WHO Grade IV Gliofibroma: A Grading Label Denoting Malignancy for an Otherwise Commonly Misinterpreted Neoplasm

We report a 50-year-old woman with no relevant clinical history who presented with headache and loss of memory. Magnetic resonance imaging showed a left parieto-temporal mass with annular enhancement after contrast media administration, rendering a radiological diagnosis of high-grade astrocytic neo...

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Main Authors: Paola A. Escalante Abril, Miguel Fdo. Salazar, Nubia L. López García, Mónica N. Madrazo Moya, Yadir U. Zamora Guerra, Yadira Gandhi Mata Mendoza, Erick Gómez Apo, Laura G. Chávez Macías
Format: Article
Language:English
Published: Korean Society of Pathologists & the Korean Society for Cytopathology 2015-07-01
Series:Journal of Pathology and Translational Medicine
Subjects:
Online Access:http://www.jpatholtm.org/upload/pdf/jptm-49-4-325.pdf
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author Paola A. Escalante Abril
Miguel Fdo. Salazar
Nubia L. López García
Mónica N. Madrazo Moya
Yadir U. Zamora Guerra
Yadira Gandhi Mata Mendoza
Erick Gómez Apo
Laura G. Chávez Macías
author_facet Paola A. Escalante Abril
Miguel Fdo. Salazar
Nubia L. López García
Mónica N. Madrazo Moya
Yadir U. Zamora Guerra
Yadira Gandhi Mata Mendoza
Erick Gómez Apo
Laura G. Chávez Macías
author_sort Paola A. Escalante Abril
collection DOAJ
description We report a 50-year-old woman with no relevant clinical history who presented with headache and loss of memory. Magnetic resonance imaging showed a left parieto-temporal mass with annular enhancement after contrast media administration, rendering a radiological diagnosis of high-grade astrocytic neoplasm. Tumour sampling was performed but the patient ultimately died as a result of disease. Microscopically, the lesion had areas of glioblastoma mixed with a benign mesenchymal constituent; the former showed hypercellularity, endothelial proliferation, high mitotic activity and necrosis, while the latter showed fascicles of long spindle cells surrounded by collagen and reticulin fibers. With approximately 40 previously reported cases, gliofibroma is a rare neoplasm defined as either glio-desmoplastic or glial/benign mesenchymal. As shown in our case, its prognosis is apparently determined by the degree of anaplasia of the glial component.
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spelling doaj.art-8ba90ffcd6194474bf2f85e2131918ba2022-12-21T18:23:24ZengKorean Society of Pathologists & the Korean Society for CytopathologyJournal of Pathology and Translational Medicine2383-78372383-78452015-07-0149432533010.4132/jptm.2015.05.2016533WHO Grade IV Gliofibroma: A Grading Label Denoting Malignancy for an Otherwise Commonly Misinterpreted NeoplasmPaola A. Escalante AbrilMiguel Fdo. SalazarNubia L. López GarcíaMónica N. Madrazo MoyaYadir U. Zamora GuerraYadira Gandhi Mata MendozaErick Gómez ApoLaura G. Chávez MacíasWe report a 50-year-old woman with no relevant clinical history who presented with headache and loss of memory. Magnetic resonance imaging showed a left parieto-temporal mass with annular enhancement after contrast media administration, rendering a radiological diagnosis of high-grade astrocytic neoplasm. Tumour sampling was performed but the patient ultimately died as a result of disease. Microscopically, the lesion had areas of glioblastoma mixed with a benign mesenchymal constituent; the former showed hypercellularity, endothelial proliferation, high mitotic activity and necrosis, while the latter showed fascicles of long spindle cells surrounded by collagen and reticulin fibers. With approximately 40 previously reported cases, gliofibroma is a rare neoplasm defined as either glio-desmoplastic or glial/benign mesenchymal. As shown in our case, its prognosis is apparently determined by the degree of anaplasia of the glial component.http://www.jpatholtm.org/upload/pdf/jptm-49-4-325.pdfGliofibromaBimorphic neoplasmDesmoplastic gliomaAdult populationTumour suppressor protein 53
spellingShingle Paola A. Escalante Abril
Miguel Fdo. Salazar
Nubia L. López García
Mónica N. Madrazo Moya
Yadir U. Zamora Guerra
Yadira Gandhi Mata Mendoza
Erick Gómez Apo
Laura G. Chávez Macías
WHO Grade IV Gliofibroma: A Grading Label Denoting Malignancy for an Otherwise Commonly Misinterpreted Neoplasm
Journal of Pathology and Translational Medicine
Gliofibroma
Bimorphic neoplasm
Desmoplastic glioma
Adult population
Tumour suppressor protein 53
title WHO Grade IV Gliofibroma: A Grading Label Denoting Malignancy for an Otherwise Commonly Misinterpreted Neoplasm
title_full WHO Grade IV Gliofibroma: A Grading Label Denoting Malignancy for an Otherwise Commonly Misinterpreted Neoplasm
title_fullStr WHO Grade IV Gliofibroma: A Grading Label Denoting Malignancy for an Otherwise Commonly Misinterpreted Neoplasm
title_full_unstemmed WHO Grade IV Gliofibroma: A Grading Label Denoting Malignancy for an Otherwise Commonly Misinterpreted Neoplasm
title_short WHO Grade IV Gliofibroma: A Grading Label Denoting Malignancy for an Otherwise Commonly Misinterpreted Neoplasm
title_sort who grade iv gliofibroma a grading label denoting malignancy for an otherwise commonly misinterpreted neoplasm
topic Gliofibroma
Bimorphic neoplasm
Desmoplastic glioma
Adult population
Tumour suppressor protein 53
url http://www.jpatholtm.org/upload/pdf/jptm-49-4-325.pdf
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