Kondziolka D, Bilbao J M
Department of Pathology, St. Michael's Hospital, University of Toronto, Ontario, Canada.
Acta Neuropathol. 1988;76(6):633-7. doi: 10.1007/BF00689604.
Tumors of mixed glial origin may present as low-grade neoplasms with distinct cell populations or as polymorphic malignant gliomas. Such cell populations are usually appropriate to the location of the tumor. A mixed tumor, with a cell population inappropriate to tumor location, is presented to discuss theories of glial differentiation and cellular heterogeneity. This mixed ependymoma-astrocytoma of the parietal cortex, ultrastructurally similar to subependymoma but anatomically separate from the subependymal cell matrix or ventricular surface, gives evidence for neoplastic differentiation into ependymal and astrocytic cell lines. This supports the idea of a common progenitor cell, the ependymoglia or tanycyte, in human cerebral cortex.
混合性神经胶质起源的肿瘤可能表现为具有不同细胞群体的低级别肿瘤,或多形性恶性神经胶质瘤。这些细胞群体通常与肿瘤的位置相符。本文呈现了一个细胞群体与肿瘤位置不符的混合性肿瘤,以探讨神经胶质分化和细胞异质性的理论。这个顶叶皮质的混合性室管膜瘤-星形细胞瘤,超微结构上类似于室管膜下瘤,但在解剖学上与室管膜下细胞基质或脑室表面分离,为肿瘤向室管膜和星形细胞系的肿瘤分化提供了证据。这支持了人类大脑皮质中存在共同祖细胞,即室管膜神经胶质细胞或伸展细胞的观点。