Ganglioglioma pathophysiology: Difference between revisions

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==Pathophysiology==
==Pathophysiology==
===Gross Pathology===
===Gross Pathology===
There is predilection towards the [[temporal lobes]], although gangliglioma may occur in the [[frontal lobe]], [[parietal lobe]], [[occipital lobe]], and regions of the [[thalamus]] and [[third ventricle]]<ref name=dd>Pathophysiology of ganglioglioma. Dr Henry Knipe and Dr Frank Gaillard et al. Radiopaedia 2015. http://radiopaedia.org/articles/ganglioglioma</ref>
There is predilection towards the [[temporal lobes]]<ref name=dd>Pathophysiology of ganglioglioma. Dr Henry Knipe and Dr Frank Gaillard et al. Radiopaedia 2015. http://radiopaedia.org/articles/ganglioglioma</ref>, although gangliglioma may also occur in the [[frontal lobe]], [[parietal lobe]], [[occipital lobe]], and regions of the [[thalamus]] and [[third ventricle]]


===Microscopic Pathology===
===Microscopic Pathology===

Revision as of 15:00, 3 September 2015

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Sujit Routray, M.D. [2]

Overview

Pathophysiology

Gross Pathology

There is predilection towards the temporal lobes[1], although gangliglioma may also occur in the frontal lobe, parietal lobe, occipital lobe, and regions of the thalamus and third ventricle

Microscopic Pathology

Gangliogliomas are composed of two cell populations:[1]

  • Ganglion cells (large mature neuronal elements): ganglio-
  • Neoplastic glial elements (primarily astrocytic): -glioma

It is the grade of the glial component that determines biological behaviour. Dedifferentiation into high grade tumours does occasionally occur, and it is usually the glial component (into a glioblastoma multiforme). Only rarely is it the neuronal component (into a neuroblastoma).

Markers

Neuronal origin is demonstrated by positivity to neuronal markers:[1]

  • Synaptophysin
  • Neuronal specific enolase
  • GFAP

References

  1. 1.0 1.1 1.2 Pathophysiology of ganglioglioma. Dr Henry Knipe and Dr Frank Gaillard et al. Radiopaedia 2015. http://radiopaedia.org/articles/ganglioglioma


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