Abstract
We describe a 34-year-old man who presented with headaches for about 3 months. Magnetic Resonance Imaging (MRI) revealed a large cystic tumor, involving the right frontoparietal lobe region. Pathological study revealed a papillary glioneuronal tumor (PGNT) with mitotic activity and a Ki-67 labeling index of approximately 15%. Five years after radical surgery and radiotherapy, the patient is symptom-free, without tumor recurrence or residual tumor. This case supports the existence of an atypical variant of PGNT, with mitotic activity and high proliferative index, and suggests that in these tumors, histological findings of malignity not necessarily indicate a short-term unfavorable behavior.
Similar content being viewed by others
References
Komori T, Scheithauer BW, Anthony DC, Scott RM, Okazaki H, Kobayashi M (1996) Pseudopapillary ganglioneurocytoma. In: American Association of Neuropathologists, Abstracts of the 72nd Annual Meeting, Vancouver, Canada, pp 196A
Kim DH, Suh YL (1997) Pseudopapillary neurocytoma of temporal lobe with glial differentiation. Acta Neuropathol 94:187–191
Komori T, Scheithauer BW, Anthony DC, Rosenblum MK, McLendon RE, Scott RM, Okazaki H, Kobayashi M (1998) Papillary glioneuronal tumor: a new variant of mixed neuronal-glial neoplasm. Am J Surg Pathol 22:1171–1183
Barnes NP, Pollock JR, Harding B, Hayward RD (2002) Papillary glioneuronal tumor in a 4-year-old. Pediatr Neurosurg 36:266–270
Borges G, Bonilha L, Menezes AS, de Queiroz LS, Carelli EF, Zanardi V, Menezes JR (2004) Long term follow-up in a patient with papillary glioneuronal tumor. Arq Neuropsiquiatr 62:869–872
Bouvier-Labit C, Daniel L, Dufour H, Grisoli F, Figarella-Branger D (2000) Papillary glioneuronal tumor: clinicopathological and biochemical study of one case with 7-year follow up. Acta Neuropathol 99:321–326
Broholm M, Madesen FF, Wagner AA, Laursen H (2002) Papillary glioneuronal tumor. A new tumor entity. Clin Neuropathol 21:1–4
Buccoliero AM, Giordano F, Mussa F, Taddei A, Genitori L, Taddei GL (2006) Papillary glioneuronal tumor radiologically mimicking a cavernous hemangioma with hemorrhagic onset. Neuropathology 26:206–211
Celli P, Caroli E, Giangaspero F, Ferrante L (2006) Papillary glioneuronal tumor: case report and literature review. J Neurooncol 80:185–189
Chen L, Piao YS, Xu QZ, Yang XP, Yang H, Lu DH (2006) Papillary glioneuronal tumor: a clinicopathological and immunohistochemical study of two cases. Neuropathology 26:243–248
Dim DC, Lingamfelter DC, Taboada EM, Fiorella RM (2006) Papillary glioneuronal tumor: a case report and review of the literature. Hum Pathol 37:914–918
Ebato M, Tsunoda A, Maruki C, Ikeya F, Okada M (2003) Papillary glioneuronal tumor with highly degenerative pseudopapillary structure accompanied by specific abortive glial cells: a case report. No Shinkei Geka 31:1185–1190
Epelbaum S, Kujas M, Van Effenterre R, Poirier J (2006) Two cases of papillary glioneuronal tumours. Br J Neurosurg 20:90–93
Konya D, Peker S, Ozgen S, Kurtkaya O, Necmettin PM (2006) Superficial siderosis due to papillary glioneuronal tumor. J Clin Neurosci 13:950–952
Kordek R, Hennig R, Jacobsen E, Kearney M (2003) Papillary glioneuronal tumor-a new variant of benign mixed brain neoplasm. Pol J Pathol 54:75–78
Lamszus K, Makrigeorgi-Butera M., Laas R, Westphal M, Stavrou D (2003) September 2002: 24-year-old female with a 6-month history of seizures. Brain Pathol 13:115–117
Prayson RA (2000) Papillary glioneuronal tumor. Arch Pathol Lab Med 124:1820–1823
Stosic-Opincal T, Peric V, Gavrilovic S, Gavrilovic M, Markovic Z, Sener RN (2005) Papillary glioneuronal tumor. AJR Am J Roentgenol 185:265–267
Tanaka Y, Yokoo H, Komori T, Makita Y, Ishizawa T, Hirose T, Ebato M, Shibahara J, Tsukayama C, Shibuya M, Nakazato Y (2005) A distinct pattern of Olig2-positive cellular distribution in papillary glioneuronal tumors: a manifestation of the oligodendroglial phenotype? Acta Neuropathol 110:39–47
Tsukayama C, Arakawa Y (2002) A papillary glioneuronal tumor arising in an elderly woman: a case report. Brain Tumor Pathol 19:35–39
Vajtai I, Kappeler A, Lukes A, Arnold M, Lüthy AR, Leibundgut K (2006) Papillary glioneuronal tumor. Pathol Res Pract 202:107–112
Ishizawa T, Komori T, Shibahara J, Ishizawa K, Adachi J, Nishikawa R, Matsutani M, Hirose T (2006) Papillary glioneuronal tumor with minigemistocytic components and increased proliferarive activity. Hum Pathol 37:627–630
Javahery RJ, McComb JG, Davidson L, González I (2006) Aggressive variant of papillary glioneuronal tumor. Abstract 2006: Nov 28. Online Library of the American Association of Neuropathologists. Article ID: 40451
Atri S, Sharma MC, Sarkar C, Garg A, Suri A (in press) Papillary glioneuronal tumor: a report of a rare case and review of the literature. Childs Nerv Syst
McLendon RE, Provenzale J (2002) Glioneuronal tumors of the central nervous system. Brain Tumor Pathol 19:51–58
Sharma MC, Deb P, Sharma S, Sarkar C (2006) Neurocytoma: a comprehensive review. Neurosurg Rev 29:270–285
Rades D, Fehlauer F, Schild SE (2004) Treatment of atypical neurocytomas. Cancer 100:814–817
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Vaquero, J., Coca, S. Atypical papillary glioneuronal tumor. J Neurooncol 83, 319–323 (2007). https://doi.org/10.1007/s11060-007-9333-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11060-007-9333-3