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血管中心性胶质瘤:一例报告并文献复习

Angiocentric glioma: a case report and review of the literature.

作者信息

Mott Ryan T, Ellis Thomas L, Geisinger Kim R

机构信息

Department of Pathology, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA.

出版信息

Diagn Cytopathol. 2010 Jun;38(6):452-6. doi: 10.1002/dc.21253.

Abstract

Angiocentric glioma (AG) is a rare central nervous system (CNS) neoplasm that was only recently recognized by the World Health Organization (WHO). AG occurs in a broad age range, shows no gender predilection, and arises superficially in the cerebrum, usually resulting in medically intractable seizures. Most cases are cured by surgical excision alone, consistent with a WHO grade I neoplasm. We report a case of an AG in the right frontal lobe of a 57-year-old female, emphasizing the cytologic and immunohistochemical features, including confirmation and comparison with the surgical specimen. To our knowledge, this is the first report detailing the cytology of AG, including demonstration of important diagnostic findings that were only appreciated in the cytologic preparations and not in the smears or the surgical specimen. We also compare and contrast AG to other entities in the differential diagnosis and include a review of the literature.

摘要

血管中心性胶质瘤(AG)是一种罕见的中枢神经系统(CNS)肿瘤,直到最近才被世界卫生组织(WHO)认可。AG发病年龄范围广,无性别倾向,发生于大脑浅表部位,通常导致药物难治性癫痫发作。大多数病例仅通过手术切除即可治愈,符合WHO I级肿瘤。我们报告一例57岁女性右额叶AG病例,重点介绍其细胞学和免疫组化特征,包括与手术标本的对照和比较。据我们所知,这是第一份详细描述AG细胞学的报告,包括展示仅在细胞制片中而非涂片或手术标本中发现的重要诊断结果。我们还在鉴别诊断中将AG与其他实体进行比较和对比,并对文献进行了综述。

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