|
|
Line 1: |
Line 1: |
| __NOTOC__
| |
| {{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}}
| |
|
| |
| [[Category:Disease]]
| |
| [[Category:Types of cancer]]
| |
| [[Category:Neurology]]
| |
|
| |
| {{WikiDoc Help Menu}}
| |
| {{WikiDoc Sources}}
| |
| [[Category:Up-To-Date]]
| |
| [[Category:Oncology]]
| |
| [[Category:Medicine]]
| |
| [[Category:Neurology]]
| |
| [[Category:Neurosurgery]]
| |