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Published in: Journal of Neuro-Oncology 3/2007

01-07-2007 | Clinical Study–Patient Studies

Atypical papillary glioneuronal tumor

Authors: Jesús Vaquero, Santiago Coca

Published in: Journal of Neuro-Oncology | Issue 3/2007

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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.
Literature
1.
go back to reference 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 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.
go back to reference Kim DH, Suh YL (1997) Pseudopapillary neurocytoma of temporal lobe with glial differentiation. Acta Neuropathol 94:187–191PubMedCrossRef Kim DH, Suh YL (1997) Pseudopapillary neurocytoma of temporal lobe with glial differentiation. Acta Neuropathol 94:187–191PubMedCrossRef
3.
go back to reference 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 22:1171–1183PubMedCrossRef 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 22:1171–1183PubMedCrossRef
4.
go back to reference Barnes NP, Pollock JR, Harding B, Hayward RD (2002) Papillary glioneuronal tumor in a 4-year-old. Pediatr Neurosurg 36:266–270PubMedCrossRef Barnes NP, Pollock JR, Harding B, Hayward RD (2002) Papillary glioneuronal tumor in a 4-year-old. Pediatr Neurosurg 36:266–270PubMedCrossRef
5.
go back to reference 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 62:869–872PubMed 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 62:869–872PubMed
6.
go back to reference 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 99:321–326PubMedCrossRef 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 99:321–326PubMedCrossRef
7.
go back to reference Broholm M, Madesen FF, Wagner AA, Laursen H (2002) Papillary glioneuronal tumor. A new tumor entity. Clin Neuropathol 21:1–4PubMed Broholm M, Madesen FF, Wagner AA, Laursen H (2002) Papillary glioneuronal tumor. A new tumor entity. Clin Neuropathol 21:1–4PubMed
8.
go back to reference 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 26:206–211PubMedCrossRef 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 26:206–211PubMedCrossRef
9.
go back to reference Celli P, Caroli E, Giangaspero F, Ferrante L (2006) Papillary glioneuronal tumor: case report and literature review. J Neurooncol 80:185–189PubMedCrossRef Celli P, Caroli E, Giangaspero F, Ferrante L (2006) Papillary glioneuronal tumor: case report and literature review. J Neurooncol 80:185–189PubMedCrossRef
10.
go back to reference 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 26:243–248PubMedCrossRef 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 26:243–248PubMedCrossRef
11.
go back to reference Dim DC, Lingamfelter DC, Taboada EM, Fiorella RM (2006) Papillary glioneuronal tumor: a case report and review of the literature. Hum Pathol 37:914–918PubMedCrossRef Dim DC, Lingamfelter DC, Taboada EM, Fiorella RM (2006) Papillary glioneuronal tumor: a case report and review of the literature. Hum Pathol 37:914–918PubMedCrossRef
12.
go back to reference 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 31:1185–1190PubMed 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 31:1185–1190PubMed
13.
go back to reference Epelbaum S, Kujas M, Van Effenterre R, Poirier J (2006) Two cases of papillary glioneuronal tumours. Br J Neurosurg 20:90–93PubMedCrossRef Epelbaum S, Kujas M, Van Effenterre R, Poirier J (2006) Two cases of papillary glioneuronal tumours. Br J Neurosurg 20:90–93PubMedCrossRef
14.
go back to reference Konya D, Peker S, Ozgen S, Kurtkaya O, Necmettin PM (2006) Superficial siderosis due to papillary glioneuronal tumor. J Clin Neurosci 13:950–952PubMedCrossRef Konya D, Peker S, Ozgen S, Kurtkaya O, Necmettin PM (2006) Superficial siderosis due to papillary glioneuronal tumor. J Clin Neurosci 13:950–952PubMedCrossRef
15.
go back to reference Kordek R, Hennig R, Jacobsen E, Kearney M (2003) Papillary glioneuronal tumor-a new variant of benign mixed brain neoplasm. Pol J Pathol 54:75–78PubMed Kordek R, Hennig R, Jacobsen E, Kearney M (2003) Papillary glioneuronal tumor-a new variant of benign mixed brain neoplasm. Pol J Pathol 54:75–78PubMed
16.
go back to reference 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 13:115–117PubMed 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 13:115–117PubMed
17.
go back to reference Prayson RA (2000) Papillary glioneuronal tumor. Arch Pathol Lab Med 124:1820–1823PubMed Prayson RA (2000) Papillary glioneuronal tumor. Arch Pathol Lab Med 124:1820–1823PubMed
18.
go back to reference Stosic-Opincal T, Peric V, Gavrilovic S, Gavrilovic M, Markovic Z, Sener RN (2005) Papillary glioneuronal tumor. AJR Am J Roentgenol 185:265–267PubMed Stosic-Opincal T, Peric V, Gavrilovic S, Gavrilovic M, Markovic Z, Sener RN (2005) Papillary glioneuronal tumor. AJR Am J Roentgenol 185:265–267PubMed
19.
go back to reference 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 110:39–47PubMedCrossRef 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 110:39–47PubMedCrossRef
20.
go back to reference Tsukayama C, Arakawa Y (2002) A papillary glioneuronal tumor arising in an elderly woman: a case report. Brain Tumor Pathol 19:35–39PubMedCrossRef Tsukayama C, Arakawa Y (2002) A papillary glioneuronal tumor arising in an elderly woman: a case report. Brain Tumor Pathol 19:35–39PubMedCrossRef
21.
go back to reference Vajtai I, Kappeler A, Lukes A, Arnold M, Lüthy AR, Leibundgut K (2006) Papillary glioneuronal tumor. Pathol Res Pract 202:107–112PubMedCrossRef Vajtai I, Kappeler A, Lukes A, Arnold M, Lüthy AR, Leibundgut K (2006) Papillary glioneuronal tumor. Pathol Res Pract 202:107–112PubMedCrossRef
22.
go back to reference 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 37:627–630PubMedCrossRef 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 37:627–630PubMedCrossRef
23.
go back to reference 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 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.
go back to reference 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 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.
go back to reference McLendon RE, Provenzale J (2002) Glioneuronal tumors of the central nervous system. Brain Tumor Pathol 19:51–58PubMedCrossRef McLendon RE, Provenzale J (2002) Glioneuronal tumors of the central nervous system. Brain Tumor Pathol 19:51–58PubMedCrossRef
26.
go back to reference Sharma MC, Deb P, Sharma S, Sarkar C (2006) Neurocytoma: a comprehensive review. Neurosurg Rev 29:270–285PubMedCrossRef Sharma MC, Deb P, Sharma S, Sarkar C (2006) Neurocytoma: a comprehensive review. Neurosurg Rev 29:270–285PubMedCrossRef
27.
Metadata
Title
Atypical papillary glioneuronal tumor
Authors
Jesús Vaquero
Santiago Coca
Publication date
01-07-2007
Published in
Journal of Neuro-Oncology / Issue 3/2007
Print ISSN: 0167-594X
Electronic ISSN: 1573-7373
DOI
https://doi.org/10.1007/s11060-007-9333-3

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