Papillary tumour of the pineal region: a case report

Michael Bromfield1, Christos Profyris2, Aadila Mehtar3, Marna Du Toit3, Reubina Wadee4
1Department of Anatomical Pathology, University of the Witwatersrand, Johannesburg, South Africa
2Helen Joseph Hospital, Johannesburg, South Africa
3Department of Diagnostic Radiology, University of the Witwatersrand, Johannesburg, South Africa
4National Health Laboratory Service (NHLS), Department of Anatomical Pathology, University of the Witwatersrand, Johannesburg, South Africa

Tóm tắt

Papillary tumor of the pineal region is an unusual, recently described entity with potential for misinterpretation as either an ependymoma or choroid plexus papilloma. With few reported cases, there is little data regarding the biologic behavior, natural course and optimal treatment for these patients. Further accumulation of reports will assist with defining this entity and may provide further insight into management of such patients. This patient was a 24-year-old male with new onset seizures and a decreased level of consciousness. MRI scan showed a large heterogeneously enhancing solid-cystic mass in the pineal region extending to the third ventricle. Papillary tumor of the pineal region is a neuroepithelial tumor with distinct morphological and immunohistochemical features that can be utilized to help differentiate it from other primary and metastatic tumors occurring within this region. Although there is currently no clear consensus, the potential for disease progression and CSF dissemination supports early aggressive therapy in these patients.

Tài liệu tham khảo

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