Kandalkar B, Shah V, Shet T
B.Y.L. Nair Ch. Hospital & T.N.M. College, Mumbai Central, Mumbai.
Indian J Pathol Microbiol. 2001 Jul;44(3):329-32.
Desmoplastic cerebral astrocytoma of infancy (DCAI) is a rare tumor which shows spindle cells embedded in an extremely desmoplastic stroma. We describe a case of DCAI seen in the frontoparietal region of brain in a three-month-old infant. Microscopically classic histology of DCAI was seen. On immunohistochemistty the tumor showed strong Vimentin, S-100 and Glial Fibrillary Acidic Protein (GFAP) positivity. The brain adjacent to the tumor-showed multi-cystic transformation and the tumor formed a solid area in the wall of this cystic structure. This adjacent brain showed mild disarray of architecture and gliosis. Three months after surgery this infant was alive and well.
婴儿促纤维增生性脑星形细胞瘤(DCAI)是一种罕见肿瘤,其特征为梭形细胞包埋于极度促纤维增生的基质中。我们报告一例三个月大婴儿发生于脑额顶叶区域的DCAI病例。显微镜下可见DCAI的典型组织学表现。免疫组化显示肿瘤细胞波形蛋白、S-100和胶质纤维酸性蛋白(GFAP)呈强阳性。肿瘤邻近脑组织呈多囊性改变,肿瘤在该囊性结构壁内形成实性区域。邻近脑组织显示结构轻度紊乱和胶质细胞增生。术后三个月,该婴儿存活且状况良好。