Background. Granular cell tumor was first described by Abrikossoff in
1926. It is rare and usually presents as a benign solitary lesion. Mul
tifocal and malignant forms are known to occur. Methods. This presenta
tion illustrates an additional case of granular cell tumor. Clinical a
nd histological features to distinguish malignant and benign forms are
presented. Results. Tumor can develop years after therapy for the pri
mary lesion. Treatment recommendations are presented. Conclusions. Pat
ients diagnosed with granular cell tumor require close follow-up. Radi
ographic evaluation for the presence of metastatic disease is necessar
y if a malignant Variant is suspected. (C) 1997 John Wiley & Sons, Inc
.