Shared Flashcard Set

Details

Path CNS brain tumor
PBL 2015 LECOM, Robbins path brain tumor section
39
Medical
Professional
03/28/2012

Additional Medical Flashcards

 


 

Cards

Term
These tumors account for 80% of all aldult primary brain tumors. They are grey and poorly defined. Attributable to p53 mutation and over exression of DPGF-A.
Definition
Infiltrating astrocytoma
Term
Grey and poorly defined. Indistinct transition between normal and cancerous tissue.
Definition
Infiltrating Astrocytoma Grade II (Diffuse Astrocytoma)
Term
Grey, no necrosis, and poorly defined.Densely cellular with mitotic figures and pleomorphic nuclei.
Definition
Infiltrating Astrocytoma Grade III (Anaplastic Astrocytoma)
Term
Grey, necrosis, cystic degeneration, hemorhage. Vasculature or endothelial proliferation. Appear Pseudopalisading. Disruption of tumor supressor genes.
Definition
Infiltrating Astrocytoma Grade IV (Glioblastoma)
Term
Cytic, well circumscribed. Hiary-like fibrillary network. Children and young adults in the cerebellum. No p53 mutation.
Definition
Pilocytic Astrocytoma (Grade I)
Term
Often in children and young adults. Temporal Lobe with history of seizures. Reticulin and inflamation. Appears simila to glioblastoma but without necrosis or mitotic activity.
Definition
Pleomorphic Xanthoastrocytoma
Term
Account for 20% of primary brain tumors in age<20. Course varies with location.
Definition
Braintem Glioma
Term
Occur in the 40-50 age groups. Several years of neurocomplaints(seizures). Prefer white matter of cerebral hemispheres.
Definition
Oligodendroglioma
Term
Well circumscribed, gray, calcification, cyts. Halo around nuclues. No mitotic activity. Loss of heterozygosity of 1p and 19q.
Definition
Oligodendroglioma
Term
Well circumscribed. Increased cell density, Increased capilaries with thin walls
Definition
Anaplastic Oligodendrogliomas
Term
loss of 1p and 19 q only, no other molecular changes.
Definition
Easily treatable olgiodendrogliomas
Term
Tumor associated with neurofibromatosis type 2. Age<20 = 4th ventricle. Adults=spinal cord.
Definition
Ependymoma
Term
Associated with perivascular peudoROSEttes
Definition
EpendyMOMa
Term
Filum terminale tumor.
Definition
Myxopapillary Ependymoma
Term
Non-neoplastic. Young adults. Obstructive hydropcephalus. Positional head aches.
Definition
Colloid Cyst of 3rd Ventricle
Term
Found at autopsy, incidental. Very slow growing nodules in ventricles.
Definition
Subenendymomas
Term
In children = lateral ventricles adults=4th ventricle. Hydrocephalus.
Definition
Choroid Plexus papillomas
Term
Presents with seizures. Relatively slow growing, but become morbid as glial cells also become anaplastic. Binucleate ganglion cells
Definition
Neuronal Tumors
Term
Presnets as childhood seizure disorder. Multiple intracorticle lesions. Well differentiated. Floating neurons.
Definition
Dysembryoplastic Neuroepithelial Tumor
Term
Primative, undifferentiated neuroectdermal cells.
Definition
Poorly differentiated neoplasms (all)
Term
Always in cerebellum. Occurs in kids. Well circumscribed.abundant mitoses. Drop metatstais.
Definition
Medulloblastoma
Term
Young children, rapidly fatal. Rhabdoid cells. Spread along brain surface. Alteration in Chromosome 22.
Definition
Atypical Teratoid / Rhabdoid Tumor
Term
Immunospuressed individuals. Associate with Epstein-Barr Infection. Hooping of cells.
Definition
Primary CNS lymphoma
Term
Tumor of the young. Increased in Japanese. Can be a metastic growth from gonads
Definition
Germ cell tumor
Term
Whorled pattern. Psamomma bodies. In the dura. Deletion of 22q12.
Definition
Meningioma
Term
Miningioma with increased mitoses.
Definition
Atypical Meningioma
Term
Meningioma with extreme mitosis. Sarcaoma like appearance.
Definition
Anaplastic Meningioma
Term
Carcinoid tumors from many places go the brain (minus prostate). Sharply demarcated.
Definition
Metastaic Tumors
Term
Encephalomyelitis.
Definition
Paraneoplastic syndromes
Term
Often affect CN 8. Merlin is not expressed. Verocay Bodies. Have S-100 antigen.
Definition
Schwannoma
Term
Lesion in SQ fat or skin, costmetic concern.
Definition
Cutaneous Neurofibroma
Term
Lesion in large nerve trunks, multiple. Can not separate from nerve. Shredded carrot appearance.
Definition
Plexiform Neurofibroma
Term
Assocaited with NF1. poorly defined. Triton tumors.
Definition
Malignant peripheral nerve sheath tumor
Term
Schwanomma symptoms that reacts with S-100, not keratin.
Definition
Epitheloid Malignant schwannoma
Term
Li-Fraumeni, Turcot, Gorlin
Definition
Familial cause of medulloblastoma
Term
AD, Optic Nerve gliomas, Café au lait spots, defect in NF1
Definition
Neurofibromatosis Type 1
Term
AD, bilateral CN 8 schawanommas. Hamartomas. Defect in merlin.
Definition
Neurofibromatosis Type 2
Term
AD Hamartomas in the CNS. Many other lesion in body possible.
Definition
Tuberous Sclerosis Complex
Term
AD, cyts in kidney, liver, pancreas. Pheochromocytoma. Ubitquitin ligase error.
Definition
Von hippel-Lindau Disease
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