Background: The granular cell tumor (GCT) is a common, usually benign,
neoplasm of uncertain histogenesis that may affect any organ in the b
ody. It occurs rarely in ophthalmic sites, where orbital location is m
ost frequent, The purpose of this report is to describe a unique case
of an epibulbar, subconjunctival GCT in a child. Method: Histopatholog
ic examination of the excised tumor included standard and immunohistoc
hemical staining of formaldehyde-fixed, paraffin-embedded tissue.Resul
ts: Histopathologic study showed the characteristic morphology of GCT.
Immunohistochemistry was strongly positive for vimentin, weakly and p
artly positive for neuron-specific enolase, and negative for 5-100 and
HAM-56. Conclusions: Granular cell tumor must be added to the differe
ntial diagnosis of epibulbar masses, Immunohistochemistry of the tumor
in this case suggests an uncommitted mesenchymal cell origin.