CNS Tumor Features Flashcards
Grade II glioma, no mitoses
Astrocytoma (diffuse)
Plump cells, glassy pink cytoplasm
Diffuse astrocytoma - gemicystic variant
Grade III glioma, mitoses
Anaplastic Astrocytoma
Multilayered glomeruloid tufts
Glioblastoma
Pseudopalisading necrosis
GBM. Palisading
is when cells line up next to each other, like slats in a picket fence. These rapidly proliferating tumor cells (area outlined in green) appear to palisade around the central pale area, which represents necrotic tissue (region shaded in yellow).
Endothelial (microvascular) proliferation
GBM; several layers of endothelial cells filling lumen of vessel
Ki-67+, GFAP+, p53-, EGFR+
Glioblastoma
Rosenthal fibers
pilocytic astrocytoma
Chicken wire / fried egg
Oligodendroglioma
1p19q LOH
oligodendroglioma
EGFR amplification (chromosome 10)
Primary GBM
IDH1/2
Secondary GBM
Pseudorosettes
Ependymomas
Blue cell tumors
Medulloblastomas
Sugar icing appearance
Medulloblastomas
Whorls & cords of epithelial-like cells
Meningiomas

Pseudorosettes (ependymomas)

Pilocytic Astrocytoma

Pilocytic Astrocytoma

Eosinophilic Granular Bodies (PA)

Pseudopalisading Necrosis (GBM)

GBM Anaplasia

Microvascular Proliferation (GBM)

Oligodendroglioma (Fried Egg / Chicken Wire)

Medulloblastoma

Medulloblastoma

Meningioma (Whorls & Cords of epithelial-like cells)

Schwannoma
What is the difference between a Schwannoma and a Neurofibroma?
Neurofibromas incorporate axons; Schwannomas push existing neural structures to the side.
Patients with NF2 are the ONLY type of patients to have what kind of bilateral tumor?
Bilateral acoustic/vestibular Schwannoma
Schwannoma v. Neurofibroma: NF1 or NF2?
NF1: Neurofibroma
NF2: Schwannoma
Meningioma Epidemiology
F > M
Up to 50% of patients with NF2
Tumors seen in patients with NF2?
Schwannomas, Meningiomas

Rosenthal Fibers (PA)

Neurofibroma (long segment)