Shared Flashcard Set

Details

Neuro/Psych-Path
Tumors of the CNS/PNS
25
Pathology
Graduate
01/05/2011

Additional Pathology Flashcards

 


 

Cards

Term
What are some clinical signs of brain tumors
Definition

Papillaedema

Seizures

Term
What is the most common primary brain tumor in adults and kids
Definition

Adults: Glioma

Kids: Astrocytoma of Cerebellum

Term
What are the tumors derived from the neural tube
Definition

Astrocytoma

Ependymoma

Oligodendroglioma

Medulloblastoma(Undifferentiated neural tube)

Term
What are the tumors derived from the Neural Crest Cells
Definition

Schwannoma

Neurofibroma(Schwann)

Meningioma(arachnoidal)

Melanomas

Term
What is the most common infratentorial tumor in adults and kids
Definition

Adults: Schwannoma of Acoustic Nerve

Children: Astrocytoma of cerebellum

Term
What are the most common extradural tumors Affecting the CNS
Definition

Metastases

Primary Bone Tumors

Term
What are the most common primary Intradural spinal Tumors?
Definition

Meningiomas(most common)

Ependymomas

Astrocytomas

Term
What are the common PNS tumors?
Definition
Schwann cell derived: Schwannoma and Neurofibroma
Term
Why is maligancy less important in Brain Tumors
Definition
Damage is more commonly caused by the mass effect
Term
Where do metastases to the brain typically occur, what are common ones, and are they multi-focal?
Definition

Grey-white junction

Breast and Lung

Yes, Multifocal

Term
What is the gross and micro appearance of an low grade astrocytoma and is it malignant?
Definition

Hemisperic Mass with increased astrocyte density

Not malignant, but does transform

Term
What is the gross and micro appearance of a High Grade Astrocytoma(Glioblastoma multiforme)?
Definition

Hemispheric, Discolored, Softened

Micro: Central necrosis, Palisading, Anaplastic, Giant cells

Term
What patients develop astrocytomas in the brainstem?
Definition
Under 20 yrs old
Term
Where do pilocytic astrocytomas occur? what is their appearance? and what site has the worst prognosis?
Definition

Third ventrical: Pilocytic(worst prognosis)

Optic: pilocytic

Cerebellum: Cystic

Term
What is the gross and Micro appearance of an Oligodendroglioma
Definition

Gross: Cerebral hemispheres

Micro: Clear Cell, Cytoplasmic Halos, Fried Egg

Term
What is the most common tumor in a ventricle
Definition
Ependymoma
Term
How does an ependymoma appear microscopically and how does it appear grossly in kids and adults?
Definition

Kids: 4th ventrical

Adults: Spinal Cord

Micro: Ependymal Canals and Rosettes

Term
Where are Medulloblastomas found and what is there microscopic appearance
Definition

Posterior Fossa(Cerebellum) but disseminate with CSF to spinal cord

Micro:

PNET(Small blue cells)

Rosettes(solid center)

Nuclear Molding

Term
What is gross and micro appearance of Meningioma?
Definition

Supratentoral meninges attached to dural, Bosselated

Micro: Whorls and Psammoma bodies

Term
What patients and what areas of the brain are affected by lymphoma
Definition

Immunosuppressed

Intraparenchymal and Perivascular

Term
How do metastases access the Spinal cord?
Definition
Metastasize to vertebrae and extend into spinal cord
Term
What is Carcinomatous menigitis
Definition
Adenocarcinoma metastasize throughout the subarachnoid causing Diffuse Brain Dysfunction
Term
What is the gross and micro appearance of Schwannoma and who does it typically affect
Definition

Affects 40-60 yr olds and neurofibromatosis patients

Gross: Cicumscribed compressing peripheral nerves

Micro: Antoni A and B Areas, Verocay Bodies(palisading nuclei)

 

Term
What is the gross and micro appearance of a Neurofibroma and who gets them
Definition

Gross: Noncircumscribed lesions of distal nerves

Micro: Bands Spindle Cells

Who: pateints with Neurofibromatosis

Term
What are the common locations of astrocytomas
Definition

Cerebral hemispheres(Low and High Grade)

Brain Stem(patients und 20 yrs old)

Third Ventrical, Optic Nerve(Pilocytic)

Cerebellum(Cystic)

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