Difference between revisions of "Endolymphatic sac tumour"
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{{ Infobox diagnosis | |||
| Name = {{PAGENAME}} | |||
| Image = ELST_high_magnification_HE.jpg | |||
| Width = | |||
| Caption = Endolymphatic sac tumor [[H&E stain]]. | |||
| Synonyms = | |||
| Micro = Papillary epithelial structures. | |||
| Subtypes = | |||
| LMDDx = [[choroid plexus papilloma]], metastatic [[adenocarcinoma]] | |||
| Stains = | |||
| IHC = CK7 +ve | |||
| EM = | |||
| Molecular = | |||
| IF = | |||
| Gross = | |||
| Grossing = | |||
| Site = usually inner ear | |||
| Assdx = | |||
| Syndromes = | |||
| Clinicalhx = | |||
| Signs = | |||
| Symptoms = tinnitus, dizziness | |||
| Prevalence = very rare | |||
| Bloodwork = | |||
| Rads = | |||
| Endoscopy = | |||
| Prognosis = locally agressive | |||
| Other = | |||
| ClinDDx = | |||
| Tx = | |||
}} | |||
'''Endolymphatic sac tumour''', abbreviated '''ELST''', is a very rare tumour associated with [[von Hippel-Lindau disease]]. | '''Endolymphatic sac tumour''', abbreviated '''ELST''', is a very rare tumour associated with [[von Hippel-Lindau disease]]. | ||
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*Papillary structures. | *Papillary structures. | ||
*Low grade cytomorphology (lack [[nuclear pleomorphism]]). | *Low grade cytomorphology (lack [[nuclear pleomorphism]]). | ||
DDx: | |||
*[[Choroid plexus papilloma]] - when infiltrating cerebellopontine angle via petrous bone. | |||
*[[Metastatic]] [[adenocarcinoma]]. | |||
===Images=== | ===Images=== | ||
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*[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4069932/figure/fig02/ ELST (nih.gov)].<ref name=pmid24966975>{{Cite journal | last1 = Yang | first1 = X. | last2 = Liu | first2 = XS. | last3 = Fang | first3 = Y. | last4 = Zhang | first4 = XH. | last5 = Zhang | first5 = YK. | title = Endolymphatic sac tumor with von Hippel-Lindau disease: report of a case with atypical pathology of endolymphatic sac tumor. | journal = Int J Clin Exp Pathol | volume = 7 | issue = 5 | pages = 2609-14 | month = | year = 2014 | doi = | PMID = 24966975 }}</ref> | *[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4069932/figure/fig02/ ELST (nih.gov)].<ref name=pmid24966975>{{Cite journal | last1 = Yang | first1 = X. | last2 = Liu | first2 = XS. | last3 = Fang | first3 = Y. | last4 = Zhang | first4 = XH. | last5 = Zhang | first5 = YK. | title = Endolymphatic sac tumor with von Hippel-Lindau disease: report of a case with atypical pathology of endolymphatic sac tumor. | journal = Int J Clin Exp Pathol | volume = 7 | issue = 5 | pages = 2609-14 | month = | year = 2014 | doi = | PMID = 24966975 }}</ref> | ||
*[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4069893/figure/fig03/ ELST (nih.gov)].<ref name=pmid24966979>{{Cite journal | last1 = Künzel | first1 = J. | last2 = Agaimy | first2 = A. | last3 = Hornung | first3 = J. | last4 = Lell | first4 = M. | last5 = Ganslandt | first5 = O. | last6 = Semrau | first6 = S. | last7 = Zenk | first7 = J. | title = Sporadic endolymphatic sac tumor--a diagnostic and therapeutic challenge. | journal = Int J Clin Exp Pathol | volume = 7 | issue = 5 | pages = 2641-6 | month = | year = 2014 | doi = | PMID = 24966979 | PMC = 4069893}}</ref> | *[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4069893/figure/fig03/ ELST (nih.gov)].<ref name=pmid24966979>{{Cite journal | last1 = Künzel | first1 = J. | last2 = Agaimy | first2 = A. | last3 = Hornung | first3 = J. | last4 = Lell | first4 = M. | last5 = Ganslandt | first5 = O. | last6 = Semrau | first6 = S. | last7 = Zenk | first7 = J. | title = Sporadic endolymphatic sac tumor--a diagnostic and therapeutic challenge. | journal = Int J Clin Exp Pathol | volume = 7 | issue = 5 | pages = 2641-6 | month = | year = 2014 | doi = | PMID = 24966979 | PMC = 4069893}}</ref> | ||
<gallery> | |||
File:Ear_Endolymphatic_Sac_Tumor_H_and_E_Low_power_LDRT.tif | ELST low power, HE (WC/Soca1zim) | |||
File:Ear Endolymphatic Sac Tumor H & E High power LDRT.tif | ELST high magnification, HE (WC/Soca1zim) | |||
File:ELST_high_magnification_HE.jpg | ELST very high magnification, HE (WC/jensflorian) | |||
File:ELST_frozen_section_HE.jpg | Intraoperative frozen section, ELST, HE (WC/jensflorian) | |||
</gallery> | |||
==IHC== | ==IHC== | ||
*CK7 +ve. | |||
*S-100 +ve (focally). | |||
*CD31 +ve - marks the outline of the papillary structures.<ref name=pmid24966979/> | *CD31 +ve - marks the outline of the papillary structures.<ref name=pmid24966979/> | ||
*Kir 7.1 -ve - discriminates tumour from plexus papilloma.<ref name=pmid22706862>{{Cite journal | last1 = Schittenhelm | first1 = J. | last2 = Roser | first2 = F. | last3 = Tatagiba | first3 = M. | last4 = Beschorner | first4 = R. | title = Diagnostic value of EAAT-1 and Kir7.1 for distinguishing endolymphatic sac tumors from choroid plexus tumors. | journal = Am J Clin Pathol | volume = 138 | issue = 1 | pages = 85-9 | month = Jul | year = 2012 | doi = 10.1309/AJCPPRKNNL09JTLP | PMID = 22706862 }}</ref> | |||
==See also== | ==See also== | ||
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[[Category:Head and neck pathology]] | [[Category:Head and neck pathology]] | ||
[[Category:Neuropathology]] | [[Category:Neuropathology]] | ||
[[Category:Papillary tumour]] | |||
Latest revision as of 08:57, 29 April 2015
| Endolymphatic sac tumour | |
|---|---|
| Diagnosis in short | |
 Endolymphatic sac tumor H&E stain. | |
|
| |
| LM | Papillary epithelial structures. |
| LM DDx | choroid plexus papilloma, metastatic adenocarcinoma |
| IHC | CK7 +ve |
| Site | usually inner ear |
|
| |
| Symptoms | tinnitus, dizziness |
| Prevalence | very rare |
| Prognosis | locally agressive |
Endolymphatic sac tumour, abbreviated ELST, is a very rare tumour associated with von Hippel-Lindau disease.
General
- Rare.
- Locally aggressive.[1]
- Associated with von Hippel-Lindau disease.
- May be sporadic.[1]
Clinical - common:[2]
- Hearing loss (sensorineural).
- Tinnitus.
- Dizziness.
Treatment:
- Surgical excision.[2]
Microscopic
Features:[1]
- Cystic spaces.
- Papillary structures.
- Low grade cytomorphology (lack nuclear pleomorphism).
DDx:
- Choroid plexus papilloma - when infiltrating cerebellopontine angle via petrous bone.
- Metastatic adenocarcinoma.
Images
www:
ELST low power, HE (WC/Soca1zim)
ELST high magnification, HE (WC/Soca1zim)
ELST very high magnification, HE (WC/jensflorian)
Intraoperative frozen section, ELST, HE (WC/jensflorian)
IHC
- CK7 +ve.
- S-100 +ve (focally).
- CD31 +ve - marks the outline of the papillary structures.[1]
- Kir 7.1 -ve - discriminates tumour from plexus papilloma.[4]
See also
References
- ↑ 1.0 1.1 1.2 1.3 1.4 Künzel, J.; Agaimy, A.; Hornung, J.; Lell, M.; Ganslandt, O.; Semrau, S.; Zenk, J. (2014). "Sporadic endolymphatic sac tumor--a diagnostic and therapeutic challenge.". Int J Clin Exp Pathol 7 (5): 2641-6. PMID 24966979. Cite error: Invalid
<ref>tag; name "pmid24966979" defined multiple times with different content - ↑ 2.0 2.1 Friedman, RA.; Hoa, M.; Brackmann, DE. (Feb 2013). "Surgical management of endolymphatic sac tumors.". J Neurol Surg B Skull Base 74 (1): 12-9. doi:10.1055/s-0032-1329622. PMID 24436884.
- ↑ Yang, X.; Liu, XS.; Fang, Y.; Zhang, XH.; Zhang, YK. (2014). "Endolymphatic sac tumor with von Hippel-Lindau disease: report of a case with atypical pathology of endolymphatic sac tumor.". Int J Clin Exp Pathol 7 (5): 2609-14. PMID 24966975.
- ↑ Schittenhelm, J.; Roser, F.; Tatagiba, M.; Beschorner, R. (Jul 2012). "Diagnostic value of EAAT-1 and Kir7.1 for distinguishing endolymphatic sac tumors from choroid plexus tumors.". Am J Clin Pathol 138 (1): 85-9. doi:10.1309/AJCPPRKNNL09JTLP. PMID 22706862.