Skip to main content
Top
Published in: Brain Tumor Pathology 2/2014

01-04-2014 | Case Report

Differential diagnosis of small cell glioblastoma and anaplastic oligodendroglioma: a case report of an elderly man

Authors: Kenta Takahashi, Masumi Tsuda, Hiromi Kanno, Junichi Murata, Roshan Mahabir, Yusuke Ishida, Taichi Kimura, Mishie Tanino, Hiroshi Nishihara, Kazuo Nagashima, Shinya Tanaka

Published in: Brain Tumor Pathology | Issue 2/2014

Login to get access

Abstract

Small cell glioblastoma is a histological subtype of glioblastoma with characteristic features of highly proliferative, monotonous small glial cells with high nuclear cytoplasm ratio. Morphologically, malignant lymphoma or small cell metastatic carcinoma should be carefully discriminated. Some cases are difficult to differentiate from anaplastic oligodendroglioma. In this report, we present a case of small cell glioblastoma of an elderly man. The lack of IDH1/2 mutation was confirmed by immunohistochemistry and direct sequencing. Fluorescence in situ hybridization revealed the lower rates of chromosome 1p and 19q deletion. Microsatellite analysis disclosed partial 10q alteration near the PTEN locus. Not only morphological and immunohistochemical examinations, but also cytogenetical investigations for IDH1/2 mutation, 1p/19q loss, and PTEN alteration, are strongly supportive methods for the differential diagnosis of small cell glioblastoma and anaplastic oligodendroglioma.
Literature
1.
go back to reference Louis D, Ohgaki H, Wiestler O, Cavanee W (2007) WHO classification of tumors of the central nervous system, 4th edn. IARC Press, Lyon Louis D, Ohgaki H, Wiestler O, Cavanee W (2007) WHO classification of tumors of the central nervous system, 4th edn. IARC Press, Lyon
2.
go back to reference Louis DN, Ohgaki H, Wiestler OD, Cavenee WK, Burger PC et al (2007) The 2007 WHO classification of tumours of the central nervous system. Acta Neuropathol 114:97–109PubMedCentralPubMedCrossRef Louis DN, Ohgaki H, Wiestler OD, Cavenee WK, Burger PC et al (2007) The 2007 WHO classification of tumours of the central nervous system. Acta Neuropathol 114:97–109PubMedCentralPubMedCrossRef
3.
go back to reference Perry A, Aldape KD, George DH, Burger PC (2004) Small cell astrocytoma: an aggressive variant that is clinicopathologically and genetically distinct from anaplastic oligodendroglioma. Cancer 101:2318–2326PubMedCrossRef Perry A, Aldape KD, George DH, Burger PC (2004) Small cell astrocytoma: an aggressive variant that is clinicopathologically and genetically distinct from anaplastic oligodendroglioma. Cancer 101:2318–2326PubMedCrossRef
5.
go back to reference Stupp R, Mason WP, van den Bent MJ, Weller M, Fisher B et al (2005) Radiotherapy plus concomitant and adjuvant temozolomide for glioblastoma. N Engl J Med 352:987–996PubMedCrossRef Stupp R, Mason WP, van den Bent MJ, Weller M, Fisher B et al (2005) Radiotherapy plus concomitant and adjuvant temozolomide for glioblastoma. N Engl J Med 352:987–996PubMedCrossRef
6.
go back to reference Ohgaki H, Kleihues P (2011) Genetic profile of astrocytic and oligodendroglial gliomas. Brain Tumor Pathol 28:177–183PubMedCrossRef Ohgaki H, Kleihues P (2011) Genetic profile of astrocytic and oligodendroglial gliomas. Brain Tumor Pathol 28:177–183PubMedCrossRef
7.
go back to reference Burger PC, Pearl DK, Aldape K, Yates AJ, Scheithauer BW et al (2001) Small cell architecture–a histological equivalent of EGFR amplification in glioblastoma multiforme? J Neuropathol Exp Neurol 60:1099–1104PubMed Burger PC, Pearl DK, Aldape K, Yates AJ, Scheithauer BW et al (2001) Small cell architecture–a histological equivalent of EGFR amplification in glioblastoma multiforme? J Neuropathol Exp Neurol 60:1099–1104PubMed
8.
go back to reference Korshunov A, Sycheva R, Golanov A (2004) Molecular stratification of diagnostically challenging high-grade gliomas composed of small cells: the utility of fluorescence in situ hybridization. Clin Cancer Res 10:7820–7826PubMedCrossRef Korshunov A, Sycheva R, Golanov A (2004) Molecular stratification of diagnostically challenging high-grade gliomas composed of small cells: the utility of fluorescence in situ hybridization. Clin Cancer Res 10:7820–7826PubMedCrossRef
10.
go back to reference Boström J, Cobbers JM, Wolter M, Tabatabai G, Weber RG et al (1998) Mutation of the PTEN (MMAC1) tumor suppressor gene in a subset of glioblastomas but not in meningiomas with loss of chromosome arm 10q. Cancer Res 58:29–33PubMed Boström J, Cobbers JM, Wolter M, Tabatabai G, Weber RG et al (1998) Mutation of the PTEN (MMAC1) tumor suppressor gene in a subset of glioblastomas but not in meningiomas with loss of chromosome arm 10q. Cancer Res 58:29–33PubMed
11.
12.
go back to reference Preusser M, Hoeftberger R, Woehrer A, Gelpi E, Kouwenhoven M et al (2012) Prognostic value of Ki67 index in anaplastic oligodendroglial tumours–a translational study of the European Organization for Research and Treatment of Cancer Brain Tumor Group. Histopathology 60:885–894PubMedCrossRef Preusser M, Hoeftberger R, Woehrer A, Gelpi E, Kouwenhoven M et al (2012) Prognostic value of Ki67 index in anaplastic oligodendroglial tumours–a translational study of the European Organization for Research and Treatment of Cancer Brain Tumor Group. Histopathology 60:885–894PubMedCrossRef
13.
go back to reference Prayson RA, Mohan DS, Song P, Suh JH (2000) Clinicopathologic study of forty-four histologically pure supratentorial oligodendrogliomas. Ann Diagn Pathol 4:218–227PubMedCrossRef Prayson RA, Mohan DS, Song P, Suh JH (2000) Clinicopathologic study of forty-four histologically pure supratentorial oligodendrogliomas. Ann Diagn Pathol 4:218–227PubMedCrossRef
14.
go back to reference Ohgaki H, Dessen P, Jourde B, Horstmann S, Nishikawa T et al (2004) Genetic pathways to glioblastoma: a population-based study. Cancer Res 64:6892–6899PubMedCrossRef Ohgaki H, Dessen P, Jourde B, Horstmann S, Nishikawa T et al (2004) Genetic pathways to glioblastoma: a population-based study. Cancer Res 64:6892–6899PubMedCrossRef
15.
go back to reference Quezado M, Ronchetti R, Rapkiewicz A, Santi M, Blumenthal DT et al (2005) Chromogenic in situ hybridization accurately identifies EGFR amplification in small cell glioblastoma multiforme, a common subtype of primary GBM. Clin Neuropathol 24:163–169PubMed Quezado M, Ronchetti R, Rapkiewicz A, Santi M, Blumenthal DT et al (2005) Chromogenic in situ hybridization accurately identifies EGFR amplification in small cell glioblastoma multiforme, a common subtype of primary GBM. Clin Neuropathol 24:163–169PubMed
16.
go back to reference Fujisawa H, Reis RM, Nakamura M, Colella S, Yonekawa Y et al (2000) Loss of heterozygosity on chromosome 10 is more extensive in primary (de novo) than in secondary glioblastomas. Lab Invest 80:65–72PubMedCrossRef Fujisawa H, Reis RM, Nakamura M, Colella S, Yonekawa Y et al (2000) Loss of heterozygosity on chromosome 10 is more extensive in primary (de novo) than in secondary glioblastomas. Lab Invest 80:65–72PubMedCrossRef
Metadata
Title
Differential diagnosis of small cell glioblastoma and anaplastic oligodendroglioma: a case report of an elderly man
Authors
Kenta Takahashi
Masumi Tsuda
Hiromi Kanno
Junichi Murata
Roshan Mahabir
Yusuke Ishida
Taichi Kimura
Mishie Tanino
Hiroshi Nishihara
Kazuo Nagashima
Shinya Tanaka
Publication date
01-04-2014
Publisher
Springer Japan
Published in
Brain Tumor Pathology / Issue 2/2014
Print ISSN: 1433-7398
Electronic ISSN: 1861-387X
DOI
https://doi.org/10.1007/s10014-013-0158-9

Other articles of this Issue 2/2014

Brain Tumor Pathology 2/2014 Go to the issue