Ganglioglioma pathophysiology: Difference between revisions

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{{Ganglioglioma}}
{{CMG}}{{AE}}{{SR}}


==Overview==
A ganglioglioma arises from neuronal [[glial]] cells, which are cells of the [[central nervous system]]. On gross pathology, a ganglioglioma varies from being a partially cystic mass with a mural nodule to a solid mass expanding the overlying [[gyrus]]. On microscopic pathology, a ganglioglioma is composed of [[ganglion cells]] and [[neoplastic]] [[glial]] cells with positive staining for [[synaptophysin]], neuronal specific [[enolase]], and [[GFAP]].
==Pathophysiology==
===Genetics===
Development of ganglioglioma is the result of multiple genetic mutations. Genes involved in the pathogenesis of ganglioglioma include ''p53'' and ''p16''.<ref>Genetics of ganglioglioma. Oxford journals Neuro-Oncology. http://neuro-oncology.oxfordjournals.org/content/9/2/124.full</ref>
===Gross Pathology===
*Ganglioglioma is commonly located in the following regions of the [[central nervous system]]:<ref name=dd>Pathophysiology of ganglioglioma. Dr Henry Knipe and Dr Frank Gaillard et al. Radiopaedia 2015. http://radiopaedia.org/articles/ganglioglioma</ref>
**[[Temporal lobe]] (most common)
**[[Frontal lobe]]
**[[Parietal lobe]]
**[[Occipital lobe]]
**[[Thalamus]]
**[[Third ventricle]]
**[[Spinal cord]]
*Their appearance is variable: from a ''partially cystic mass'' with an mural nodule (~45% of cases) to a ''solid mass'' expanding the overlying gyrus.
===Microscopic Pathology===
Gangliogliomas are composed of two cell populations:<ref name=dd>Pathophysiology of ganglioglioma. Dr Henry Knipe and Dr Frank Gaillard et al. Radiopaedia 2015. http://radiopaedia.org/articles/ganglioglioma</ref>
*Ganglion cells (large mature neuronal elements): ''ganglio-''
*Neoplastic glial elements (astrocytic): ''-glioma''
The glial component determines the biological behaviour of ganglioglioma. Dedifferentiation into high grade tumors may occur, and usually involves the glial component.
===Markers===
Neuronal origin is demonstrated by positivity to neuronal markers:<ref name=dd>Pathophysiology of ganglioglioma. Dr Henry Knipe and Dr Frank Gaillard et al. Radiopaedia 2015. http://radiopaedia.org/articles/ganglioglioma</ref>
*[[Synaptophysin]]
*Neuronal specific enolase
*[[GFAP]]
==References==
{{reflist|2}}
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Revision as of 13:22, 31 July 2019