SUMMARY An immunoperoxidase technique for the detection of carcinoembryonic antigen was applied to 10 cases of granular cell myoblastoma. Consistent, strong, intracytoplasmic granular staining, which can be easily interpreted, was obtained in all cases. Schwannomas, neurofibromas, dermatofibromas, and leiomyomas were negative. The test is helpful in confirming doubtful cases. The results tend to support the suggestion that granular cell myoblastoma is derived from perineural rather than endoneural cells.In a recent study of carcinoembryonic antigen (CEA) in benign and malignant breast lesions using the immunoperoxidase technique, a case of granular cell myoblastoma included in the series stained very strongly for CEA (Shousha and Lyssiotis, 1978). This prompted us to review and stain other granular cell myoblastomas from various sites in an attempt to investigate the consistency of the results and the possibility of using the test in the diagnosis, and explaining the histogenesis, of these lesions.
Cases and methodsTen cases diagnosed as granular cell myoblastoma were found in the files of the Histopathology Departments of the Charing Cross and Royal Free Hospitals during the period 1965 to 1976. The diagnosis was confirmed by the examination of sections stained with haematoxylin and eosin, periodic acidSchiff, reticulin and phosphotungstic acid. Sections 5 microns thick were cut from stored paraffinembedded blocks of tissue. The sections were then deparaffinised in xylene and stained for CEA using the peroxidase-labelled antibody sandwich technique, as described in detail elsewhere (Shousha and Lyssiotis, 1978). Briefly, endogenous peroxidase was blocked with 30 % hydrogen peroxide in methanol, and nonspecific background staining was reduced by 1:5 normal swine serum. The sections were then treated consecutively with 1:50 rabbit anti-CEA serum, normal swine serum, and peroxidase-labelled swine anti-rabbit IgG. Thorough