstract
Schwann cell tumors are benign tumors originating from Schwann cells of the peripheral nervous system and are extremely rare in the gastrointestinal system. They usually originate in the colon or rectum but can also occur in the esophagus and small intestine. Their occurrence is rare in GI tract and mainly in the sigmoid colon. Schwann cell tumors have no association with any familial cancer syndromes. We present a 65-year-old female patient who underwent routine colon cancer screening. In addition to open mouth diverticulosis, she was found to have a 3 mm polyp, which was diagnosed as a Schwann cell hamartoma after a biopsy. This study aimed to present this rarely reported case in the literature as an example of a tumor that should be included in the differential diagnosis when considering submucosal colonic lesions. Though the reported reoccurrence rate is low, this case highlights the lack of published guidelines regarding appropriate follow-up surveillance periods.
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Affiliation(s)
- Sanna Salam
- Medicine, Queens Hospital Center, New York City, USA
| | - Hazem Abosheaishaa
- Internal Medicine, Icahn School of Medicine at Mount Sinai, Queens Hospital Center, New York City, USA
- Internal Medicine/Gastroenterology, Cairo University, Cairo, EGY
| | | | - Nimra Qasim
- Gastroenterology, Liaquat University of Medical and Health Sciences, Jamshoro, PAK
| | - Ghullamullah Shahzad
- Gastroenterology, NYC Health + Hospitals/Queens, New York City, USA
- Gastroenterology, Icahn School of Medicine at Mount Sinai, New York City, USA
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Oh JS, Hong SW, Noh JH, Yoon J, Kang HJ, Park YS, Yang DH, Byeon JS. Development of Colon Cancer in a Patient with Longstanding Colonic Diffuse Ganglioneuromatosis: A Case Report. Clin Endosc 2021; 55:452-457. [PMID: 33657783 PMCID: PMC9178138 DOI: 10.5946/ce.2021.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/26/2020] [Accepted: 01/04/2021] [Indexed: 11/28/2022] Open
Abstract
Colonic diffuse ganglioneuromatosis is an extremely rare disease in which multiple tumors derived from the ganglion cells, nerve fibers, and supporting cells are distributed in the colon. It is generally considered to be a benign neoplastic condition and is occasionally associated with rare hereditary conditions such as neurofibromatosis type I or multiple endocrine neoplasia type 2B. Here, we report a case of a patient in whom colon cancer developed 12 years after the initial diagnosis of colonic diffuse ganglioneuromatosis, which suggests a possible association between colonic diffuse ganglioneuromatosis and colorectal cancer.
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Affiliation(s)
- Jin Sun Oh
- Department of Internal Medicine, Hoengseong Daeseong Hospital, Hoengseong, Korea
| | - Seung Wook Hong
- Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Jin Hee Noh
- Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Jiyoung Yoon
- Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Hyo Jeong Kang
- Department of Pathology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Young Soo Park
- Department of Pathology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Dong-Hoon Yang
- Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Jeong-Sik Byeon
- Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
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Vaamonde-Lorenzo M, Elorriaga K, Montalvo I, Bujanda L. Colonic mucosal Schwann cell hamartoma. J Dig Dis 2020; 21:475-477. [PMID: 32378790 DOI: 10.1111/1751-2980.12874] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/17/2019] [Revised: 04/17/2020] [Accepted: 05/04/2020] [Indexed: 12/11/2022]
Affiliation(s)
| | - Kepa Elorriaga
- Department of Anatomic Pathology, Onkologikoa Foundation, San Sebastián, Spain
| | - Isabel Montalvo
- Digestive Endoscopy Unit, Onkologikoa Foundation, San Sebastián, Spain
| | - Luis Bujanda
- Department of Gastroenterology, University Hospital Donostia, San Sebastián, Spain
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Li Y, Beizai P, Russell JW, Westbrook L, Nowain A, Wang HL. Mucosal Schwann cell hamartoma of the gastroesophageal junction: A series of 6 cases and comparison with colorectal counterpart. Ann Diagn Pathol 2020; 47:151531. [PMID: 32460039 DOI: 10.1016/j.anndiagpath.2020.151531] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2020] [Revised: 04/22/2020] [Accepted: 04/23/2020] [Indexed: 02/08/2023]
Abstract
Mucosal Schwann cell hamartoma (MSCH) is an uncommon neural lesion characterized by an ill-defined proliferation of S100-positive Schwann cells in the lamina propria, with reported cases exclusively occurring in the colorectum. Here we describe the first series of MSCHs arising in the gastroesophageal junction (GEJ) and discuss their clinicopathologic features in comparison with their colorectal counterparts. We searched the UCLA pathology database from 01/2014 to 12/2018 to identify cases carrying the diagnosis of MSCH. A total of 48 cases (45 in-house, 3 consults) of colorectal MSCHs and 6 cases (1 in-house, 5 consults) of GEJ MSCHs were identified. For GEJ MSCHs, there were 4 males and 2 females with an average age of 70.2 years (range: 57-76 years). Clinical indications for endoscopy included history of gastroesophageal reflux disease (n = 2), heartburn (n = 2), dysphagia (n = 1), and iron deficiency anemia (n = 1). Endoscopic findings at the GEJ were available for 5 patients including irregular Z-line (n = 3), mild nodular carditis (n = 1), and normal (n = 1). None of them showed a polyp or nodule. The mean size of the lesion was 2.8 mm (range: 2-4 mm) microscopically. None of the colorectal or GEJ MSCH cases had an association with inherited syndromes. In conclusion, MSCH of the gastrointestinal tract is predominantly seen in the colorectum, but also infrequently seen in the GEJ. GEJ MSCH shares histologic and immunohistochemical features with its colorectal counterpart, but is usually an incidental finding with no endoscopically visible lesion. As there is no syndromic association with MSCH, additional treatment, work-up and follow-up are unnecessary.
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Affiliation(s)
- Yuan Li
- Department of Pathology and Laboratory Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095, United States; Department of Pathology, Molecular Pathology Research Center, Peking Union Medical College Hospital, Chinese Academy of Medical Science, Beijing 100730, China
| | - Pouneh Beizai
- Pathfinder Labs LLC, Los Angeles, CA 90064, United States
| | - John W Russell
- Pathfinder Labs LLC, Los Angeles, CA 90064, United States
| | - Lindsey Westbrook
- Department of Pathology and Laboratory Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095, United States
| | - Arash Nowain
- Gastroenterology & Hepatology, Diagnostic and Therapeutic Endoscopy, Center for GI Health, Beverly Hills, CA 90212, United States
| | - Hanlin L Wang
- Department of Pathology and Laboratory Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA 90095, United States.
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Feng X, Xu H, Dela Cruz N. Mucosal Schwann Cell Hamartoma in sigmoid colon – A rare case report and review of literature. HUMAN PATHOLOGY: CASE REPORTS 2020. [DOI: 10.1016/j.ehpc.2019.200337] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023] Open
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Huber AR, Agostini-Vulaj D, Drage MG, Lemmon JW. Tactile Corpuscle-Like Bodies (Wagner-Meissner Corpuscles) of the Colorectum: A Series of 5 Cases. Int J Surg Pathol 2017; 25:684-687. [DOI: 10.1177/1066896917723982] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
An increase in screening colonoscopies has led to the recent identification and description of several benign mesenchymal proliferations within the colon that may be sampled incidentally or as mucosal polyps. Tactile corpuscle-like bodies (TCLBs) (also known as Wagner-Meissner corpuscles) are Schwannian-derived specialized mechanosensors found in glabrous skin and some mucosal sites. TCLBs are not a normal component of gastrointestinal mucosa but they have been reported in the esophagus, stomach, gastroesophageal junction, and colorectum. Twenty-two cases of tactile corpuscle-like bodies (TCLBs) have been reported to date in the English literature. We herein present five additional cases of TCLBs, all within the colorectum. It is important to distinguish TCLBs from histologic mimics that are associated with inherited syndromes. TCLBs are typically incidental, and are entirely benign.
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Affiliation(s)
- Aaron R. Huber
- University of Rochester Medical Center, Strong Memorial Hospital, Rochester, NY, USA
| | - Diana Agostini-Vulaj
- University of Rochester Medical Center, Strong Memorial Hospital, Rochester, NY, USA
| | - Michael G. Drage
- University of Rochester Medical Center, Strong Memorial Hospital, Rochester, NY, USA
| | - Julie W. Lemmon
- University of Rochester Medical Center, Strong Memorial Hospital, Rochester, NY, USA
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Abdelfatah M, Sangah G, Harvin G. What Do We Need to Know About Colonic Polypoid Ganglioneuroma? A Case Report and A Comprehensive Review. J Gastrointest Cancer 2016; 49:327-332. [PMID: 27888390 DOI: 10.1007/s12029-016-9892-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Affiliation(s)
- Mohamed Abdelfatah
- Department of Internal Medicine, Division of Gastroenterology, Hepatology, and Nutrition, Brody School of Medicine at East Carolina University, Suite 338, Mail Stop 734, Greenville, NC, USA.
| | - George Sangah
- Department of Internal Medicine, Division of Gastroenterology, Hepatology, and Nutrition, Brody School of Medicine at East Carolina University, Suite 338, Mail Stop 734, Greenville, NC, USA
| | - Glenn Harvin
- Department of Internal Medicine, Division of Gastroenterology, Hepatology, and Nutrition, Brody School of Medicine at East Carolina University, Suite 338, Mail Stop 734, Greenville, NC, USA
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Han J, Chong Y, Kim TJ, Lee EJ, Kang CS. Mucosal Schwann Cell Hamartoma in Colorectal Mucosa: A Rare Benign Lesion That Resembles Gastrointestinal Neuroma. J Pathol Transl Med 2016; 51:187-189. [PMID: 27560153 PMCID: PMC5357750 DOI: 10.4132/jptm.2016.07.02] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2016] [Revised: 06/02/2016] [Accepted: 07/01/2016] [Indexed: 12/22/2022] Open
Affiliation(s)
- Jiheun Han
- Department of Hospital Pathology, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Yosep Chong
- Department of Hospital Pathology, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Tae-Jung Kim
- Department of Hospital Pathology, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Eun Jung Lee
- Department of Hospital Pathology, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Chang Suk Kang
- Department of Hospital Pathology, College of Medicine, The Catholic University of Korea, Seoul, Korea
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Bae JM, Lee JY, Cho J, Lim SA, Kang GH. Synchronous mucosal Schwann-cell hamartomas in a young adult suggestive of mucosal Schwann-cell harmatomatosis: a case report. BMC Gastroenterol 2015; 15:128. [PMID: 26444007 PMCID: PMC4596299 DOI: 10.1186/s12876-015-0349-4] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/22/2014] [Accepted: 09/16/2015] [Indexed: 12/26/2022] Open
Abstract
Background Mucosal Schwann-cell hamartoma is a rare mesenchymal polyp that presents in the intestine. Despite lacking ganglion cells, it resembles a gastrointestinal ganglioneuroma. Case presentation We report a case of synchronous mucosal Schwann-cell hamartomas in a young male patient, who presented with a single discrete polyp in the mid-rectum and multiple polypoid mucosal lesions in the distal rectum. Conclusion To the best of our knowledge, this is the first report of a case of multiple mucosal Schwann-cell hamartomas.
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Affiliation(s)
- Jeong Mo Bae
- Department of Pathology, The Armed Forces Capital Hospital, 81, Saemaeul-ro 177beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do, 463-040, South Korea. .,Department of Pathology, Seoul National University College of Medicine, 28 Yongon-dong, Chongno-gu, Seoul, 110-744, South Korea.
| | - Joon Young Lee
- Department of Internal Medicine, The Armed Forces Capital Hospital, 81, Saemaeul-ro 177beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do, 463-040, South Korea. .,Department of Internal Medicine, Korea University College of Medicine, Seoul, South Korea.
| | - Junhun Cho
- Department of Pathology, The Armed Forces Capital Hospital, 81, Saemaeul-ro 177beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do, 463-040, South Korea.
| | - Sang Ah Lim
- Division of Gastroenterology, Department of Internal Medicine, Korea University Kuro Hospital, 148, Gurodong-ro, Guro-gu, Seoul, 152-703, South Korea. .,Department of Internal Medicine, Korea University College of Medicine, Seoul, South Korea.
| | - Gyeong Hoon Kang
- Department of Pathology, Seoul National University College of Medicine, 28 Yongon-dong, Chongno-gu, Seoul, 110-744, South Korea.
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