Difference between revisions of "Pleomorphic xanthoastrocytoma"

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typos + anaplastic PXA
(tweak format, re-locate DDx)
(typos + anaplastic PXA)
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*Associated with seizures.
*Associated with seizures.
*Moderately aggressive (WHO Grade II).<ref name=pmid11465399>{{Cite journal  | last1 = Fouladi | first1 = M. | last2 = Jenkins | first2 = J. | last3 = Burger | first3 = P. | last4 = Langston | first4 = J. | last5 = Merchant | first5 = T. | last6 = Heideman | first6 = R. | last7 = Thompson | first7 = S. | last8 = Sanford | first8 = A. | last9 = Kun | first9 = L. | title = Pleomorphic xanthoastrocytoma: favorable outcome after complete surgical resection. | journal = Neuro Oncol | volume = 3 | issue = 3 | pages = 184-92 | month = Jul | year = 2001 | doi =  | PMID = 11465399 | URL = http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1920613/pdf/11465399.pdf}}</ref>
*Moderately aggressive (WHO Grade II).<ref name=pmid11465399>{{Cite journal  | last1 = Fouladi | first1 = M. | last2 = Jenkins | first2 = J. | last3 = Burger | first3 = P. | last4 = Langston | first4 = J. | last5 = Merchant | first5 = T. | last6 = Heideman | first6 = R. | last7 = Thompson | first7 = S. | last8 = Sanford | first8 = A. | last9 = Kun | first9 = L. | title = Pleomorphic xanthoastrocytoma: favorable outcome after complete surgical resection. | journal = Neuro Oncol | volume = 3 | issue = 3 | pages = 184-92 | month = Jul | year = 2001 | doi =  | PMID = 11465399 | URL = http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1920613/pdf/11465399.pdf}}</ref>
** very rare: anaplastic PXA (grade III).
*ICD-O: 9424/3.
*ICD-O: 9424/3.


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*Eosinophilic granular bodies - very common.<ref name=pmid11465399/>
*Eosinophilic granular bodies - very common.<ref name=pmid11465399/>
*Inflammatory cells (lymophocytic perivascular cuffs).
*Inflammatory cells (lymophocytic perivascular cuffs).
*Mitotic activity is low (except in anaplastic PXA, more than 5/10 HPF).
*Usually no necrosis (except in anaplastic PXA).


Notes:
Notes:
*No mitoses.
*Mitotic activity is low (except in anaplastic PXA, more than 5/10 HPF).
*No [[necrosis]].
*No necrosis (except in anaplastic PXA).


DDx:
DDx:
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File:PXA HE xanthomatous cells.jpg| Focal xanthomatous cells as in the name PXA. HE, intermed magnification.(WC/jensflorian)
File:PXA HE xanthomatous cells.jpg| Focal xanthomatous cells as in the name PXA. HE, intermed magnification.(WC/jensflorian)
File:PXA HE X10.jpg | Perivascular lymphocytic cuffs are not uncommon. HE, intermed-low magnification.(WC/jensflorian)
File:PXA HE X10.jpg | Perivascular lymphocytic cuffs are not uncommon. HE, intermed-low magnification.(WC/jensflorian)
File:PXA HE x20.jpg | Eosionophilc granular bodies in a PXA. HE, intermed magnification.(WC/jensflorian)
File:PXA HE x20.jpg | Eosinophilc granular bodies in a PXA. HE, intermed magnification.(WC/jensflorian)
File:PXA Gomori Reticulin Stain.jpg | A delicate meshowork of retiulin fibers in PXA. Gomori, intermed magnification.(WC/jensflorian)
File:PXA Gomori Reticulin Stain.jpg | A delicate meshwork of retiulin fibers in PXA. Gomori, intermed magnification.(WC/jensflorian)
File:PXA GFAP IHC.jpg | GFAP IHC is often heterogenous in PXA. Intermed magnification.(WC/jensflorian)
File:PXA GFAP IHC.jpg | GFAP IHC is often heterogenous in PXA. Intermed magnification.(WC/jensflorian)
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