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 presented were extensive epithelial papillary structures surrounding vessels mimicking "perivascular pseudo-rosettes," leading to a diagnosis of "papillary ependymoma." Subsequently, the residual tumor recurred on three separate occasions. Immunohistochemical studies showed the tumor was positive for cytokeratin 18 (CK 18), microtubule-associated protein (MAP 2), neuron-specific enolase (NSE), neuronal nuclei (NeuN), and transthyretin, consistent with mature neuronal differentiation. Given these findings, the diagnosis of PTPR was made. The patient's survival time of 218 months is the longest reported to date for this tumor.
journal_name
Brain Tumor Patholjournal_title
Brain tumor pathologyauthors
Yano H,Ohe N,Nakayama N,Shinoda J,Iwama Tdoi
10.1007/s10014-009-0246-zsubject
Has Abstractpub_date
2009-01-01 00:00:00pages
83-8issue
2eissn
1433-7398issn
1861-387Xjournal_volume
26pub_type
杂志文章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 (...
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