Department of Neuropathology, Institute of Neurology, Huashan Hospital of Fudan University, Shanghai, China.
Neuropathology. 2013 Aug;33(4):431-5. doi: 10.1111/neup.12000. Epub 2012 Nov 20.
Neuronal and mixed neuronal-glial tumors of the CNS show a wide spectrum of components. Here, we report an unusual case of brain tumor with combined histological features of dysembryoplastic neuroepithelial tumor (DNT) and rosette-forming glioneuronal tumor (RGNT) in a 23-year-old man. It arose in the left anterior cingulate cortex with a pseudo-polycystic appearance on neuroimaging. Histological features contained the "specific glioneuronal element" mimicking DNT and the components of distinct neurocytic rosettes with a center of neuropil islands and pilocytic astrocytoma resembling RGNT. Although the mechanisms of mixed glioneuronal tumor are far from being well-known, their co-existence might suggest a possible etiologic relationship between DNT and RGNT.
中枢神经系统的神经元和混合性神经元-神经胶质肿瘤表现出广泛的成分谱。在这里,我们报告了一例不常见的脑肿瘤病例,该肿瘤在一名 23 岁男性中具有发育不良性神经上皮肿瘤(DNT)和玫瑰花结形成性神经胶质神经元肿瘤(RGNT)的联合组织学特征。它发生在左前扣带回,神经影像学表现为假性多囊外观。组织学特征包含类似于 DNT 的“特异的神经胶质神经元成分”和具有神经胶质小岛中心和类似于 RGNT 的毛细胞型星形细胞瘤的明显神经细胞玫瑰花结成分。尽管混合性神经胶质神经元肿瘤的机制还远未被完全了解,但它们的共存可能提示 DNT 和 RGNT 之间存在可能的病因关系。