Difference between revisions of "Neuropathology tumours"

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1,126 bytes removed ,  03:13, 17 February 2014
(→‎Subependymoma: split out)
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*Commonly abbreviated ''AT/RT''.
*Commonly abbreviated ''AT/RT''.
*May be written ''atypical teratoid rhabdoid tumour'', i.e. without the forward slash, or ''atypical teratoid-rhabdoid tumour'' (AT-RT).
*May be written ''atypical teratoid rhabdoid tumour'', i.e. without the forward slash, or ''atypical teratoid-rhabdoid tumour'' (AT-RT).
 
{{Main|Atypical teratoid/rhabdoid tumour}}
===General===
*Usually supratentorial, occasionally in posterior fossa, case reports of spinal cord.
 
===Microscopic===
Features:
*Cellular.
*Small round cells usu. with a prominent nucleolus.
*Rhabdoid cells.
**Cells with eosinophilic granular cytoplasm + eccentric nucleus.
*Mitoses.
*+/-[[Necrosis]] (common).
 
DDx:
*[[Primitive neuroectodermal tumour]] (PNET).
*[[Medulloblastoma]].
*[[Diffuse astrocytoma]].
*[[Choroid plexus carcinoma]].
*[[Embryonal carcinoma]].
 
Images:
*[http://commons.wikimedia.org/wiki/File:Rhabdoidtumourcell.jpg Rhabdoid tumour cell (WC)].
*[http://commons.wikimedia.org/wiki/File:ATRT-HE-Overview.jpg AT/RT (WC)].
*[http://commons.wikimedia.org/wiki/File:ATRT-INI1.jpg AT/RT -ve for INI1 (WC)].
*[http://path.upmc.edu/cases/case99/micro.html AR/RT (upmc.edu)].
 
===IHC===
*BAF-47 -ve ([[AKA]] ''INI1'', [[AKA]] ''SMARCB1'' - the HGNC symbol<ref name=omim601607>{{OMIM|601607}}</ref>) - virtually diagnostic.
**Endothelial cells +ve control.
*S-100 +ve.
**Few other brain tumours express it.
*Vimentin +ve (perinuclear condensation).
 
Others:
*GFAP +ve (focal - in tumour cells).
*EMA +ve (patchy cytoplasmic).
*Smooth muscle actin +ve.


==Oligodendroglioma==
==Oligodendroglioma==
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