A meissnerian neurofibroma: Case report of a rare neurofibroma variant

J Cutan Pathol. 2020 Oct;47(10):967-969. doi: 10.1111/cup.13759. Epub 2020 Jun 8.

Abstract

Structures resembling Meissner corpuscles have been described in various nerve sheath tumors, including schwannomas and neurofibromas. When present, they are focal or scattered, and rarely a prominent feature of the lesion. Here, we report a case of a 39-year-old female who presented with an isolated lesion on her abdomen. Histopathologically, the tumor was almost exclusively composed of Meissner corpuscle-like structures (pseudo-meissnerian bodies). At a small edge of the tumor, there were features of a classic neurofibroma, with a mixture of Schwann cells, fibroblast-like cells, and interspersed mast cells. We propose the term "meissnerian neurofibroma" for this extremely rare variant of neurofibroma.

Keywords: Meissner body; Meissner corpuscle; nerve sheath tumor; neurofibroma; pacinian neurofibroma; pseudo-meissnerian body; schwannoma; tactile corpuscle.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Diagnosis, Differential
  • Female
  • Fibroblasts / pathology
  • Humans
  • Mast Cells / pathology
  • Mechanoreceptors / pathology*
  • Nerve Sheath Neoplasms / pathology*
  • Neurilemmoma / diagnosis
  • Neurilemmoma / pathology
  • Neurofibroma / diagnosis
  • Neurofibroma / metabolism
  • Neurofibroma / pathology*
  • S100 Proteins / metabolism
  • Schwann Cells / pathology

Substances

  • S100 Proteins