Difference between revisions of "Diffuse astrocytoma, MYB- or MYBL-altered"

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'''Diffuse astrocytoma, MYB- or MYBL-altered''' is a low-grade pediatric [[astrocytoma]]. It is very rare.
'''Diffuse astrocytoma, MYB- or MYBL-altered''' is a low-grade, often pediatric-onset [[astrocytoma]]. It is very rare.


==General==
==General==
*
* CNS WHO grade 1.
* Rare epilepsy-associated tumor.
* No sex predilection.


==Imaging==
==Imaging==
* T1 hypointense.
* Non-enhancing.
* Occasionally large cysts.


==Gross==
==Gross==
* Soft, unencapsulated.
* Grey to white.


==Microscopic==
Features:
* Diffusely growing.
* Minimal incereased cell density.
* Monomorphic, bland glial cells.
*


==Microscopic==
Features:<ref name=Ref_PSNP82-4>{{Ref PSNP|82-4}}</ref>
*Classically biphasic (though either may be absent):
*#Fibrillar.
*#Microcystic/loose.
*Hair-like fibres ~ 1 micrometer; ''pilo-'' = hair.<ref>URL: [http://dictionary.reference.com/browse/pilo- http://dictionary.reference.com/browse/pilo-]. Accessed on: 24 November 2010.</ref>
**Best seen on smear or with GFAP [[IHC]].
*Rosenthal fibres - '''key feature'''.
**May be rare.  Not pathognomonic (see below).
*Eosinophilic granular bodies.
*Low cellularity - when compared to medulloblastoma and ependymoma.


Notes:  
Notes:  
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