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 institute. Hemorrhagic onset was observed in 4 of 35 (11.4%) patients with pilocytic astrocytoma and pilomyxoid astrocytoma, with higher incidence than in glioblastoma (3.9%), anaplastic oligodendroglioma (7.7%), and anaplastic ependymoma (7.1%). The hemorrhagic onset occurred in 2 patients with sporadic pilocytic astrocytoma, 1 with pilocytic astrocytoma associated with neurofibromatosis type 1, and 1 with pilomyxoid astrocytoma. There was no correlation between hemorrhagic onset and clinical features, including age, sex, tumor location, proliferative activity, or microvascular proliferation. Hemorrhagic onset of pilocytic astrocytoma and pilomyxoid astrocytoma is not as uncommon as was previously thought, so pilocytic astrocytoma or pilomyxoid astrocytoma should be considered in the differential diagnosis of patients with brain tumors manifesting as hemorrhagic onset.

journal_name

Brain Tumor Pathol

journal_title

Brain tumor pathology

authors

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

doi

10.1007/s10014-008-0243-7

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

1-5

issue

1

eissn

1433-7398

issn

1861-387X

journal_volume

26

pub_type

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