Tumores neurais na cavidade oral: estudo imuno-histoquímico / Neural tumors in oral cavity: immuno-histokymic study

Introdução: Os tumores neurais são lesões, que têm origem nos nervos periféricos e representam um percentual de 45% dos neoplasmas, que atingem a região de cabeça e pescoço. A alta incidência nessa área é justificada pela quantidade relativamente grande de terminações nervosas periféricas agrupadas. Ainda que sejam de mesma origem neural, sua heterogeneidade microscópica e patogenética lhes conferem um variado padrão de apresentação clínica e histopatológica, diferindo na sua forma de tratamento. O objetivo do presente estudo foi analisar, por meio da técnica imuno-histoquímica, a expressão das proteínas S100 e CD68 em tumores neurais, localizados na cavidade bucal de pacientes atendidos no Serviço de Patologia Bucal da Universidade de Odontologia de Pernambuco. Metodologia: Todos os casos referentes a tumores neurais do Serviço de Patologia oral e maxilofacial da Faculdade de Odontologia de Pernambuco foram revistos. Avaliaram-se dados relativos à idade, ao sexo e à localização anatômica. A técnica imunohistoquímica foi realizada por meio do método estreptavidina-biotina, utilizando-se os anticorpos anti: S100 e CD68. A análise foi feita de forma descritiva, conforme dados da pesquisa. Resultados: foram avaliados 23 casos de tumores neurais da cavidade bucal, 15 neurofibromas, 6 neuromas traumáticos, 1 neurilemoma e 1 neuroma encapsulado em paliçada. Verificou-se que a proteína S100 foi expressa em todos os casos estudados com positividade variada, e a proteína CD68 apresentou expressão positiva em 18 casos (neuroma traumático, neurofibroma). Conclusões: os tumores neurais da cavidade bucal foram considerados raros, visto que ocorreram em apenas 23 casos entre 5.761, ou seja, em 2,3% das lesões biopsiadas da FOP-UPE... (AU)

Introduction: Neural tumors are lesions that originate from peripheral nerves and represent a percentage of 45% of neoplasms that reach the head and neck region. The high incidence in this area is explained by the relatively large number of grouped peripheral nerve endings. Although they are of the same neural origin, their microscopic and pathogenetic heterogeneity give them a varied pattern of clinical and histopathological presentation, as well as differing in their form of treatment. The aim of the present study was to analyze by immunohistochemical technique the expression of S100 and CD68 proteins in neural tumors located in the oral cavity of patients treated at the Oral Pathology Service of the University of Dentistry of Pernambuco. Methodology: All cases referring to neural tumors of the Service of Oral and Maxillofacial Pathology of the School of Dentistry of Pernambuco were reviewed. Data regarding age, sex, and anatomical location were evaluated. The immunohistochemical technique was performed by the streptavidin-biotin method using the anti-S100 and CD68 antibodies. The analysis was made in a descriptive way according to the research data. Results: 23 cases of neural tumors of the buccal cavity, 15 neurofibromas, 6 traumatic neuromas, 1 neurilemoma and 1 palisade encapsulated neuroma were evaluated. It was verified that S100 protein was expressed in all the cases studied with varied positivity, and the CD68 protein showed positive expression in 18 cases (traumatic neuroma, neurofibroma). Conclusions: Neural tumors of the oral cavity were considered rare, since they occurred in only 23 cases among 5,761, that is, 2.3% of FOP-UPE biopsied lesions... (AU)

A Neurogenic Tumor as a Rare Differential Diagnosis of a Perithyroidal Masses / 대한내분비외과학회지

We report here on a case of a neurogenic tumor of the neck with an uncertain origin on the preoperative evaluation. A 67-year-old woman with a palpable mass in the left side of the neck was referred to our hospital. The mass had slowly grown over 7 years and her dyspnea had gradually become more severe over the recent 6 months. Computerized tomography and magnetic resonance imaging showed an 8 cm sized solid mass that abutted the trachea and the esophagus without invasion, but the origin of the mass was not clearly identified. During surgical exploration, we identified that the tumor was located in the esophageal muscle layer. Immunohistochemical staining revealed that the tumor cells were positive for S-100 protein, which confirmed a diagnosis of schwannoma.