Cerebellar astrocytoma with extensive lipidization mimicking adipose tissue.

Abstract:

:We report the case of an elderly woman with a history of headache, vomiting and dizziness while walking. On CT scans a mass was identified in the right cerebellar hemisphere exhibiting radiological characteristics of lipomatous tissue. Surgery revealed a compact lesion consisting of whitish-yellow tissue with a fatty aspect and texture. Smears of tissue samples and paraffin sections showed features suggestive of tissue mainly composed of fully differentiated lipocytes. Lipid-specific stainings on fresh frozen material confirmed univacuolar intracytoplasmic fat accumulation. However, immunohistochemistry for glial fibrillary acidic protein and electron microscopy clearly demonstrated the glial lineage of these lipid-laden cells. Therefore, the tumor was diagnosed as a highly lipidized astrocytoma. In our view, this case represents a variant of lipidized gliomas that has not been described previously and that differs phenotypically from the entities documented earlier.

journal_name

Acta Neuropathol

journal_title

Acta neuropathologica

authors

Walter A,Dingemans KP,Weinstein HC,Troost D

doi

10.1007/BF00389504

subject

Has Abstract

pub_date

1994-01-01 00:00:00

pages

485-9

issue

5

eissn

0001-6322

issn

1432-0533

journal_volume

88

pub_type

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