Malignant craniopharyngioma; case report and review of the literature

被引:25
作者
Boongird, Atthaporn [1 ]
Laothamatas, Jiraporn [2 ]
Larbcharoensub, Noppadol [3 ]
Phudhichareonrat, Suchart [4 ]
机构
[1] Mahidol Univ, Dept Surg, Ramathibodi Hosp, Fac Med, Bangkok 10400, Thailand
[2] Mahidol Univ, Dept Radiol, Ramathibodi Hosp, Fac Med, Bangkok 10400, Thailand
[3] Mahidol Univ, Dept Pathol, Ramathibodi Hosp, Fac Med, Bangkok 10400, Thailand
[4] Prasat Neurol Inst, Dept Pathol, Bangkok, Thailand
关键词
adamantinomatous pattern; anaplastic; malignant craniopharyngioma; suprasellar region;
D O I
10.1111/j.1440-1789.2008.00986.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A case of malignant craniopharyngioma in a 46-year-old woman presenting clinically with visual disturbance and bifrontal headache is reported. Histopathologic examination of the suprasellar mass showed a lesion characterized by nests of epithelial cells with a basaloid appearance, round-to-oval nuclei, moderate pleomorphism, hyperchromasia, increased nuclear cytoplastic ratio and high mitotic activity. Immunohistochemically, the tumor cells were positive for Ki-67 (44.3%), p53 (98%), and p63 (100%), but negative for estrogen and progesterone receptors. Clinical and pathologic features with a brief review of the relevant literature for malignant craniopharyngioma as a novel member of tumors of the suprasellar region, is discussed.
引用
收藏
页码:591 / 596
页数:6
相关论文
共 11 条
[1]  
AKACHI K, 1987, SHINKEI GEKA, V15, P843
[2]  
ASA SL, 1997, ATLAS TUMOR PATHOL, P167
[3]  
JANZER RC, 2000, WHO CLASSIFICATION T, P244
[4]  
Kristopaitis T, 2000, ARCH PATHOL LAB MED, V124, P1356
[5]   The 2007 WHO classification of tumours of the central nervous system (vol 114, pg 97, 2007) [J].
Louis, David N. ;
Ohgaki, Hiroko ;
Wiestler, Otmar D. ;
Cavenee, Webster K. ;
Burger, Peter C. ;
Jouvet, Anne ;
Scheithauer, Bernd W. ;
Kleihues, Paul .
ACTA NEUROPATHOLOGICA, 2007, 114 (05) :547-547
[6]   Immunohistochemical analysis of the p53 family members in human craniopharyngiomas [J].
Hiroyuki Momota ;
Shingo Ichimiya ;
Tatsuru Ikeda ;
Toshiaki Yamaki ;
Tomoki Kikuchi ;
Kiyohiro Houkin ;
Noriyuki Sato .
Brain Tumor Pathology, 2003, 20 (2) :73-77
[7]   MALIGNANT TRANSFORMATION IN CRANIOPHARYNGIOMA [J].
NELSON, GA ;
BASTIAN, FO ;
SCHLITT, M ;
WHITE, RL .
NEUROSURGERY, 1988, 22 (02) :427-429
[8]  
Nishi T, 1999, INT J MOL MED, V3, P157
[9]   Dramatic response of malignant craniopharyngioma to cis-platin-based chemotherapy. Should craniopharyngioma be considered as a suprasellar 'germ cell' tumour? [J].
Plowman, PN ;
Besser, GM ;
Shipley, J ;
Summersgill, B ;
Geddes, J ;
Afshar, F .
BRITISH JOURNAL OF NEUROSURGERY, 2004, 18 (05) :500-505
[10]   The spectrum of malignancy in craniopharyngioma [J].
Rodriguez, Fausto J. ;
Scheithauer, Bernd W. ;
Tsunoda, Shigeru ;
Kovacs, Kalman ;
Vidal, Sergio ;
Piepgras, David G. .
AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 2007, 31 (07) :1020-1028