Cerebellar liponeurocytoma with atypical histological features – a rare example of a glioneuronal tumor

We present a case of a rare neoplasm in a 77-year-old woman with previous oncological history, who developed a rapid onset of cerebellar symptoms. The neuroimaging detected a posterior fossa tumor suspected of meningioma which was completely resected soon after. Histologically the neoplasm had two c...

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Main Authors: Blanka Hermann, Michal Woznica, Wojciech Kloc, Piotr Borkowski, Witold Libionka, Ewa Izycka-Swieszewska
Format: Article
Language:English
Published: Termedia Publishing House 2017-09-01
Series:Folia Neuropathologica
Subjects:
Online Access:https://www.termedia.pl/Cerebellar-liponeurocytoma-with-atypical-histological-features-a-rare-example-of-a-glioneuronal-tumor,20,30743,1,1.html
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author Blanka Hermann
Michal Woznica
Wojciech Kloc
Piotr Borkowski
Witold Libionka
Ewa Izycka-Swieszewska
author_facet Blanka Hermann
Michal Woznica
Wojciech Kloc
Piotr Borkowski
Witold Libionka
Ewa Izycka-Swieszewska
author_sort Blanka Hermann
collection DOAJ
description We present a case of a rare neoplasm in a 77-year-old woman with previous oncological history, who developed a rapid onset of cerebellar symptoms. The neuroimaging detected a posterior fossa tumor suspected of meningioma which was completely resected soon after. Histologically the neoplasm had two components with different immunophenotype. One constituent was lobular, composed of monotonous mitotically active round cells with a predominant neuronal profile. The second, astrocytic component contained lipomatous cells intermixed with larger gemistocytic astrocytes. Fields of geographic necrosis as well as multifocal microvascular proliferation were observed. The Ki67 proliferation index was 12%. After two years of follow-up the patient remains free of symptoms and radiologic recurrence. The presented case of cerebellar liponeurocytoma is unusual in terms of its atypical histological features and prominent astrocytic component. The authors propose that the term ‘lipomatous glioneuronal tumor’ seems to be more appropriate for this type of lesion, considering its histologic spectrum and possible extracerebellar location.
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spelling doaj.art-f2fe2eaf84c640058753282923f355a02022-12-21T22:37:37ZengTermedia Publishing HouseFolia Neuropathologica1641-46401509-572X2017-09-0155322723410.5114/fn.2017.7048830743Cerebellar liponeurocytoma with atypical histological features – a rare example of a glioneuronal tumorBlanka HermannMichal WoznicaWojciech KlocPiotr BorkowskiWitold LibionkaEwa Izycka-SwieszewskaWe present a case of a rare neoplasm in a 77-year-old woman with previous oncological history, who developed a rapid onset of cerebellar symptoms. The neuroimaging detected a posterior fossa tumor suspected of meningioma which was completely resected soon after. Histologically the neoplasm had two components with different immunophenotype. One constituent was lobular, composed of monotonous mitotically active round cells with a predominant neuronal profile. The second, astrocytic component contained lipomatous cells intermixed with larger gemistocytic astrocytes. Fields of geographic necrosis as well as multifocal microvascular proliferation were observed. The Ki67 proliferation index was 12%. After two years of follow-up the patient remains free of symptoms and radiologic recurrence. The presented case of cerebellar liponeurocytoma is unusual in terms of its atypical histological features and prominent astrocytic component. The authors propose that the term ‘lipomatous glioneuronal tumor’ seems to be more appropriate for this type of lesion, considering its histologic spectrum and possible extracerebellar location.https://www.termedia.pl/Cerebellar-liponeurocytoma-with-atypical-histological-features-a-rare-example-of-a-glioneuronal-tumor,20,30743,1,1.html<i>cerebellar liponeurocytoma lipidized tumor glioneuronal tumor</i>
spellingShingle Blanka Hermann
Michal Woznica
Wojciech Kloc
Piotr Borkowski
Witold Libionka
Ewa Izycka-Swieszewska
Cerebellar liponeurocytoma with atypical histological features – a rare example of a glioneuronal tumor
Folia Neuropathologica
<i>cerebellar liponeurocytoma
lipidized tumor
glioneuronal tumor</i>
title Cerebellar liponeurocytoma with atypical histological features – a rare example of a glioneuronal tumor
title_full Cerebellar liponeurocytoma with atypical histological features – a rare example of a glioneuronal tumor
title_fullStr Cerebellar liponeurocytoma with atypical histological features – a rare example of a glioneuronal tumor
title_full_unstemmed Cerebellar liponeurocytoma with atypical histological features – a rare example of a glioneuronal tumor
title_short Cerebellar liponeurocytoma with atypical histological features – a rare example of a glioneuronal tumor
title_sort cerebellar liponeurocytoma with atypical histological features a rare example of a glioneuronal tumor
topic <i>cerebellar liponeurocytoma
lipidized tumor
glioneuronal tumor</i>
url https://www.termedia.pl/Cerebellar-liponeurocytoma-with-atypical-histological-features-a-rare-example-of-a-glioneuronal-tumor,20,30743,1,1.html
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AT witoldlibionka cerebellarliponeurocytomawithatypicalhistologicalfeaturesarareexampleofaglioneuronaltumor
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