Pilocytic astrocytoma of sellar/suprasellar region determining endocrine manifestations

Pilocytic astrocytoma (PA) is a grade I glial neoplasm arising mainly in the cerebellum of children. Herein, the authors report a case of PA in a 21 year-old male patient, who presented headache, vomiting and delayed pubertal development. Serum level of cortisol and testosterone corresponded to 32.8...

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Main Authors: Eduardo Cambruzzi, Karla Lais Pêgas, Luciano Carvalho Silveira
Format: Article
Language:English
Published: Sociedade Brasileira de Patologia Clínica 2013-04-01
Series:Jornal Brasileiro de Patologia e Medicina Laboratorial
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442013000200011&lng=en&tlng=en
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author Eduardo Cambruzzi
Karla Lais Pêgas
Luciano Carvalho Silveira
author_facet Eduardo Cambruzzi
Karla Lais Pêgas
Luciano Carvalho Silveira
author_sort Eduardo Cambruzzi
collection DOAJ
description Pilocytic astrocytoma (PA) is a grade I glial neoplasm arising mainly in the cerebellum of children. Herein, the authors report a case of PA in a 21 year-old male patient, who presented headache, vomiting and delayed pubertal development. Serum level of cortisol and testosterone corresponded to 32.8 ug/dl and 0.19 ng/ml, respectively. The computed tomography/magnetic resonance (CT/RM) imaging showed an expansive process compromising suprasellar/hypothalamic region and determining hydrocephalus. The patient underwent resection of the process. Histological evaluation revealed a glial neoplasm constituted by loose glial tissue, small microcysts, areas of dense piloid tissue and Rosenthal fibers. The neoplastic cells were immunoreactive for glial fibrillary acidic protein (GFAP) and negative for chromogranin and synaptophysin. The diagnosis of PA was then established.
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spelling doaj.art-7c30b5cdbf644382a6e1a15ddbbe93e62022-12-21T22:21:45ZengSociedade Brasileira de Patologia ClínicaJornal Brasileiro de Patologia e Medicina Laboratorial1678-47742013-04-0149213914210.1590/S1676-24442013000200011S1676-24442013000200011Pilocytic astrocytoma of sellar/suprasellar region determining endocrine manifestationsEduardo Cambruzzi0Karla Lais Pêgas1Luciano Carvalho Silveira2Universidade Luterana do BrasilSanta Casa de Misericórdia de Porto AlegreHospital Cristo RedentorPilocytic astrocytoma (PA) is a grade I glial neoplasm arising mainly in the cerebellum of children. Herein, the authors report a case of PA in a 21 year-old male patient, who presented headache, vomiting and delayed pubertal development. Serum level of cortisol and testosterone corresponded to 32.8 ug/dl and 0.19 ng/ml, respectively. The computed tomography/magnetic resonance (CT/RM) imaging showed an expansive process compromising suprasellar/hypothalamic region and determining hydrocephalus. The patient underwent resection of the process. Histological evaluation revealed a glial neoplasm constituted by loose glial tissue, small microcysts, areas of dense piloid tissue and Rosenthal fibers. The neoplastic cells were immunoreactive for glial fibrillary acidic protein (GFAP) and negative for chromogranin and synaptophysin. The diagnosis of PA was then established.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442013000200011&lng=en&tlng=enastrocitoma pilocíticoneoplasias do sistema nervoso centralpatologianeoplasias encefálicasdoenças do sistema endócrino
spellingShingle Eduardo Cambruzzi
Karla Lais Pêgas
Luciano Carvalho Silveira
Pilocytic astrocytoma of sellar/suprasellar region determining endocrine manifestations
Jornal Brasileiro de Patologia e Medicina Laboratorial
astrocitoma pilocítico
neoplasias do sistema nervoso central
patologia
neoplasias encefálicas
doenças do sistema endócrino
title Pilocytic astrocytoma of sellar/suprasellar region determining endocrine manifestations
title_full Pilocytic astrocytoma of sellar/suprasellar region determining endocrine manifestations
title_fullStr Pilocytic astrocytoma of sellar/suprasellar region determining endocrine manifestations
title_full_unstemmed Pilocytic astrocytoma of sellar/suprasellar region determining endocrine manifestations
title_short Pilocytic astrocytoma of sellar/suprasellar region determining endocrine manifestations
title_sort pilocytic astrocytoma of sellar suprasellar region determining endocrine manifestations
topic astrocitoma pilocítico
neoplasias do sistema nervoso central
patologia
neoplasias encefálicas
doenças do sistema endócrino
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1676-24442013000200011&lng=en&tlng=en
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AT karlalaispegas pilocyticastrocytomaofsellarsuprasellarregiondeterminingendocrinemanifestations
AT lucianocarvalhosilveira pilocyticastrocytomaofsellarsuprasellarregiondeterminingendocrinemanifestations