Rosemberg S, Menezes Y, Sousa M R, Plese P, Ciquini O
Department of Pathology, University of São Paulo School of Medicine, Brazil.
Clin Neuropathol. 1994 Jul-Aug;13(4):221-4.
We report a case of an intradural extramedullary malignant rhabdoid tumor (MRT) occurring in a 2-year-old girl. Histologically, immunohistochemically and ultrastructurally, the tumor fulfilled the diagnostic criteria for MRT. Many tumor cells contained typical cytoplasmic eosinophilic hyaline inclusions which were filamentous by electron microscopy. Positive vimentin staining was observed immunohistochemically but epithelial markers were negative. Extrarenal MRT are rare. Ten instances in the central nervous system have been reported. This case is the first intradural MRT of the spinal canal. The differential diagnosis from other tumors of this region is important because the prognosis and therapeutic approaches are greatly different.
我们报告了一例发生在一名2岁女童的硬脊膜内髓外恶性横纹肌样瘤(MRT)。在组织学、免疫组织化学和超微结构上,该肿瘤符合MRT的诊断标准。许多肿瘤细胞含有典型的胞质嗜酸性透明包涵体,电镜下呈丝状。免疫组织化学观察到波形蛋白染色阳性,但上皮标志物为阴性。肾外MRT很罕见。中枢神经系统已报告有10例。该病例是椎管内首例硬脊膜内MRT。与该区域其他肿瘤的鉴别诊断很重要,因为预后和治疗方法有很大不同。