Intradural extramedullary leptomeningeal hemangioblastomatosis and paraneoplastic limbic encephalitis diagnosed at autopsy: an unlikely pair.

Abstract:

:Typical cerebellar or spinal cord hemangioblastoma is often solitary and has a benign clinical course, whereas disseminated hemangioblastomatosis is extremely rare. We report a 75-year-old man with disseminated "leptomeningeal" hemangioblastomatosis and concurrent paraneoplastic limbic encephalitis who died of this disease. The patient presented with gait problems and cognitive deficits, and was diagnosed with a cervical spinal tumor. Surgical resection achieved an apparent gross total resection, but later the patient began experiencing severe cognitive decline. His condition progressively deteriorated during the next few months, and he died 15 months after his initial surgery. Autopsy revealed disseminated extramedullary intradural hemangioblastomatosis with extensive leptomeningeal nodules involving the entire spinal cord, medulla, pons, and midbrain, as well as histologic features of limbic encephalitis. There was no evidence of von Hippel-Lindau disease, and no specific etiology was identified for the dementia. To the best of our knowledge, this is the first case of limbic encephalitis occurring in the setting of disseminated hemangioblastomatosis.

journal_name

Arch Pathol Lab Med

authors

Ramachandran R,Lee HS,Matthews B,Shatzel A,Tihan T

doi

10.1043/1543-2165(2008)132[104:IELHAP]2.0.CO;2

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

104-8

issue

1

eissn

0003-9985

issn

1543-2165

pii

2007-0319-CRR

journal_volume

132

pub_type

杂志文章
  • Juxtaglomerular cell tumor.

    abstract::We report the cytopathologic, immunocytochemical, histopathologic, and electron microscopic findings of a juxtaglomerular cell tumor that developed in a hypertensive 25-year-old Japanese woman. The symptoms of her disease disappeared after the tumor was resected. To our knowledge, this is the first case report of this...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Tanaka T,Okumura A,Mori H

    更新日期:1993-11-01 00:00:00

  • Histochemical classification of systemic amyloid fibril proteins. Alkaline guanidine method.

    abstract::The alkaline guanidine method facilitates differentiation between different types of amyloid fibril proteins in formaldehyde-fixed, paraffin-embedded tissue sections. Systemic AA-type amyloids lost Congophilia (affinity of Congo red) after incubation with alkaline guanidine for one minute. Systemic AL-type amyloids lo...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Tashima T,Kitamoto T,Tateishi J

    更新日期:1986-10-01 00:00:00

  • Reevaluating significance of perineural invasion in gastric cancer based on double immunohistochemical staining.

    abstract:CONTEXT:In gastric cancer, the significance of perineural invasion remains controversial. Detecting perineural invasion with hematoxylin-eosin staining often leads to misdiagnosis. Labeling nerves by immunohistochemistry greatly assists perineural invasion detection, but it might also be misdiagnosed, because scattered...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.5858/arpa.2012-0669-OA

    authors: Zhou ZH,Xu GF,Zhang WJ,Zhao HB,Wu YY

    更新日期:2014-02-01 00:00:00

  • Lung cancer genotype-based therapy and predictive biomarkers: present and future.

    abstract:CONTEXT:The advent of genotype-based therapy and predictive biomarkers for lung cancer has thrust the pathologist into the front lines of precision medicine for this deadly disease. OBJECTIVE:To provide the clinical background, current status, and future perspectives of molecular targeted therapy for lung cancer patie...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章,评审

    doi:10.5858/arpa.2012-0508-RA

    authors: Cagle PT,Allen TC

    更新日期:2012-12-01 00:00:00

  • Mucinous cystic neoplasm of the pancreas with high carcinoembryonic antigen.

    abstract::A large mucinous cystic neoplasm of the pancreas was found that showed a remarkably high carcinoembryonic antigen (CEA) level in cyst content. Staining for CEA was also detected in the lining epithelium. These findings indicate that columnar epithelial cells secrete CEA that accumulates in the cyst. We suggest that a ...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Yu HC,Shetty J

    更新日期:1985-04-01 00:00:00

  • Postmortem recovery of human immunodeficiency virus type 1 from plasma and mononuclear cells. Implications for occupational exposure.

    abstract:OBJECTIVE:To determine the ability to recover human immunodeficiency virus type 1 (HIV-1) from the plasma and mononuclear cell (MNC) fractions of postmortem blood samples from patients with the acquired immunodeficiency syndrome. DESIGN:Blood was randomly cultured post mortem from 41 patients with the acquired immunod...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Bankowski MJ,Landay AL,Staes B,Shuburg R,Kritzler M,Hajakian V,Kessler H

    更新日期:1992-11-01 00:00:00

  • Recent studies on 'hyalinized' glomeruli.

    abstract::Hyalinized glomeruli in tissue sections those isolated from kidneys of subjected with end-stage and diabetic nephropathies and from aged persons (older than 75 years) were studied by histochemical, immunohistochemical, electron microscopic, and chemical methods. Our purposes were as follows: (1) to clarify the pathoge...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Misra RP

    更新日期:1981-11-01 00:00:00

  • A Historical Perspective and Exposé on Serrated Polyps of the Colorectum.

    abstract::This article offers a historical perspective on the discovery of 3 types of serrated colorectal polyps recognized in the past 60 years. The first to be discovered was the hyperplastic polyp, which is still the most commonly encountered serrated polyp. In the past 20 years, the carcinoma-associated sessile serrated ade...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章,评审

    doi:10.5858/arpa.2016-0278-RA

    authors: Choi EY,Appelman HD

    更新日期:2016-10-01 00:00:00

  • Correlation of EGFR mutation status with predominant histologic subtype of adenocarcinoma according to the new lung adenocarcinoma classification of the International Association for the Study of Lung Cancer/American Thoracic Society/European Respiratory

    abstract:CONTEXT:Epidermal growth factor receptor (EGFR) mutations have been identified as predictors of response to EGFR tyrosine kinase inhibitors in non-small cell lung cancer. OBJECTIVE:To investigate the relationship of EGFR mutation status to the histologic subtype of adenocarcinoma according to the new International Ass...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.5858/arpa.2013-0376-OA

    authors: Villa C,Cagle PT,Johnson M,Patel JD,Yeldandi AV,Raj R,DeCamp MM,Raparia K

    更新日期:2014-10-01 00:00:00

  • Pulmonary valve papillary fibroelastoma. A case report and review of the literature.

    abstract::Papillary fibroelastomas are rare and benign cardiac tumors that typically affect the cardiac valves. To the best of our knowledge, the English literature contains only 1 case report of pulmonary valve fibroelastoma diagnosed by echocardiogram and confirmed by surgical resection. There is a paucity of pathology litera...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章,评审

    doi:10.1043/0003-9985(2001)125<0933:PVPF>2.0.CO;2

    authors: Saad RS,Galvis CO,Bshara W,Liddicoat J,Dabbs DJ

    更新日期:2001-07-01 00:00:00

  • Necrotic seminoma of the testis: establishing the diagnosis with Masson trichrome stain and immunostains.

    abstract::We describe an infarcted mass in the testis containing "ghost" cells suspicious for neoplasm. The entire lesion was necrotic. A Masson trichrome stain greatly improved nuclear and cytologic detail, confirming the suspicion of neoplasm. Placental alkaline phosphatase revealed specific membrane staining of the neoplasti...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.1043/0003-9985(2002)126<0205:NSOTT>2.0.CO;2

    authors: Florentine BD,Roscher AA,Garrett J,Warner NE

    更新日期:2002-02-01 00:00:00

  • Limiting the use of atypical/inconclusive as a category in nongynecologic cytology specimens.

    abstract:CONTEXT:'Atypical' has served as a descriptive term in cytology since the birth of the specialty by Dr Papanicolaou. This indeterminate diagnosis often results in repeat biopsies or additional tissue sampling and a needless delay in patient care if used inappropriately. Because of the definitional ambiguity of this ter...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.1043/2009-0357-OA.1

    authors: Koen TM,Mody DR,Scheiber-Pacht M,Fairley T,Thrall MJ

    更新日期:2010-07-01 00:00:00

  • Primary Malignant Deciduoid Mesothelioma: A Challenging Diagnosis.

    abstract::Primary malignant deciduoid mesothelioma is a rare subtype of epithelioid mesothelioma that was first described in the peritoneum in young women without a history of asbestos exposure. It was thought to be a distinct clinicopathologic entity with ominous prognosis; recent studies have better characterized this entity....

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章,评审

    doi:10.5858/arpa.2017-0461-RS

    authors: Regragui M,Guebessi NB

    更新日期:2019-04-01 00:00:00

  • Pulmonary adenocarcinoma: the expanding spectrum of histologic variants.

    abstract::Pulmonary adenocarcinoma is one of the most common types of lung cancer. Traditionally, adenocarcinomas have been divided based on their degree of resemblance to their parent tissues into 3 histopathologic types: well, moderately, and poorly differentiated. In the majority of cases, this schema is sufficient to catego...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章,评审

    doi:10.1043/1543-2165(2006)130[958:PATESO]2.0.CO;2

    authors: Moran CA

    更新日期:2006-07-01 00:00:00

  • Use of a linear array for the detection of human papillomavirus genotypes in head and neck cancer.

    abstract:CONTEXT:Tumors of the head and neck commonly arise from the squamous and respiratory mucosa that lines the nasal and oral cavity, sinuses, pharynx, and larynx. The rate of oropharyngeal cancers diagnosed among Americans younger than 50 years is increasing. Infection of the oropharynx and tonsils by the human papillomav...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.1043/2009-0592-OAR.1

    authors: Black CC,Bentley HA,Davis TH,Tsongalis GJ

    更新日期:2010-12-01 00:00:00

  • Recommendations for validating estrogen and progesterone receptor immunohistochemistry assays.

    abstract:CONTEXT:Estrogen receptor and progesterone receptor status is assessed on all newly diagnosed, invasive breast carcinomas and in recurrences to determine patient eligibility for hormonal therapy, but 10% to 20% of estrogen receptor and progesterone receptor test results are discordant when tested in multiple laboratori...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.1043/1543-2165-134.6.930

    authors: Fitzgibbons PL,Murphy DA,Hammond ME,Allred DC,Valenstein PN

    更新日期:2010-06-01 00:00:00

  • T-immunoblastic lymphoma mimicking B-immunoblastic lymphoma.

    abstract::A T-cell immunoblastic lymphoma having plasmacytoid features that mimic B-cell immunoblastic lymphoma, is described. The lesion was composed of sheets of pleomorphic plasmacytoid cells that displayed a helper T-cell immunophenotype (Leu-1+, Leu-3+, Leu-4+, Leu-5+, Leu-9-, Leu-2-). Ultrastructural features were consist...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Swanson S,Innes DJ Jr,Frierson HF Jr,Hess CE

    更新日期:1987-11-01 00:00:00

  • Isolated intracranial involvement in Rosai-Dorfman disease: a report of two cases and review of the literature.

    abstract::Rosai-Dorfman disease is an idiopathic histiocytic disorder of lymph nodes and extranodal sites. Central nervous system manifestations of this disease are rare, and to our knowledge only 16 cases of intracranial involvement have been reported previously. Intracranial Rosai-Dorfman disease clinically and radiologically...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Deodhare SS,Ang LC,Bilbao JM

    更新日期:1998-02-01 00:00:00

  • Estrogen receptor expression in papillary urothelial carcinoma of the bladder and ovarian transitional cell carcinoma.

    abstract:CONTEXT:Relatively little is known about estrogen receptor (ER) expression in papillary urothelial carcinoma (PUC) of the bladder. Greater understanding of this feature of PUCs could aid with the treatment and identification of the origin of metastases, particularly with relation to the morphologically similar entity o...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.1043/1543-2165(2005)129<194:EREIPU>2.0.CO;2

    authors: Croft PR,Lathrop SL,Feddersen RM,Joste NE

    更新日期:2005-02-01 00:00:00

  • Aspirin-induced glandular dysplasia of the stomach: histologic and histochemical studies in rats.

    abstract::Stomachs of 22 rats treated with aspirin for six months were examined histologically at times ranging from 6 to 18 months after completion of treatment. Healed chronic gastric ulcers were found in 20 rats. Glandular dysplasia was present at the sites of healed ulcers in 12 rats, the glands extending into the submucosa...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: St John DJ,Yeomans ND,Bourne CA,de Boer WG

    更新日期:1977-01-01 00:00:00

  • A high-grade primary leiomyosarcoma of the bladder in a survivor of retinoblastoma.

    abstract::Second nonocular malignancies develop with increased incidence in patients with hereditary retinoblastoma. Osteosarcoma is by far the most common type with an incidence of up to 50%, followed by soft tissue sarcomas. Visceral leiomyosarcoma is extremely rare and only 2 cases have been reported in the past 2 decades, o...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.1043/0003-9985(2001)125<1231:AHGPLO>2.0.CO;2

    authors: Liang SX,Lakshmanan Y,Woda BA,Jiang Z

    更新日期:2001-09-01 00:00:00

  • Pseudoangiomatous stromal hyperplasia: an overview.

    abstract::Pseudoangiomatous stromal hyperplasia (PASH) of the breast is a benign, proliferative mesenchymal lesion with possible hormonal etiology. It typically affects women in the reproductive age group. Pseudoangiomatous stromal hyperplasia is frequently an incidental histologic finding in breast biopsies performed for other...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章,评审

    doi:10.1043/2008-0686-RS.1

    authors: Virk RK,Khan A

    更新日期:2010-07-01 00:00:00

  • Reverse-transcription polymerase chain reaction detection of the enteroviruses.

    abstract:OBJECTIVE:This review focuses on commercial and in-house-developed reverse-transcription polymerase chain reaction (RT-PCR) assays used for the detection of enteroviral infections. In addition to providing details on the performance of RT-PCR, its specificity, and sensitivity, the clinical utility of this diagnostic me...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章,评审

    doi:10.1043/0003-9985(1999)123<1161:RTPCRD>2.0.CO;2

    authors: Romero JR

    更新日期:1999-12-01 00:00:00

  • Evaluation of a dual hemoglobin A(2)/A(1c) quantitation kit on the bio-rad variant II automated hemoglobin analyzer.

    abstract:CONTEXT:Quantitation of hemoglobin (Hb) A(1c) and investigation of hemoglobinopathy on the Bio-Rad Variant analyzers require a switch between 2 separate kits that is time consuming and causes errors. OBJECTIVE:Evaluation of a new Variant II HbA(2)/HbA(1c) Dual kit capable of both Hb A(1c) quantitation and hemoglobinop...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.1043/0003-9985(2002)126<1494:EOADHA>2.0.CO;2

    authors: Lafferty JD,McFarlane AG,K Chui DH

    更新日期:2002-12-01 00:00:00

  • Do eosinophil numbers differentiate eosinophilic esophagitis from gastroesophageal reflux disease?

    abstract:CONTEXT:Although the healthy esophageal mucosa contains no eosinophils, eosinophilic infiltration is observed in 2 major clinicopathologic settings: gastroesophageal reflux disease (GERD) and eosinophilic esophagitis (EE). The prevalence of EE is increasing in many countries, and this increase seems only partly to be d...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章,评审

    doi:10.1043/1543-2165-134.6.815

    authors: Genevay M,Rubbia-Brandt L,Rougemont AL

    更新日期:2010-06-01 00:00:00

  • Relevance of apolipoprotein E polymorphism for coronary artery disease in the Saudi population.

    abstract:BACKGROUND:The apolipoprotein E alleles epsilon2 and epsilon4 have been reported as independent risk factors for coronary artery disease (CAD) and as predictors for the development of atherosclerosis. METHODS AND RESULTS:We determined by polymerase chain reaction the distribution of apolipoprotein E polymorphism in 32...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.1043/0003-9985(1999)123<1241:ROAEPF>2.0.CO;2

    authors: Dzimiri N,Meyer BF,Hussain SS,Basco C,Afrane B,Halees Z

    更新日期:1999-12-01 00:00:00

  • Performance Characteristics of Body Fluid Cytology Analysis of 344 380 Responses From the College of American Pathologists Interlaboratory Comparison Program in Nongynecologic Cytopathology.

    abstract:CONTEXT:- Body fluid cytology is an important diagnostic tool used to identify various conditions. However, an accurate diagnosis in this setting can sometimes be challenging. OBJECTIVE:- To identify the performance characteristics of body fluid cytology by analyzing participant responses from the College of American ...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:10.5858/arpa.2016-0509-CP

    authors: Tabatabai ZL,Nayar R,Souers RJ,Crothers BA,Davey DD

    更新日期:2018-01-01 00:00:00

  • Assessment of interlaboratory variability in analytical cytology. Results of the College of American Pathologists Flow Cytometry Study.

    abstract::In 1986, the College of American Pathologists introduced an interlaboratory proficiency testing program for clinical laboratories that perform flow cytometry. Specimens consisting of fresh human lymphocytes isolated from blood or tissue or neoplastic cells grown in culture were mailed to participants by overnight mail...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Homburger HA,McCarthy R,Deodhar S

    更新日期:1989-06-01 00:00:00

  • Experimental streptococcal endocarditis. The early vegetation.

    abstract::Aortic valve vegetation were studied in rabbits before and after intravenous injection of streptococcus mitis. Uninfected vegetation sections revealed compact eosinophilic masses with smooth-appearing edges and scattered polymorphonuclear leukocytes inside and on the surface. Scanning electron microscopic views demons...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Carrizosa J,Kaye K,Kobasa W

    更新日期:1978-10-01 00:00:00

  • Evolution of liver disease in morbid obesity after small-intestinal bypass and its restoration. A case report.

    abstract::We studied a woman who underwent a jejunoileal bypass for the treatment of morbid obesity and in whom severe jaundice and hepatic failure developed six months later; these developments prompted restoration of the normal continuity of the small bowel. Four serial wedge biopsy specimens of the liver were taken during a ...

    journal_title:Archives of pathology & laboratory medicine

    pub_type: 杂志文章

    doi:

    authors: Allam C,Bala'a M,Shamma'a M

    更新日期:1983-04-01 00:00:00