Acoustic neuroma classification: Difference between revisions
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==Overview== | ==Overview== | ||
Acoustic neuroma may be classified into three subtypes based MRI, and into four subtypes based on microscopic histopathology.<ref>{{Cite web | title =Libre Pathology schwannoma acoustic neuroma subtypes| url =http://librepathology.org/wiki/index.php/Schwannoma }}</ref> | Acoustic neuroma may be classified into three subtypes based [[MRI scan]], and into four subtypes based on microscopic [[histopathology]].<ref>{{Cite web | title =Libre Pathology schwannoma acoustic neuroma subtypes| url =http://librepathology.org/wiki/index.php/Schwannoma }}</ref> | ||
==Classification== | ==Classification== | ||
Based on the MRI scan, acoustic neuromas can be classified into three subtypes: | Based on the MRI scan, acoustic neuromas can be classified into three subtypes: | ||
*Entirely intracanalicular: The entire tumor is completely within the bony canal. | *Entirely [[intracanalicular]]: The entire tumor is completely within the bony canal. | ||
*Intracranial extension without brain stem distortion. | *Intracranial extension without [[brain stem]] distortion. | ||
*Intracranial extension with brain stem distortion. | *Intracranial extension with brain stem distortion. | ||
Based on microscopic histopathology, acoustic neuroma can be classified into four subtypes:<ref name="pmid12792904">{{cite journal| author=Kurtkaya-Yapicier O, Scheithauer B, Woodruff JM| title=The pathobiologic spectrum of Schwannomas. | journal=Histol Histopathol | year= 2003 | volume= 18 | issue= 3 | pages= 925-34 | pmid=12792904 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12792904 }} </ref> | Based on microscopic histopathology, acoustic neuroma can be classified into four subtypes:<ref name="pmid12792904">{{cite journal| author=Kurtkaya-Yapicier O, Scheithauer B, Woodruff JM| title=The pathobiologic spectrum of Schwannomas. | journal=Histol Histopathol | year= 2003 | volume= 18 | issue= 3 | pages= 925-34 | pmid=12792904 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12792904 }} </ref> | ||
*Conventional schwannoma. | *[[Conventional]] schwannoma. | ||
*Cellular schwannoma. | *[[Cellular]] schwannoma. | ||
*Plexiform schwannoma. | *[[Plexiform]] schwannoma. | ||
*Melanotic schwannoma. | *[[Melanotic]] schwannoma. | ||
**Conventional schwannoma: It is the most common. | **Conventional schwannoma: It is the most common. | ||
**Cellular schwannoma: It may mimic malignant peripheral nerve sheath tumor. | **Cellular schwannoma: It may mimic malignant peripheral nerve sheath tumor. | ||
**Plexiform schwannoma: It may mimic malignant peripheral nerve sheath tumor if cellular- especially in childhood.[[File:Plexiform_schwannoma_with_high_magnifaction.jpg|thumb|none|800px|Plexiform schwannoma with high magnifaction]] | **Plexiform schwannoma: It may mimic malignant peripheral nerve sheath [[tumor]] if cellular- especially in childhood.[[File:Plexiform_schwannoma_with_high_magnifaction.jpg|thumb|none|800px|Plexiform schwannoma with high magnifaction]] | ||
**Melanotic schwannoma: It may be confused with melanoma. [[File:Psammomatous_melanotic_schwannoma.jpg|thumb|none|800px|Psammomatous melanotic schwannoma]] | **Melanotic schwannoma: It may be confused with [[melanoma]]. [[File:Psammomatous_melanotic_schwannoma.jpg|thumb|none|800px|Psammomatous melanotic schwannoma]] | ||
It is associated with psammomatous form (psammomatous melanotic schwannoma) and with a heritable disorder (Carney complex). | It is associated with [[psammomatous]] form (psammomatous melanotic schwannoma) and with a heritable disorder (Carney complex). | ||
The Carney complex, also known as Carney syndrome, NAME syndrome and LAMB syndrome, is a bunch of things that occur together due to some genetic problem. | The [[Carney]] complex, also known as Carney syndrome, NAME syndrome and LAMB syndrome, is a bunch of things that occur together due to some [[genetic]] problem. | ||
It consists of: | It consists of: | ||
*Cutaneous lentigines | *[[Cutaneous]] lentigines | ||
*Myxomas (skin (subcutaneous), subcutanous, heart). | *Myxomas (skin (subcutaneous), subcutanous, heart). | ||
*Endocrine neoplasms<ref>{{Cite web | title =Libre Pathology schwannoma acoustic neuroma subtypes| url =http://librepathology.org/wiki/index.php/Schwannoma }}</ref> | *Endocrine [[neoplasms]]<ref>{{Cite web | title =Libre Pathology schwannoma acoustic neuroma subtypes| url =http://librepathology.org/wiki/index.php/Schwannoma }}</ref> | ||
==References== | ==References== |
Revision as of 15:45, 23 September 2015
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Simrat Sarai, M.D. [2]
Overview
Acoustic neuroma may be classified into three subtypes based MRI scan, and into four subtypes based on microscopic histopathology.[1]
Classification
Based on the MRI scan, acoustic neuromas can be classified into three subtypes:
- Entirely intracanalicular: The entire tumor is completely within the bony canal.
- Intracranial extension without brain stem distortion.
- Intracranial extension with brain stem distortion.
Based on microscopic histopathology, acoustic neuroma can be classified into four subtypes:[2]
- Conventional schwannoma.
- Cellular schwannoma.
- Plexiform schwannoma.
- Melanotic schwannoma.
It is associated with psammomatous form (psammomatous melanotic schwannoma) and with a heritable disorder (Carney complex). The Carney complex, also known as Carney syndrome, NAME syndrome and LAMB syndrome, is a bunch of things that occur together due to some genetic problem. It consists of:
References
- ↑ "Libre Pathology schwannoma acoustic neuroma subtypes".
- ↑ Kurtkaya-Yapicier O, Scheithauer B, Woodruff JM (2003). "The pathobiologic spectrum of Schwannomas". Histol Histopathol. 18 (3): 925–34. PMID 12792904.
- ↑ "Libre Pathology schwannoma acoustic neuroma subtypes".