Pleomorphic xanthoastrocytoma with anaplastic features: A case report.

dc.contributor.authorNiamathullah, Sadiya
dc.contributor.authorSivaselvam, S
dc.contributor.authorGhosh, Mitra
dc.contributor.authorGhosh, Siddhartha
dc.date.accessioned2015-02-12T06:39:33Z
dc.date.available2015-02-12T06:39:33Z
dc.date.issued2014-01
dc.description.abstractPleomorphic xanthoastrocytoma has been considered as an astrocytic tumor with relatively favorable prognosis. It corresponds to WHO Grade-II neoplasm. Recently, several patterns with relatively poor prognosis have been recorded and a new concept of “PXA with anaplastic features” has been proposed. The present case is about a 9-year–old girl who presented with symptoms of recurrent headache, seizures and poor academic performance. MRI revealed left frontoparietal irregular enhancing mass lesion with callosal involvement and right mid-brain arteriovenous malformation. Clinical and radiological examination was suggestive of a high grade glial neoplasm/PNET. A diagnosis of high grade glial neoplasm was rendered on the squash smears submitted for frozen sections based on the presence of spindle cells, admixed with pleomorphic bizarre, giant cells with multilobated nuclei showing few atypical mitosis and abundant eosinophilic cytoplasm. Frontal craniotomy with debulking of the tumor was performed and permanent sections revealed a biphasic glial neoplasm with spindle cells arranged in fascicles admixed with bizarre multinucleated giant cells showing abundant vacuolated and lipidized cytoplasm, nuclear hyperchromasia with intranuclear inclusions. Eosinophilic granular bodies, mitosis of 7/10 HPF, micro vascular proliferation, necrosis and invasion into the underlying brain parenchyma were noted. With these histomorphological fi ndings a diagnosis of pleomorphic xanthoastrocytoma with anaplastic features was rendered.en_US
dc.identifier.citationNiamathullah Sadiya, Sivaselvam S, Ghosh Mitra, Ghosh Siddhartha. Pleomorphic xanthoastrocytoma with anaplastic features: A case report. Indian Journal of Pathology & Microbiology. 2014 Jan-Mar 57 (1): 101-104.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/155980
dc.language.isoenen_US
dc.source.urihttps://www.ijpmonline.org/article.asp?issn=0377-4929;year=2014;volume=57;issue=1;spage=101;epage=104;aulast=Niamathullahen_US
dc.subjectAnaplastic featuresen_US
dc.subjectastrocytic tumoren_US
dc.subjectpleomorphic xanthoastrocytomaen_US
dc.titlePleomorphic xanthoastrocytoma with anaplastic features: A case report.en_US
dc.typeArticleen_US
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