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Case Reports in Oncological Medicine
Volume 2012, Article ID 453569, 3 pages
http://dx.doi.org/10.1155/2012/453569
Case Report

A Malignant Granular Cell Tumor Excised with Mohs Micrographic Surgery

Department of Dermatology, University of Cincinnati College of Medicine, Cincinnati, OH 45267, USA

Received 5 October 2011; Accepted 29 November 2011

Academic Editors: S. B. Chichareon and A. Kolacinska

Copyright © 2012 David Crowe et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Malignant granular cell tumors are extremely rare, aggressive neoplasms displaying rapid growth and frequent associated metastatic disease. Excision and evaluation for metastatic disease are mandatory. We present a 54-year-old patient with a malignant granular cell tumor, treated with Mohs micrographic surgery. Cutaneous granular cell tumors are uncommon neoplasms, likely of perineural origin. Most follow a benign and uneventful course, with wide local excision being the treatment of choice (Enzinger, 1988). The malignant granular cell tumor is an extremely rare, aggressive variant, which provides a diagnostic challenge and management dilemma, especially with early presentation when it may be mistaken for other entities. There is also controversy regarding surgical management and follow-up of both benign and malignant granular cell tumors.