Meningioma and intracranial hemangiopericytoma

Summary

Electron microscopic study of 2 intracranial hemangiopericytomas and 7 meningiomas revealed fundamental morphologic differences between the 2 neoplasms. The most significant finding in hemangiopericytoma was the presence of ultrastructure features suggesting leiomyoblastic differentiation. These included characteristic fusiform intracytoplasmic and submembranous dense bodies, abundant cytoplasmic filaments, elongated cells with blunt-ended nuclei and juxtanuclear polarization of organelles. This observation is considered highly significant as an indicator of the pericytic nature of this tumor. In addition, hemangiopericytoma cells sometimes were arranged in spirals around pools of basement membrane-like material, perhaps a manifestation of the biologic capability of the cells to synthetize such material. Meningioma cells displayed as their main feature an ability to produce surface membrane specializations including interdigitations, desmosomes, zonulae adhaerentes and gap junctions. Sometimes the last 3 elements were linearly juxtaposed forming junctional complexes similar to those seen in certain epithelia. It is suggested that the characteristic whorls of meningioma are the result of cell interconnections arising from the specialized junctional attachments. Thus the distinctive morphology of the 2 neoplasms appears to derive from basic biologic properties of their elements.