Patho CNS TUMORS Flashcards
classification of Astrocytomas
pilocytic astrocytoma
infiltrating astrocytoma
types of infiltrating astroyctomas
- diffuse astrocytoma low grade
- anaplastic astrocytoma high grade
- Glioblastomas (GBM) high grade
specific markers for Gliomas?
GFAP
explain Glioblastoma
- type of infiltrating astrocytoma
- High grade tumor (poor prognosis)
- abnormal RB and p16 mutation
- mean survival is 15 months
explain pleiomorphic xanthoastrocytomas
- occur in temporal lobe
- young pateinets
- good prognosis
- history of seizures
explain oligodendroglioma
- middle age patients
- loss of heterozygosity in chromosome 1p and 19q
- better prognosis then for astrocytomas
explain ependymomoa
- tumor arising from ependymal cells
- present with hydrocephalus– obstruction of csf flow
- most common in 4th ventricular
name a neuroectodermal tumors
Medulloblastoma
what is a medulloblastoma
- very undifferentiated tumors
- often in children
- exclusively in cerebellum
- good prognosis
- 17p isochromosome
- associated with: Lifraumeni, Turcots, gorlin syndrom!
which cns tumor presents with loss of heterozygosity of 1p and 19q?
oligodendroglioma
which cns tumor presents with 17p isochromosome?
medulloblastoma
what is the marker for astrocytomas?
GFAP
complications of meningioma?
compresses the Brian, outgrowth of the duramata
metastatic tumors to the Brian
Lung Breast kidney stomach Melanomas
tumors of the pns
- schwannoma
2. neurofibroma
explain schwannoma
- bening tumor of schwanncells
- mass effect
- 8th cranial nerve– hearing loss
- mutation of NF2
explain neurofibroma
- mutation of NF1
2. tumor of nerves fibres
which nervous system tumor has the NF2 and which one NF1 mutation?
NF1: neurofibroma
NF2: schwannoma
familal tumor syndromes
- cowden syndrom
- li-fraumeni sindrome
- turcot syndrom
- grolin syndrom
explain cowden syndrom
dysplastic cerebellar gangliocytomas due to PTEN mutation
explain Li-fraumeni syndrom
medulloblastoma due to p53 mutation
explain Turcot syndrom
medulloblastoma or galgioma due to APC mutation
explain gorlin syndrom
Medulloblastoma due to PTCH mutation
which tumor syndromes are associated with medulloblastoma?
- li-fraumeni
- Turcos
- gorlin