Skip to main content
Log in

Atypical papillary glioneuronal tumor

  • Clinical Study–Patient Studies
  • Published:
Journal of Neuro-Oncology Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. 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

  2. Kim DH, Suh YL (1997) Pseudopapillary neurocytoma of temporal lobe with glial differentiation. Acta Neuropathol 94:187–191

    Article  PubMed  CAS  Google Scholar 

  3. 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

    Article  PubMed  CAS  Google Scholar 

  4. Barnes NP, Pollock JR, Harding B, Hayward RD (2002) Papillary glioneuronal tumor in a 4-year-old. Pediatr Neurosurg 36:266–270

    Article  PubMed  Google Scholar 

  5. 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

    PubMed  Google Scholar 

  6. 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

    Article  PubMed  CAS  Google Scholar 

  7. Broholm M, Madesen FF, Wagner AA, Laursen H (2002) Papillary glioneuronal tumor. A new tumor entity. Clin Neuropathol 21:1–4

    PubMed  CAS  Google Scholar 

  8. 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

    Article  PubMed  Google Scholar 

  9. Celli P, Caroli E, Giangaspero F, Ferrante L (2006) Papillary glioneuronal tumor: case report and literature review. J Neurooncol 80:185–189

    Article  PubMed  Google Scholar 

  10. 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

    Article  PubMed  Google Scholar 

  11. 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

    Article  PubMed  Google Scholar 

  12. 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

    PubMed  Google Scholar 

  13. Epelbaum S, Kujas M, Van Effenterre R, Poirier J (2006) Two cases of papillary glioneuronal tumours. Br J Neurosurg 20:90–93

    Article  PubMed  CAS  Google Scholar 

  14. Konya D, Peker S, Ozgen S, Kurtkaya O, Necmettin PM (2006) Superficial siderosis due to papillary glioneuronal tumor. J Clin Neurosci 13:950–952

    Article  PubMed  Google Scholar 

  15. 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

    PubMed  Google Scholar 

  16. 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

    PubMed  Google Scholar 

  17. Prayson RA (2000) Papillary glioneuronal tumor. Arch Pathol Lab Med 124:1820–1823

    PubMed  CAS  Google Scholar 

  18. Stosic-Opincal T, Peric V, Gavrilovic S, Gavrilovic M, Markovic Z, Sener RN (2005) Papillary glioneuronal tumor. AJR Am J Roentgenol 185:265–267

    PubMed  CAS  Google Scholar 

  19. 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

    Article  PubMed  CAS  Google Scholar 

  20. Tsukayama C, Arakawa Y (2002) A papillary glioneuronal tumor arising in an elderly woman: a case report. Brain Tumor Pathol 19:35–39

    Article  PubMed  Google Scholar 

  21. Vajtai I, Kappeler A, Lukes A, Arnold M, Lüthy AR, Leibundgut K (2006) Papillary glioneuronal tumor. Pathol Res Pract 202:107–112

    Article  PubMed  Google Scholar 

  22. 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

    Article  PubMed  CAS  Google Scholar 

  23. 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

  24. 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

  25. McLendon RE, Provenzale J (2002) Glioneuronal tumors of the central nervous system. Brain Tumor Pathol 19:51–58

    Article  PubMed  Google Scholar 

  26. Sharma MC, Deb P, Sharma S, Sarkar C (2006) Neurocytoma: a comprehensive review. Neurosurg Rev 29:270–285

    Article  PubMed  Google Scholar 

  27. Rades D, Fehlauer F, Schild SE (2004) Treatment of atypical neurocytomas. Cancer 100:814–817

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jesús Vaquero.

Rights and permissions

Reprints 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

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11060-007-9333-3

Keywords

Navigation