Korean J Med.  2012 Nov;83(5):624-628.

Granular Cell Tumor Originating from Gallbladder

Affiliations
  • 1Department of Internal Medicine, Gil Hospital, Gachon University of Medicine and Science, Incheon, Korea. 93cool@hanmail.net
  • 2Department of Pathology, Gil Hospital, Gachon University of Medicine and Science, Incheon, Korea.
  • 3Department of Radiology, Gil Hospital, Gachon University of Medicine and Science, Incheon, Korea.

Abstract

Granular cell tumors are rare benign tumors that arise from Schwann cells. They are especially rare in the gallbladder; indeed, only four cases have been reported in the English-language literature. This paper reports a granular cell tumor in the gallbladder and is the first such report in a Korean woman. She was admitted to the hospital with jaundice and fever and was diagnosed with acute hepatitis A. While hospitalized, a well-demarcated round mass was incidentally found in her gallbladder. The acute hepatitis A improved with conservative care, but the mass did not change in size after 4 months. The tumor was resected with the gallbladder during laparoscopic surgery, and was found to be a granular cell tumor. The tumor was composed of sheets or irregular fascicles of large polygonal or spindle cells with plump eosinophilic granular cytoplasm that was immunohistochemically positive for S-100 and neuron-specific enolase and negative for neurofilament.

Keyword

Gallbladder; Biliary tract; Granular cell tumor

MeSH Terms

Biliary Tract
Cytoplasm
Eosinophils
Female
Fever
Gallbladder
Granular Cell Tumor
Hepatitis A
Humans
Jaundice
Laparoscopy
Phosphopyruvate Hydratase
Schwann Cells
Phosphopyruvate Hydratase
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