We report on a 4-year-old boy with recurrent giant-cell fibroblastoma
of the right nasal genal region, Histologic examination revealed that
both lesions were constituted of spindle and stellate cells and a mino
r amount of multinucleated giant cells in a myxoid stroma containing c
isternal-like spaces. Immunohistochemical examination revealed positiv
ity for vimentin in both cellular components. Ultra-structural examina
tion showed, in some spindle and multinucleated cells, two kinds of in
tracellular crystalline inclusions, located, respectively, in the cist
ernae of the rough endoplasmic reticulum and, apparently free, in the
cytoplasm. To the best of our knowledge, this case, unusual for its lo
cation, is the first example of giant-cell fibroblastoma bearing intra
cellular crystalline inclusions.