Pigmented ependymoma with signet‐ring cells and Rosenthal fibers: A rare variant of ependymoma

We report a rare case of ependymoma with vacuolar features, signet cells, pigmentation and numerous Rosenthal fibers arising in the fourth ventricle of a 35‐year‐old woman. The tumor was composed of cells with cytoplasmic vacuoles, signet cells and clear cells. The clear cells were compactly arrange...

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Veröffentlicht in:Neuropathology 2010-02, Vol.30 (1), p.71-75
Hauptverfasser: Ertan, Yesim, Sarsık, Banu, Özgiray, Erkin, Kitis, Ömer, Dalbastı, Tayfun, Akalın, Taner
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container_end_page 75
container_issue 1
container_start_page 71
container_title Neuropathology
container_volume 30
creator Ertan, Yesim
Sarsık, Banu
Özgiray, Erkin
Kitis, Ömer
Dalbastı, Tayfun
Akalın, Taner
description We report a rare case of ependymoma with vacuolar features, signet cells, pigmentation and numerous Rosenthal fibers arising in the fourth ventricle of a 35‐year‐old woman. The tumor was composed of cells with cytoplasmic vacuoles, signet cells and clear cells. The clear cells were compactly arranged resembling oligodendroglioma. Pseudovascular and ependymal rosettes were observed only in focal areas. Additionally, some tumor cells contained brown cytoplasmic pigment, which was histochemically compatible with lipofuscin and neuromelanin. On immunohistochemical examination, the tumor cells were positive for S100, glial fibrillary acidic protein and vimentin, and negative for synaptophysin, cytokeratin, neurofilament and HMB45. Epithelial membrane antigen staining showed dot‐like and small vesicular reactivity. The case is presented to increase familiarity with these extraordinary variants of ependymoma.
doi_str_mv 10.1111/j.1440-1789.2009.01031.x
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adult
Brain - metabolism
Brain - pathology
Brain - surgery
brain tumor
Cerebral Ventricle Neoplasms - metabolism
Cerebral Ventricle Neoplasms - pathology
Cerebral Ventricle Neoplasms - surgery
ependymoma
Ependymoma - metabolism
Ependymoma - pathology
Ependymoma - surgery
Female
Fourth Ventricle - metabolism
Fourth Ventricle - pathology
Fourth Ventricle - surgery
Humans
Immunohistochemistry
intracytoplasmic vacuole
Magnetic Resonance Imaging
Pigmentation
Rosenthal fiber
signet ring cell
title Pigmented ependymoma with signet‐ring cells and Rosenthal fibers: A rare variant of ependymoma
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