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中枢性和脑室外神经细胞瘤的临床病理分析:17例报告

Clinicopathological analysis of central and extraventricular neurocytoma: a report of 17 cases.

作者信息

Zhu Pengcheng, Yan Fei, Ma Yanling, Ao Qilin

机构信息

Institute of Pathology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.

出版信息

J Huazhong Univ Sci Technolog Med Sci. 2010 Dec;30(6):746-50. doi: 10.1007/s11596-010-0651-x. Epub 2010 Dec 22.

Abstract

Neurocytoma, a rare brain tumor, is characterized by a mass located mainly in cerebral ventricles. It is prone to be misdiagnosed as oligodendroglioma or ependymoma due to their similar histopathological features in clinical practice. This study aimed to examine the clinicopathological features and differential diagnosis of central and extraventricular neurocytoma. The clinical and histopathological data of 17 patients (male: female=7:10; age: 4-41 years; mean age: 27.4 years) with central or extraventricular neurocytoma were retrospectively analyzed. These patients showed typical radiological, histopathological and immunohistochemical features of neurocytoma. The tumor tissue was found to be composed of small uniform cells with round nuclei and clear cytoplasm resembling that of oligodendroglioma and ependymoma. Immunohistochemistry revealed the tumor tissues were positive for neuronal markers such as synaptophysin (SYN) and neuronal nuclear antigen (NeuN). It was concluded histopathological features of neurocytoma overlaps with some tumors in the central neural system. Immunopositivity for SYN and NeuN can help differentially diagnose neurocytoma.

摘要

神经细胞瘤是一种罕见的脑肿瘤,其特征是肿块主要位于脑室。在临床实践中,由于其组织病理学特征相似,它容易被误诊为少突胶质细胞瘤或室管膜瘤。本研究旨在探讨中枢性和脑室外型神经细胞瘤的临床病理特征及鉴别诊断。回顾性分析了17例中枢性或脑室外型神经细胞瘤患者(男∶女 = 7∶10;年龄4~41岁,平均年龄27.4岁)的临床和组织病理学资料。这些患者表现出典型的神经细胞瘤影像学、组织病理学和免疫组化特征。肿瘤组织由小的形态一致的细胞组成,细胞核圆形,细胞质清晰,类似于少突胶质细胞瘤和室管膜瘤。免疫组化显示肿瘤组织对神经元标志物如突触素(SYN)和神经元核抗原(NeuN)呈阳性。结论神经细胞瘤的组织病理学特征与中枢神经系统的一些肿瘤有重叠。SYN和NeuN免疫阳性有助于神经细胞瘤的鉴别诊断。

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