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婴儿促纤维增生性星形细胞瘤——病例报告

Desmoplastic astrocytoma of infancy--a case report.

作者信息

Kandalkar B, Shah V, Shet T

机构信息

B.Y.L. Nair Ch. Hospital & T.N.M. College, Mumbai Central, Mumbai.

出版信息

Indian J Pathol Microbiol. 2001 Jul;44(3):329-32.

Abstract

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.

摘要

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。

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