Astrocytoma differential diagnosis: Difference between revisions

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Fahimeh Shojaei (talk | contribs)
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Fahimeh Shojaei (talk | contribs)
No edit summary
Line 36: Line 36:
| rowspan="7" style="background: #DCDCDC; padding: 5px; text-align: center;" |Adult primary brain tumors
| rowspan="7" style="background: #DCDCDC; padding: 5px; text-align: center;" |Adult primary brain tumors
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Glioblastoma multiform
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Glioblastoma multiform
| style="background: #F5F5F5; padding: 5px;" |+
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| style="background: #F5F5F5; padding: 5px;" |−
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* Astrocyte origin
| style="background: #F5F5F5; padding: 5px;" |
 
| style="background: #F5F5F5; padding: 5px;" |
* Pleomorphic cell
 
* Pseudopalisading appearance
 
* GFAP+
 
* Necrosis+
 
* Hemorrhage+
 
* Vascular prolifration+
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|-
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |Oligodendroglioma
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Oligodendroglioma
| style="background: #F5F5F5; padding: 5px;" |+
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| style="background: #F5F5F5; padding: 5px;" |−
| style="background: #F5F5F5; padding: 5px;" |+
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* Oligodendrocyte origin
| style="background: #F5F5F5; padding: 5px;" |
 
| style="background: #F5F5F5; padding: 5px;" |
* Calcification+
 
* Fried egg cell appearance
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|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Meningioma
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Meningioma
| style="background: #F5F5F5; padding: 5px;" |+
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| style="background: #F5F5F5; padding: 5px;" |−
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* Arachnoid origin
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| style="background: #F5F5F5; padding: 5px;" |
* Psammoma bodies
 
* Whorled spindle cell pattern
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|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Hemangioblastoma
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Hemangioblastoma
| style="background: #F5F5F5; padding: 5px;" |+
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| style="background: #F5F5F5; padding: 5px;" |−
| style="background: #F5F5F5; padding: 5px;" |+
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* Blood vessel origin
| style="background: #F5F5F5; padding: 5px;" |
 
| style="background: #F5F5F5; padding: 5px;" |
* Capillaries with thin walls
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|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Pitutary adenoma
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Pitutary adenoma
| style="background: #F5F5F5; padding: 5px;" |+
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |+ Bitemporal hemianopia
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| style="background: #F5F5F5; padding: 5px;" |−
| style="background: #F5F5F5; padding: 5px;" |−
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| style="background: #F5F5F5; padding: 5px;" |+/−
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Line 121: Line 147:
|-
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |Schwannoma
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Schwannoma
| style="background: #F5F5F5; padding: 5px;" |+
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| style="background: #F5F5F5; padding: 5px;" |+
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Line 138: Line 164:
|-
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |primary CNS lymphoma
| style="background: #DCDCDC; padding: 5px; text-align: center;" |primary CNS lymphoma
| style="background: #F5F5F5; padding: 5px;" |+
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Line 156: Line 182:
| rowspan="5" style="background: #DCDCDC; padding: 5px; text-align: center;" |Childhood primary brain tumors
| rowspan="5" style="background: #DCDCDC; padding: 5px; text-align: center;" |Childhood primary brain tumors
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Pilocytic astrocytoma
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Pilocytic astrocytoma
| style="background: #F5F5F5; padding: 5px;" |+
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Line 173: Line 199:
|-
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |Medulloblastoma
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Medulloblastoma
| style="background: #F5F5F5; padding: 5px;" |+
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| style="background: #F5F5F5; padding: 5px;" |+
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Line 190: Line 216:
|-
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |Ependymoma
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Ependymoma
| style="background: #F5F5F5; padding: 5px;" |+
| style="background: #F5F5F5; padding: 5px;" |
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| style="background: #F5F5F5; padding: 5px;" |+
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Line 207: Line 233:
|-
|-
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Craniopharyngioma
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Craniopharyngioma
| style="background: #F5F5F5; padding: 5px;" |+
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |+ Bitemporal hemianopia
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
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Line 224: Line 250:
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |Pinealoma
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Pinealoma
| style="background: #F5F5F5; padding: 5px;" |+
| style="background: #F5F5F5; padding: 5px;" |
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| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |+ vertical gaze palsy
| style="background: #F5F5F5; padding: 5px;" |
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| rowspan="2" style="background: #DCDCDC; padding: 5px; text-align: center;" |Vascular
| rowspan="2" style="background: #DCDCDC; padding: 5px; text-align: center;" |Vascular
| style="background: #DCDCDC; padding: 5px; text-align: center;" |AV malformation
| style="background: #DCDCDC; padding: 5px; text-align: center;" |AV malformation
| style="background: #F5F5F5; padding: 5px;" |+
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |Brain aneurysm
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Brain aneurysm
| style="background: #F5F5F5; padding: 5px;" |+
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| rowspan="5" style="background: #DCDCDC; padding: 5px; text-align: center;" |Infectious
| rowspan="5" style="background: #DCDCDC; padding: 5px; text-align: center;" |Infectious
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Bacterial brain abscess
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Bacterial brain abscess
| style="background: #F5F5F5; padding: 5px;" |+
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| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |+
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| style="background: #DCDCDC; padding: 5px; text-align: center;" |Tuberculosis
| style="background: #DCDCDC; padding: 5px; text-align: center;" |Tuberculosis
| style="background: #F5F5F5; padding: 5px;" |+
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| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |
| style="background: #F5F5F5; padding: 5px;" |+
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Revision as of 15:44, 16 January 2019

Astrocytoma Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Astrocytoma from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

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Physical Examination

Laboratory Findings

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Fahimeh Shojaei, M.D.

Overview

Differentiating astrocytoma from other Diseases

Diseases Clinical manifestations Para-clinical findings Gold standard Additional findings
Symptoms Physical examination
Lab Findings Imaging Histopathology
Headache Seizure Visual disturbance Hearing loss Constitutional Extraocular movement disorder Hydrocephalus Focal neurologic deficit EPO Prolactin CT scan MRI
Adult primary brain tumors Glioblastoma multiform + +
  • Astrocyte origin
  • Pleomorphic cell
  • Pseudopalisading appearance
  • GFAP+
  • Necrosis+
  • Hemorrhage+
  • Vascular prolifration+
Oligodendroglioma + +
  • Oligodendrocyte origin
  • Calcification+
  • Fried egg cell appearance
Meningioma + +
  • Arachnoid origin
  • Psammoma bodies
  • Whorled spindle cell pattern
Hemangioblastoma + + +
  • Blood vessel origin
  • Capillaries with thin walls
Pitutary adenoma + + Bitemporal hemianopia +/−
Schwannoma + +
primary CNS lymphoma +
Childhood primary brain tumors Pilocytic astrocytoma +
Medulloblastoma + +
Ependymoma + +
Craniopharyngioma + + Bitemporal hemianopia
Pinealoma + + vertical gaze palsy
Vascular AV malformation +
Brain aneurysm +
Infectious Bacterial brain abscess + +
Tuberculosis + +
Toxoplasmosis +
Hydatid cyst +
Fungal +
Other Brain metastasis +

References

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