Neuromuscular

Schwannoma


Tissue components: Bimodal
  Antoni, Type A: Cellular, closely packed; Verocay bodies; Whorls
  Antoni, Type B: Loose, myxoid
  Vessels, Intermediate-sized: Sclerotic, Thick walls
  Axons: No intratumoral
Cells
  Tapered ends
  Nuclei spindled
  Palisading: Verocay bodies
  Mitotic figures: Few
  Cell components
    Uniform: Differentiated Schwann cells
    Different from Neurofibroma which has Mixed cell types
  Malignant transformation: Rare
Immunoreactivity
  S-100 protein (100%) > Leu-7
  CD56 (NCAM)
  SOX10
  Calbindin 2 (Calretinin; CALB2) : Strong
  Collagen IV
  Collagen VI
  INI1
  Ki-67: Scattered cells   Variable: CD34
  No: Epithelial membrane antigen (EMA); Desmin; Neurofilament; Factor XIIIal


H&E stain
Schwannoma
  Antoni A tissue: Dense
  Vessels, Intermediate sized; Thick walls


H&E stain
Schwannoma
  Whorls

H&E stain

H&E stain
Schwannoma
  Whorls

H&E stain

H&E stain

H&E stain


Collagen IV stain
Collagen IV
  Dark staining of connective tissue in neoplasm

Collagen IV stain

Collagen IV stain


H&E stain
Verocay Bodies
  Palisaded nuclei

H&E stain


H&E stain
Antoni A tissue (Right)
Antoni B tissue (Left)


H&E stain
Antoni A tissue (Top)
Antoni B tissue (bottom)


H&E stain
Antoni A tissue

H&E stain
Antoni B tissue

H&E stain


H&E stain

H&E stain
Cell components
Uniform: Differentiated Schwann cells
Different from Neurofibroma which has Mixed cell types

H&E stain

H&E stain


H&E stain
Schwannoma
  Vessels: Thick walls

H&E stain


Collagen IV stain
Collagen IV: Present in Schwannoma


S100 stain
S100: Stains most cells in Schwannomas

S100 stain

S100 stain
S100: Stains most cells in Schwannomas

S100 stain

S100 stain
S100: Stains most cells in Schwannomas

S100 stain


SOX10 stain
SOX10: Stains nuclei in Schwannomas

SOX10 stain

SOX10 stain
SOX10: Stains nuclei in Schwannomas

SOX10 stain

SOX10 stain


Ki-67 stain
Ki-67: Stains scattered cells in Schwannomas

Ki-67 stain

Ki-67 stain
Ki-67: Stains scattered cells in Schwannomas

Ki-67 stain

INI1
  Stains cells in Schwannoma
  May have mosic loss of staining: More in familial cases

INI1 stain

EMA: No staining of cells in Schwannoma

EMA stain

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4/17/2025