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Details

Adult Brain Tumors
n/a
38
Medical
Graduate
10/16/2009

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Cards

Term
Astrocytoma - I
Definition
pilocytic - never progresses
Term
Astrocytoma - II
Definition
Diffuse, cannot be resected, WILL PROGRESS
Term
Astrocytoma - III
Definition
anaplastic
Term
Astrocytoma - IV
Definition
Glioblastoma (multiforme is MOST COMMON adult primary brain tumor)
Term
Oligodendroma
Definition
Rare, slow growing; presents with seizure, headache and LOC; often frontal
Term
1p, 19q deletion
Definition
positive prognostic indicator for oligodendroma
Term
Meningioma
Definition
Second most common adult primary tumor; parasagittal or convexities of hemispheres; solid; usually grade I and cured with resection; grade III is malignant
Term
Schwannoma
Definition
PNS, benign, slow growing and resectable due to encapsulation
Term
Acoustic neuroma
Definition
Third most common type of adult primary brain tumor
Term
Neurofibroma
Definition
Neuroma that is part of the nerve, high potential for malignancy
Term
Neurcytomas
Definition
Neuromas that happen in 20-30 yr olds around the septum pellucidum
Term
CNS lymphoma
Definition
Elderly/immunocompromised; high grade B cell lymphoma with CD20; perivascular and invasive growth pattern
Term
Spinal cord tumor
Definition
Usually are gliomas (ependymomas - resectable and astrocytomas - diffuse); Can also be a meningioma that infiltrates spinal cord dura
Term
Most common brain metastases
Definition
Lung, breast, melanoma (80% of brain cancer)
Term
Glioma age distribution
Definition
Low grade = younger, High grade = older
Term
T2
Definition
hyperintense, highlights edema
Term
T1
Definition
hypointense
Term
Radiologic findings of II and III Astrocytomas (Glioblastomas)
Definition
Breakdown of BBB --> more contrast enhancement, tumors are diffuse and poorly circumscribed
Term
Radiologic findings of glioblastoma (glioma)
Definition
Ring enhancing mass lesions with central necrosis, can cross the midline via the corpus callosum
Term
Radiologic features of oligodendrocytomas (glioma)
Definition
Slow growing = calcification and hyperintensity
Term
Radiologic features of meningioma (extra-axial)
Definition
Subarachnoid space, pushes against dura to form a dural tail
Term
Radiological features of schwannoma
Definition
Hyperintense, usually along the cerebello-pontine angle; most common along CN VIII
Term
Radiological features of central neurocytoma
Definition
Along septum pellucidum, within lateral ventricles
Term
Radiological features of primary CNS lymphoma
Definition
Look like metastatic carcinoma or glioblastoma
Term
Histopathology of metastasis
Definition
Large, darkly staining pleiomorphic cells
Term
Markers that determine melanoma cancer is the origin of metastasis
Definition
S-100, HMB-25, Melan-A, MITF
Term
Markers that indicate metastasis is breast in origin
Definition
ER, PR, GDCFB
Term
Marker that indicates metastasis is lung in origin
Definition
TTF
Term
Histopathology of grade II and III astrocytoma
Definition
Long oval nuclei, individual cells infiltrate the neurophil, higher grade = higher cellularity
Term
HIstopathology of glioblastoma
Definition
Vessel infiltration, pseudo-palisading pleiomorphic tumor cells with central necrosis
Term
Histopathology of oligodendrocytoma grade II
Definition
Fried egg appearance, perinuclear halos
Term
Histopathology of meningioma
Definition
Whorls and then calcification into psamomma bodies with time
Term
Histopathology of schwannoma
Definition
Slow growing, well-encapsulated; hyper and hypocellularity; NO NECROSIS
Term
Histopathology of neurofibroma
Definition
Intrinsic to the nerve; high amounts of collagen and the propensity to become malignant
Term
Histopathology of central neurocytoma
Definition
Stains for synaptophysin; round and regular nuclei
Term
Histopathology of primary CNS lymphoma
Definition
Perivascular, stains for CD20
Term
Histopathology of ependymoma
Definition
Canal-like arrangements and peri-vasccular pseudo-rosettes
Term
Genetic syndromes that result in CNS tumors
Definition
Sturge Webber, tuberous sclerosis, NF I and II, von Hippel Lindau
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