Papillary Glioneuronal Tumor Masquerading as Malignant Brain Tumors: A Case Report.

IF 0.9 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Yonago acta medica Pub Date : 2023-08-01 DOI:10.33160/yam.2023.08.006
Tomohiro Hosoya, Atsushi Kambe, Daiou Miyamoto, Makoto Sakamoto, Masamichi Kurosaki
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Abstract

Papillary glioneuronal tumor (PGNT) is a low-grade biphasic tumor that is composed of glial fibrillary acidic protein (GFAP)-positive glial cells and synaptophysin-positive neurons. We report a case of PGNT occurring in the right occipital lobe of a 48-year-old woman who presented with acute headache and left homonymous hemianopsia, the latter of which was difficult to distinguish from malignant brain tumors because of peritumoral brain edema, intratumoral hemorrhage, and intraoperative fluorescence staining. PGNT should be included as one of the differential diagnoses in cases where the tumor shows hemorrhagic change despite decreased perfusion in arterial spin labeling MRI.

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乳头状胶质细胞肿瘤伪装成恶性脑瘤1例报告。
乳头状胶质神经元瘤(PGNT)是由胶质原纤维酸性蛋白(GFAP)阳性胶质细胞和突触素阳性神经元组成的低级别双相肿瘤。我们报告一例PGNT发生在右枕叶的48岁女性,她表现为急性头痛和左侧同质偏盲,后者由于瘤周脑水肿、瘤内出血和术中荧光染色难以与恶性脑肿瘤区分。当动脉自旋标记MRI显示灌注减少但肿瘤仍出现出血性改变时,PGNT应作为鉴别诊断之一。
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来源期刊
Yonago acta medica
Yonago acta medica MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
1.60
自引率
0.00%
发文量
36
审稿时长
>12 weeks
期刊介绍: Yonago Acta Medica (YAM) is an electronic journal specializing in medical sciences, published by Tottori University Medical Press, 86 Nishi-cho, Yonago 683-8503, Japan. The subject areas cover the following: molecular/cell biology; biochemistry; basic medicine; clinical medicine; veterinary medicine; clinical nutrition and food sciences; medical engineering; nursing sciences; laboratory medicine; clinical psychology; medical education. Basically, contributors are limited to members of Tottori University and Tottori University Hospital. Researchers outside the above-mentioned university community may also submit papers on the recommendation of a professor, an associate professor, or a junior associate professor at this university community. Articles are classified into four categories: review articles, original articles, patient reports, and short communications.
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