Cutaneous Granular Cell Tumor in a Middle-aged Woman: Clinicopathological Insights from a Rare Schwannian Neoplasm

We report the case of a 51-year-old female with an unusual presentation of a cutaneous granular cell tumor (GCT) on the lower back. The lesion was asymptomatic, well-defined, and firm, with an initial clinical differential of dermatofibroma, pilomatricoma, or leiomyoma. Histopathological examination...

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Main Authors: Seetu Palo, Monica Mishra, Kailas Anteshwar Mulsange
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-04-01
Series:Journal of Mid-Life Health
Subjects:
Online Access:https://journals.lww.com/10.4103/jmh.jmh_62_25
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author Seetu Palo
Monica Mishra
Kailas Anteshwar Mulsange
author_facet Seetu Palo
Monica Mishra
Kailas Anteshwar Mulsange
author_sort Seetu Palo
collection DOAJ
description We report the case of a 51-year-old female with an unusual presentation of a cutaneous granular cell tumor (GCT) on the lower back. The lesion was asymptomatic, well-defined, and firm, with an initial clinical differential of dermatofibroma, pilomatricoma, or leiomyoma. Histopathological examination revealed a dermal tumor composed of large polygonal cells with granular eosinophilic cytoplasm and uniform nuclei, without atypia or necrosis. Immunohistochemistry confirmed the diagnosis with strong S100 and CD68 positivity. Due to tumor extension tumor extension to the deep resection margin, close follow-up was advised. Accurate diagnosis of cutaneous GCTs relies on histopathology and immunohistochemistry, as clinical and dermoscopic findings are often nonspecific. Complete surgical excision is the primary treatment, with a generally favorable prognosis. Awareness of malignant potential and proper surgical management is crucial for optimal outcomes.
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publishDate 2025-04-01
publisher Wolters Kluwer Medknow Publications
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series Journal of Mid-Life Health
spelling doaj-art-d1740dc19d15499fbdc6cf189fbd37282025-08-20T02:43:32ZengWolters Kluwer Medknow PublicationsJournal of Mid-Life Health0976-78000976-78192025-04-0116221822010.4103/jmh.jmh_62_25Cutaneous Granular Cell Tumor in a Middle-aged Woman: Clinicopathological Insights from a Rare Schwannian NeoplasmSeetu PaloMonica MishraKailas Anteshwar MulsangeWe report the case of a 51-year-old female with an unusual presentation of a cutaneous granular cell tumor (GCT) on the lower back. The lesion was asymptomatic, well-defined, and firm, with an initial clinical differential of dermatofibroma, pilomatricoma, or leiomyoma. Histopathological examination revealed a dermal tumor composed of large polygonal cells with granular eosinophilic cytoplasm and uniform nuclei, without atypia or necrosis. Immunohistochemistry confirmed the diagnosis with strong S100 and CD68 positivity. Due to tumor extension tumor extension to the deep resection margin, close follow-up was advised. Accurate diagnosis of cutaneous GCTs relies on histopathology and immunohistochemistry, as clinical and dermoscopic findings are often nonspecific. Complete surgical excision is the primary treatment, with a generally favorable prognosis. Awareness of malignant potential and proper surgical management is crucial for optimal outcomes.https://journals.lww.com/10.4103/jmh.jmh_62_25benigncutaneousgranular cell tumorimmunohistochemistry
spellingShingle Seetu Palo
Monica Mishra
Kailas Anteshwar Mulsange
Cutaneous Granular Cell Tumor in a Middle-aged Woman: Clinicopathological Insights from a Rare Schwannian Neoplasm
Journal of Mid-Life Health
benign
cutaneous
granular cell tumor
immunohistochemistry
title Cutaneous Granular Cell Tumor in a Middle-aged Woman: Clinicopathological Insights from a Rare Schwannian Neoplasm
title_full Cutaneous Granular Cell Tumor in a Middle-aged Woman: Clinicopathological Insights from a Rare Schwannian Neoplasm
title_fullStr Cutaneous Granular Cell Tumor in a Middle-aged Woman: Clinicopathological Insights from a Rare Schwannian Neoplasm
title_full_unstemmed Cutaneous Granular Cell Tumor in a Middle-aged Woman: Clinicopathological Insights from a Rare Schwannian Neoplasm
title_short Cutaneous Granular Cell Tumor in a Middle-aged Woman: Clinicopathological Insights from a Rare Schwannian Neoplasm
title_sort cutaneous granular cell tumor in a middle aged woman clinicopathological insights from a rare schwannian neoplasm
topic benign
cutaneous
granular cell tumor
immunohistochemistry
url https://journals.lww.com/10.4103/jmh.jmh_62_25
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AT monicamishra cutaneousgranularcelltumorinamiddleagedwomanclinicopathologicalinsightsfromarareschwannianneoplasm
AT kailasanteshwarmulsange cutaneousgranularcelltumorinamiddleagedwomanclinicopathologicalinsightsfromarareschwannianneoplasm