Question

20 years old man presented with the complaint of swelling of the wrist for the last two years. Histopathological examination showed spindle-shaped cells and verocay bodies what is the diagnosis?

• A. Lipoma
• B. Dermoid cyst
• C. Neuro fibroma
• D. Schwannoma

Answer 1

The Correct Option is D

The appropriate diagnosis for the condition presented in the question is Schwannoma. To understand why, let's explore the given details:

• Patient Profile: 20-year-old man with a two-year history of wrist swelling.
• Histopathological Features: The examination shows two critical findings:
  • Spindle-shaped cells: These are elongated cells commonly found in connective tissue tumors.
  • Verocay bodies: This is a key feature of Schwannomas, characterized by organized palisading patterns of cells.

Now, let's briefly consider why the other options are unsuitable:

• Lipoma: Typically comprises mature fat cells; spindle-shaped cells and Verocay bodies are absent.
• Dermoid cyst: A developmental cyst containing skin elements, not characterized by spindle-shaped cells or Verocay bodies.
• Neurofibroma: Though it consists of spindle-shaped cells, it lacks Verocay bodies, which are unique to Schwannomas.

Thus, based on the histological findings and clinical presentation, the most suitable diagnosis is Schwannoma.