The Continuing Value of Ultrastructural Observation in Central Nervous System Neoplasms in Children

Central nervous system (CNS) neoplasms are the second most common childhood malignancy after leukemia and the most common solid organ neoplasm in children. Diagnostic dilemmas with small specimens from CNS neoplasms are often the result of multifactorial etiologies such as frozen or fixation artifac...

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Main Authors: Na Rae Kim, Sung-Hye Park
Format: Article
Language:English
Published: Korean Society of Pathologists & the Korean Society for Cytopathology 2015-11-01
Series:Journal of Pathology and Translational Medicine
Subjects:
Online Access:http://www.jpatholtm.org/upload/pdf/jptm-2015-09-19.pdf
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author Na Rae Kim
Sung-Hye Park
author_facet Na Rae Kim
Sung-Hye Park
author_sort Na Rae Kim
collection DOAJ
description Central nervous system (CNS) neoplasms are the second most common childhood malignancy after leukemia and the most common solid organ neoplasm in children. Diagnostic dilemmas with small specimens from CNS neoplasms are often the result of multifactorial etiologies such as frozen or fixation artifact, biopsy size, or lack of knowledge about rare or unfamiliar entities. Since the late 1950s, ultrastructural examination has been used in the diagnosis of CNS neoplasms, though it has largely been replaced by immunohistochemical and molecular cytogenetic studies. Nowadays, pathologic diagnosis of CNS neoplasms is achieved through intraoperative cytology, light microscopy, immunohistochemistry, and molecular cytogenetic results. However, the utility of electron microscopy (EM) in the final diagnosis of CNS neoplasms and investigation of its pathogenetic origin remains critical. Here, we reviewed the distinguishing ultrastructural features of pediatric CNS neoplasms and emphasize the continuing value of EM in the diagnosis of CNS neoplasms.
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spelling doaj.art-1586f2ab028841308246c0ec407ab4562022-12-21T19:41:20ZengKorean Society of Pathologists & the Korean Society for CytopathologyJournal of Pathology and Translational Medicine2383-78372383-78452015-11-0149642743710.4132/jptm.2015.09.1916559The Continuing Value of Ultrastructural Observation in Central Nervous System Neoplasms in ChildrenNa Rae KimSung-Hye Park0 Department of Pathology, Seoul National University College of Medicine, Seoul, KoreaCentral nervous system (CNS) neoplasms are the second most common childhood malignancy after leukemia and the most common solid organ neoplasm in children. Diagnostic dilemmas with small specimens from CNS neoplasms are often the result of multifactorial etiologies such as frozen or fixation artifact, biopsy size, or lack of knowledge about rare or unfamiliar entities. Since the late 1950s, ultrastructural examination has been used in the diagnosis of CNS neoplasms, though it has largely been replaced by immunohistochemical and molecular cytogenetic studies. Nowadays, pathologic diagnosis of CNS neoplasms is achieved through intraoperative cytology, light microscopy, immunohistochemistry, and molecular cytogenetic results. However, the utility of electron microscopy (EM) in the final diagnosis of CNS neoplasms and investigation of its pathogenetic origin remains critical. Here, we reviewed the distinguishing ultrastructural features of pediatric CNS neoplasms and emphasize the continuing value of EM in the diagnosis of CNS neoplasms.http://www.jpatholtm.org/upload/pdf/jptm-2015-09-19.pdfMicroscopy, electronCentral nervous systemNeoplasmsChildhood
spellingShingle Na Rae Kim
Sung-Hye Park
The Continuing Value of Ultrastructural Observation in Central Nervous System Neoplasms in Children
Journal of Pathology and Translational Medicine
Microscopy, electron
Central nervous system
Neoplasms
Childhood
title The Continuing Value of Ultrastructural Observation in Central Nervous System Neoplasms in Children
title_full The Continuing Value of Ultrastructural Observation in Central Nervous System Neoplasms in Children
title_fullStr The Continuing Value of Ultrastructural Observation in Central Nervous System Neoplasms in Children
title_full_unstemmed The Continuing Value of Ultrastructural Observation in Central Nervous System Neoplasms in Children
title_short The Continuing Value of Ultrastructural Observation in Central Nervous System Neoplasms in Children
title_sort continuing value of ultrastructural observation in central nervous system neoplasms in children
topic Microscopy, electron
Central nervous system
Neoplasms
Childhood
url http://www.jpatholtm.org/upload/pdf/jptm-2015-09-19.pdf
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