Epithelioid glioblastoma: a case report.

Abstract:

:A 43-year-old woman who had undergone breast cancer surgery 1 year previously complained of headache and nausea. Her brain computed tomography (CT) scan and magnetic resonance imaging (MRI) showed a well-circumscribed, heterogeneously enhanced tumor in the right thalamus. She underwent gross total resection of the tumor followed by radiochemotherapy, and her clinical course was uneventful after surgery. Histological examination revealed a moderate number of tumor cells with fine bipolar processes in a mucoid matrix, which suggested pilocytic astrocytoma. The tumor was associated with microvascular proliferation but did not show significant mitosis or necrosis. In some areas, it had an epithelioid appearance, with ribbon-like, cribriform, and pseudoglandular patterns involving cuboid-shaped cells showing nuclear atypia and mitotic figures. Immunohistochemically, the tumor cells were positive for glial fibrillary acidic protein (GFAP) and vimentin in the area resembling pilocytic astrocytoma, but in the epithelioid area they were negative for GFAP and vimentin as well as for breast cancer markers, including AE1/AE3. The proliferating potential, represented by the MIB-1 labeling index, was high (82.5%) in the area of epithelioid appearance, compared to only 3% in the area of pilocytic astrocytoma-like appearance. As a rare histoarchitectural variant of glioblastoma, the epithelioid pattern may represent a very primitive tumor cell phenotype. Typically, this pattern is characterized by well-circumscribed masses, although its clinical significance is unknown.

journal_name

Brain Tumor Pathol

journal_title

Brain tumor pathology

authors

Akimoto J,Namatame H,Haraoka J,Kudo M

doi

10.1007/s10014-005-0173-6

subject

Has Abstract

pub_date

2005-01-01 00:00:00

pages

21-7

issue

1

eissn

1433-7398

issn

1861-387X

journal_volume

22

pub_type

杂志文章
  • The density of microvessels positive for Wilms' tumour-1 protein (WT-1) is an independent predictor of recurrence risk in meningiomas.

    abstract::Wilms' tumour-1 (WT-1) protein m-RNA was recently demonstrated in meningiomas, suggesting the potential application of WT-1 immunotherapy in these tumours. The aim of the present study was to analyze the immunohistochemical expression of WT-1 protein, its correlation with the clinico-pathological variables and associa...

    journal_title:Brain tumor pathology

    pub_type: 杂志文章

    doi:10.1007/s10014-015-0217-5

    authors: Barresi V,Caffo M,Branca G,Vitarelli E,Tuccari G

    更新日期:2015-07-01 00:00:00

  • Expression and gene doses changes of the p53-regulator PPM1D in meningiomas: a role in meningioma progression?

    abstract::The aim of our study was to clarify the expression and gene copy number levels of protein phosphatase 1D magnesium-dependent, delta isoform (PPM1D), which is thought to be a regulator of the p53 protein in meningiomas of all three different WHO grades. Genomic DNA and mRNA were extracted from frozen tissues of meningi...

    journal_title:Brain tumor pathology

    pub_type: 杂志文章

    doi:10.1007/s10014-016-0252-x

    authors: Fukami S,Riemenschneider MJ,Kohno M,Steiger HJ

    更新日期:2016-07-01 00:00:00

  • Intratumoral microinfusion of nimustine (ACNU) for recurrent glioma.

    abstract::We investigated stereotactic intratumoral microinfusion of nimustine (ACNU) in recurrent brain tumors. Eligibility required histologic confirmation of glioma recurrence despite standard radiotherapy and chemotherapy as well as enhancement of the recurrence with gadolinium on magnetic resonance imaging (MRI). A total i...

    journal_title:Brain tumor pathology

    pub_type: 临床试验,杂志文章

    doi:10.1007/BF02478921

    authors: Wakabayashi T,Yoshida J,Mizuno M,Kajita Y

    更新日期:2001-01-01 00:00:00

  • Dural angioleiomyoma of the middle cranial fossa: a case report and review of the literature.

    abstract::We describe a case of dural angioleiomyoma (ALM) of the middle cranial fossa. A 62-year-old man was referred to our center for fracture of the left clavicle because of a fall, and he had a sudden seizure during admission. The mass was completely resected. The tumor base was located at the bottom of the temporal lobe i...

    journal_title:Brain tumor pathology

    pub_type: 杂志文章,评审

    doi:10.1007/s10014-012-0115-z

    authors: Zhou Z,Yu M,Yang S,Zhou J,Sun R,Yang G

    更新日期:2013-04-01 00:00:00

  • Medulloblastoma with focal divergent/teratoid differentiation.

    abstract::Medulloblastomas with myogenic differentiation, previously termed medullomyoblastomas, form rare variants of medulloblastomas. Occasional tumors showing combined myogenic differentiation and melanotic tubular structures have also been described. On studying the records of a tertiary-care super specialty hospital, of 8...

    journal_title:Brain tumor pathology

    pub_type: 杂志文章

    doi:10.1007/s10014-012-0102-4

    authors: Majumdar K,Tyagi I,Saran RK,Sakhuja P,Sharma A

    更新日期:2013-01-01 00:00:00

  • Pilocytic astrocytoma with abundant oligodendroglioma-like component.

    abstract::An 18-year-old girl presented with a history of visual disturbance without headache, nausea, or vomiting in May 2010. In July 2010, the patient visited our hospital because of visual disturbance. Head magnetic resonance images revealed hydrocephalus caused by a ring-enhancing mass lesion located in the vermis. Total ...

    journal_title:Brain tumor pathology

    pub_type: 杂志文章

    doi:10.1007/s10014-011-0074-9

    authors: Utsuki S,Oka H,Kijima C,Yasui Y,Fujii K,Kawano N

    更新日期:2012-04-01 00:00:00

  • Papillary tumor of the pineal region: a case involving isocitrate dehydrogenase (IDH) genotyping.

    abstract::Papillary tumor of the pineal region (PTPR) is a recently described neoplasm. Several studies have been published on this tumor, but its pathological features and the appropriate treatment remain unclear. PTPR is reported to originate from ependymal cells in the subcommissural organ. Isocitrate dehydrogenase 1 and 2 (...

    journal_title:Brain tumor pathology

    pub_type: 杂志文章

    doi:10.1007/s10014-012-0098-9

    authors: Ishida A,Shibuya M,Komori T,Nobusawa S,Niimura K,Matsuo S,Hori T

    更新日期:2013-01-01 00:00:00

  • Primary malignant lymphoma of the brain: analysis of MMAC1 (PTEN) tumor suppressor gene.

    abstract::With the use of RT-PCR (reverse transcriptase-polymerase chain reaction), Northern blot analysis, and Western blot analysis, seven primary brain lymphomas were examined for the state of the MMACI tumor suppressor gene. Nucleotide analysis of RT-PCR clones revealed no abnormality in the MMAC1 coding sequence in each ca...

    journal_title:Brain tumor pathology

    pub_type: 杂志文章

    doi:10.1007/BF02479427

    authors: Ding X,Endo S,Zhang SJ,Saito T,Kouno M,Kuroiwa T,Washiyama K,Kumanishi T

    更新日期:2001-01-01 00:00:00

  • Clinicopathological features of sellar region xanthogranuloma: correlation with Rathke's cleft cyst.

    abstract::Xanthogranuloma of the sellar region is a rare clinical observation. Although it was included in the World Health Organization (WHO) brain tumor classification in 2000, its clinical features and pathogenesis remain uncertain. We report herein seven cases of xanthogranuloma of the sellar region who underwent transsphen...

    journal_title:Brain tumor pathology

    pub_type: 杂志文章

    doi:10.1007/s10014-012-0130-0

    authors: Amano K,Kubo O,Komori T,Tanaka M,Kawamata T,Hori T,Okada Y

    更新日期:2013-10-01 00:00:00

  • Intraoperative pathological diagnosis in 205 glioma patients in the pre-BCNU wafer era: retrospective analysis with intraoperative implantation of BCNU wafers in mind.

    abstract::The present retrospective data analysis was performed to determine whether intraoperative pathological diagnosis (IOD) using frozen section (FS) could clearly distinguish high-grade glioma from WHO grade II gliomas. IOD was retrospectively compared to the pathological diagnosis using permanent paraffin sections (PS) o...

    journal_title:Brain tumor pathology

    pub_type: 杂志文章

    doi:10.1007/s10014-014-0177-1

    authors: Ishikawa E,Yamamoto T,Satomi K,Matsuda M,Akutsu H,Shibuya M,Nakai K,Sakamoto N,Takano S,Matsumura A

    更新日期:2014-07-01 00:00:00

  • Glioma-initiating cells and molecular pathology: implications for therapy.

    abstract::There is now compelling evidence that gliomas harbor a small population of cells, termed glioma-initiating cells (GICs), characterized by their ability to undergo self-renewal and initiate tumorigenesis. The development of therapeutic strategies targeted toward GIC signaling may improve the treatment of malignant glio...

    journal_title:Brain tumor pathology

    pub_type: 杂志文章,评审

    doi:10.1007/s10014-010-0011-3

    authors: Natsume A,Kinjo S,Yuki K,Kato T,Ohno M,Motomura K,Iwami K,Wakabayashi T

    更新日期:2011-02-01 00:00:00

  • Expression and cellular localization of low-density lipoprotein receptor-related protein/alpha 2-macroglobulin receptor in human glioblastoma in vivo.

    abstract::Low-density lipoprotein receptor-related protein/alpha 2-macroglobulin receptor (LRP) has been proposed to mediate the cellular uptake and clearance of inactivated protease-inhibitor complexes in regulating proteinase activity at the cell surface, which is necessary for cellular migration and invasive processes. In th...

    journal_title:Brain tumor pathology

    pub_type: 杂志文章

    doi:10.1007/BF02482097

    authors: Yamamoto M,Ikeda K,Ohshima K,Tsugu H,Kimura H,Tomonaga M

    更新日期:1998-01-01 00:00:00

  • Stromal cells of hemangioblastomas exhibit mesenchymal stem cell-derived vascular progenitor cell properties.

    abstract::Hemangioblastoma is composed of neoplastic stromal cells and a prominent capillary network. To date, the identity of stromal cells remains unclear. Mesenchymal stem cells can give rise to committed vascular progenitor cells, and ephrin-B2/EphB4 and Notch signaling have crucial roles in these steps. The aim of our stud...

    journal_title:Brain tumor pathology

    pub_type: 杂志文章

    doi:10.1007/s10014-018-0323-2

    authors: Takada S,Hojo M,Takebe N,Tanigaki K,Miyamoto S

    更新日期:2018-10-01 00:00:00

  • Expression of the multidrug-resistance P-glycoprotein (Pgp, MDR-1) by endothelial cells of the neovasculature in central nervous system tumors.

    abstract::To elucidate the expression of the MDR1 gene products P-glycoprotein (Pgp) in endothelial cells of newly formed blood microvessels in brain tumors, 30 brain tumors were examined by immunohistochemistry using an anti-Pgp monoclonal antibody, JSB-1. Positive reactions for JSB-1 were detected in endothelial cells in newl...

    journal_title:Brain tumor pathology

    pub_type: 杂志文章

    doi:10.1007/BF02478898

    authors: Sawada T,Kato Y,Sakayori N,Takekawa Y,Kobayashi M

    更新日期:1999-01-01 00:00:00

  • A case of osteoclast-like giant cell-rich epithelioid glioblastoma with BRAF V600E mutation.

    abstract::Epithelioid glioblastomas (E-GBMs) are rare, highly aggressive tumors consisting of closely packed tumor cells with smooth, round cell borders and abundant eosinophilic cytoplasm. They tend to affect younger patients compared with conventional GBM. BRAF V600E mutation is characteristically found in approximately 50% o...

    journal_title:Brain tumor pathology

    pub_type: 杂志文章

    doi:10.1007/s10014-015-0239-z

    authors: Funata N,Nobusawa S,Yamada R,Shinoura N

    更新日期:2016-01-01 00:00:00

  • Messenger RNA fingerprinting analysis using arbitrarily primed PCR (RAP) of genes expressed during rat C6 glioma cell differentiation.

    abstract::To identify differentially expressed genes involved in rat C6 glioma cell differentiation induced by cyclic AMP, we adopted mRNA fingerprinting using arbitrarily primed polymerase chain reaction (PCR) (RAP). Four complementary DNA (cDNA) fragments differentially expressed during differentiation were isolated, and they...

    journal_title:Brain tumor pathology

    pub_type: 杂志文章

    doi:10.1007/BF02478880

    authors: Sakai H,Nakashima S,Nakatani K,Yoshimura S,Nishimura Y,Sakai N,Nozawa Y

    更新日期:1997-01-01 00:00:00

  • Next-generation whole exome sequencing of glioblastoma with a primitive neuronal component.

    abstract::Glioblastoma with a primitive neuronal component (GBM-PN) was renamed from glioblastoma with primitive neuroectodermal tumor-like component (GBM-PNET) in the new WHO classification of tumors of the central nervous system in 2016. GBM-PN is a rare variant of glioblastoma. There were not so many publications on the inve...

    journal_title:Brain tumor pathology

    pub_type: 杂志文章

    doi:10.1007/s10014-019-00334-1

    authors: Xu G,Zheng H,Li JY

    更新日期:2019-07-01 00:00:00

  • Brain metastases exhibit gross deletions of the APC gene.

    abstract::Candidate genes involved in metastasis to the brain require investigation. In the present study, the adenomatous polyposis coli (APC) gene was analyzed in a set of human brain metastases. Gross deletions of the APC gene were tested by polymerase chain reaction/loss of heterozygosity (LOH) using the restriction fragmen...

    journal_title:Brain tumor pathology

    pub_type: 杂志文章

    doi:10.1007/s10014-011-0030-8

    authors: Pećina-Šlaus N,Nikuševa Martić T,Zeljko M,Bulat S

    更新日期:2011-07-01 00:00:00

  • Primary central nervous system lymphoma in acquired immune deficiency syndrome mimicking toxoplasmosis.

    abstract::A 37-year-old man, a hepatitis B virus carrier due to mother-to-child transmission, had a medical examination in September 2008 in nearby hospitals due to anorexia and weight loss. He was transported to our hospital because computed tomography (CT) detected intracranial lesions, and he had a positive human immunodefic...

    journal_title:Brain tumor pathology

    pub_type: 杂志文章

    doi:10.1007/s10014-010-0001-5

    authors: Utsuki S,Oka H,Abe K,Osawa S,Yamazaki T,Yasui Y,Fujii K

    更新日期:2011-02-01 00:00:00

  • A huge intraventricular congenital anaplastic astrocytoma: case report with histopathological and genetic consideration.

    abstract::Congenital malignant gliomas are rare brain tumors about which few reports have been published. We present the clinical course and genetic alterations in an infant with a congenital malignant glioma detected incidentally by ultrasonography at 36 weeks. The tumor occupied the right temporoparietal region, extended to t...

    journal_title:Brain tumor pathology

    pub_type: 杂志文章

    doi:10.1007/s10014-011-0071-z

    authors: Yamashita S,Ryu S,Miyata S,Uchinokura S,Yokogami K,Uehara H,Moriguchi S,Iwakiri T,Marutsuka K,Ikenoue M,Sawa D,Yamada N,Kodama Y,Takeshima H

    更新日期:2012-04-01 00:00:00

  • Prevalence of NRAS, PTEN and AKT1 gene mutations in the central nervous system metastases of non-small cell lung cancer.

    abstract::Somatic mutations in NRAS, PTEN and AKT1 genes are rarely (~1%) reported in primary NSCLC, but their role in carcinogenesis have been proven. Therefore, we assessed the frequency of them in 145 FFPE tissue samples from CNS metastases of NSCLC using the real-time PCR technique. We identified four (two NRAS and single A...

    journal_title:Brain tumor pathology

    pub_type: 杂志文章

    doi:10.1007/s10014-016-0276-2

    authors: Nicoś M,Krawczyk P,Jarosz B,Sawicki M,Trojanowski T,Milanowski J

    更新日期:2017-01-01 00:00:00

  • Clinicopathological differences between variants of the NAB2-STAT6 fusion gene in solitary fibrous tumors of the meninges and extra-central nervous system.

    abstract::Investigations on the NAB2-STAT6 fusion gene in solitary fibrous tumors (SFTs) and hemangiopericytomas (HPCs) have increased since its discovery in 2013. Although several SFTs reported without NAB2-STAT6 fusion gene analysis, we reviewed 546 SFTs/HPCs with NAB2-STAT6 fusion gene analysis in this study and investigated...

    journal_title:Brain tumor pathology

    pub_type: 杂志文章

    doi:10.1007/s10014-016-0264-6

    authors: Nakada S,Minato H,Nojima T

    更新日期:2016-07-01 00:00:00

  • Evaluation of sensitivity and specificity of doublecortin immunostatining for the detection of infiltrating glioma cells.

    abstract::Diffuse gliomas are highly infiltrative intracranial tumors, but there are few useful markers for detecting infiltrating glioma cells in the surrounding brain tissue. Doublecortin (DCX) is a microtubule-associated protein (MAP) that plays a crucial role in neuroblast migration. It was recently demonstrated that DCX is...

    journal_title:Brain tumor pathology

    pub_type: 杂志文章

    doi:10.1007/s10014-007-0225-1

    authors: Masui K,Mawatari SY,Suzuki SO,Iwaki T

    更新日期:2008-01-01 00:00:00

  • Histopathological and physiological characteristics of cultured human ACTH-secreting cells derived from a rapidly growing pituitary adenoma.

    abstract::We observed the histopathological and physiological characteristics of adrenocorticotropic hormone (ACTH)-secreting adenoma cells derived from a rapidly growing pituitary adenoma, which have firm cell attachment and well-preserved hormonal function in a relatively longterm culture. Corticotrophs, obtained from a 43-ye...

    journal_title:Brain tumor pathology

    pub_type: 杂志文章

    doi:10.1007/BF02484284

    authors: Abe T,Tachikawa T,Sasaki A,Taniyama M,Okamura Y,Izumiyama H,Matsumoto K

    更新日期:2000-01-01 00:00:00

  • Hemorrhagic onset of pilocytic astrocytoma and pilomyxoid astrocytoma.

    abstract::The incidence of hemorrhagic onset in pilocytic astrocytoma and pilomyxoid astrocytoma, and the clinical and histological characteristics, were compared to other types of neuroepithelial tumors or nonhemorrhagic pilocytic astrocytoma by retrospective review of 445 consecutive neuroepithelial tumors treated at our inst...

    journal_title:Brain tumor pathology

    pub_type: 杂志文章

    doi:10.1007/s10014-008-0243-7

    authors: Shibahara I,Kanamori M,Kumabe T,Endo H,Sonoda Y,Ogawa Y,Watanabe M,Tominaga T

    更新日期:2009-01-01 00:00:00

  • Clinicohistological study of oligodendroglioma and oligoastrocytoma.

    abstract::The clinical and histological characteristics of oligodendroglioma and oligoastrocytoma were investigated in patients, mainly adults with supratentorial tumors, who were treated with surgery and radiotherapy, and with chemotherapy for recurrent, anaplastic tumors, or both. The median survival time was 13.2 years for o...

    journal_title:Brain tumor pathology

    pub_type: 杂志文章

    doi:10.1007/BF02478866

    authors: Tamura M,Zama A,Kurihara H,Kano T,Imai H,Ishiuchi S,Iwai T,Naito I

    更新日期:1997-01-01 00:00:00

  • Relationship of 14-3-3zeta (ζ), HIF-1α, and VEGF expression in human brain gliomas.

    abstract::Accumulating evidence suggests that tissue hypoxia and apoptosis play important roles in the malignant progression of brain tumors. We investigated the relationship of 14-3-3zeta (an apoptosis-related protein), HIF-1α, and VEGF immunohistochemistry, and evaluated the prognostic value of their expression in human brain...

    journal_title:Brain tumor pathology

    pub_type: 杂志文章

    doi:10.1007/s10014-013-0135-3

    authors: Cao WD,Kawai N,Miyake K,Zhang X,Fei Z,Tamiya T

    更新日期:2014-01-01 00:00:00

  • Dysembryoplastic neuroepithelial tumor of the midbrain tectum: a case report.

    abstract::Dysembryoplastic neuroepithelial tumor (DNT) is a relatively new nosologic entity. First described in 1988, it is now included in the "neuronal and mixed neuronal-glial tumours" category in the revised 2000 World Health Organization (WHO) Classification of Tumours of the Nervous System. The collective experience of mo...

    journal_title:Brain tumor pathology

    pub_type: 杂志文章

    doi:10.1007/BF02478934

    authors: Kurtkaya-Yapicier O,Elmaci I,Boran B,Kiliç T,Sav A,Pamir MN

    更新日期:2002-01-01 00:00:00

  • Clinicopathological features from long-term observation of a papillary tumor of the pineal region (PTPR): a case report.

    abstract::Papillary tumor of the pineal region (PTPR) was recently added to the 2007 WHO classification of tumors of the central nervous system as a rare pineal tumor. We present a case of a 17-year-old man who developed a 3-cm pineal tumor that was incompletely excised following two operations. The pathological findings presen...

    journal_title:Brain tumor pathology

    pub_type: 杂志文章

    doi:10.1007/s10014-009-0246-z

    authors: Yano H,Ohe N,Nakayama N,Shinoda J,Iwama T

    更新日期:2009-01-01 00:00:00

  • Rapid immunocytochemistry based on alternating current electric field using squash smear preparation of central nervous system tumors.

    abstract::The role of intraoperative pathological diagnosis for central nervous system (CNS) tumors is crucial for neurosurgery when determining the surgical procedure. Especially, treatment of carmustine (BCNU) wafers requires a conclusive diagnosis of high-grade glioma proven by intraoperative diagnosis. Recently, we demonstr...

    journal_title:Brain tumor pathology

    pub_type: 杂志文章

    doi:10.1007/s10014-015-0238-0

    authors: Moriya J,Tanino MA,Takenami T,Endoh T,Urushido M,Kato Y,Wang L,Kimura T,Tsuda M,Nishihara H,Tanaka S,R-IHC Study Group.

    更新日期:2016-01-01 00:00:00