The pleomorphic xanthoastrocytoma and its differential diagnosis: A study of five cases

Five brain tumors with the histopathologic features of pleomorphic xanthoastrocytomas (PXAs) are presented. Computed tomography scans showed a remarkable homology. Two cases had atypical localizations for a PXA, while one 46-year-old patient did not conform to the normal age distribution of this tum...

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Veröffentlicht in:Human pathology 1991-11, Vol.22 (11), p.1128-1135
Hauptverfasser: Kros, Johan M., Vecht, Charles J., Stefanko, Stanislav Z.
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container_title Human pathology
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creator Kros, Johan M.
Vecht, Charles J.
Stefanko, Stanislav Z.
description Five brain tumors with the histopathologic features of pleomorphic xanthoastrocytomas (PXAs) are presented. Computed tomography scans showed a remarkable homology. Two cases had atypical localizations for a PXA, while one 46-year-old patient did not conform to the normal age distribution of this tumor. Nevertheless, in these cases, the histopathology was always characteristic for PXA, a remarkable pleomorphism, in addition to simultaneous expression of glial fibrillary acidic protein and histiocytic markers in the various tumor cells. In one of the presented tumors, however, clusters of neoplastic neuronal cells were also found. In this particular case, differential diagnostic criteria to distinguish between a PXA and a desmoplastic infantile ganglioglioma are lacking.
doi_str_mv 10.1016/0046-8177(91)90265-Q
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source MEDLINE; Elsevier ScienceDirect Journals
subjects Adolescent
Adult
Astrocytoma - chemistry
Astrocytoma - diagnostic imaging
Astrocytoma - pathology
Biological and medical sciences
Brain Neoplasms - chemistry
Brain Neoplasms - diagnostic imaging
Brain Neoplasms - pathology
Child
desmoplastic infantile ganglioglioma
Diagnosis, Differential
Female
ganglioglioma
glioma
Humans
Immunohistochemistry
Male
Medical sciences
Middle Aged
Neurology
pleomorphic xanthoastrocytoma
Tomography, X-Ray Computed
title The pleomorphic xanthoastrocytoma and its differential diagnosis: A study of five cases
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