Pilocytic astrocytoma with abundant oligodendroglioma-like component
- First Online:
- 171 Downloads
An 18-year-old girl presented with a history of visual disturbance without headache, nausea, or vomiting in May 2010. In July 2010, the patient visited our hospital because of visual disturbance. Head magnetic resonance images revealed hydrocephalus caused by a ring-enhancing mass lesion located in the vermis. Total tumor removal was performed. Histological findings revealed that honeycomb cells resembling oligodendrocytes accounted for most parts of the tumor. Rosenthal fibers and hyaline droplets were seen in a small portion. The tumor cells were immunoreactive for GFAP and Olig2, but none of the tumor cells were immunoreactive for Symaptophysin, EMA, or IDH 1. according to these findings, the tumor was diagnosed as pilocytic astrocytoma with an abundant oligodendroglioma-like component. Pilocytic astrocytoma is known to be associated with an oligodendroglioma-like component; however, the differential diagnosis for oligodendroglioma may be difficult when an oligodendroglioma-like component occupies most of the tumor.
KeywordsCerebellar tumor Honeycomb structure IDH1 Oligodendroglioma Pilocytic astrocytoma
- 2.Scheithauer BW, Hawkins C, Tihan T, VandenBerg SR, Burger PC (2007) Pilocytic astrocytoma. In: Louis DN, Ohgaki H, Wiestler OD, Cavenee WK (eds) World Health Organization Classification of tumour of the central nervous system. International Agency for Research on Cancer (IARC) Press, Lyon, pp 14–21Google Scholar
- 5.Capper D, Reuss D, Schittenhelm J, Hartmann C, Bremer J, Sahm F, Harter PN, Jeibmann A, von Deimling A (2011) Mutation-specific IDH1 antibody differentiates oligodendrogliomas and oligoastrocytomas from other brain tumors with oligodendroglioma-like morphology. Acta Neuropathol 121:241–252PubMedCrossRefGoogle Scholar
- 6.Baysefer A, Duz B, Erdodan E, Deveci MS (2004) Pediatric cerebellar cystic oligodendroglioma: case report and literature review. Turk J Pediat 46:95–97Google Scholar