Presentation
Additionally, contrary to previous literature that describes gemistocytic astrocytoma as a purely supratentorial lesion, we present two cases of gemistocytic astrocytoma involving the brainstem. [ncbi.nlm.nih.gov]
Each example is presented in a case based format and the wide variety of cases presented covers the entire scope of brain tumors and offers the opportunity to review both the basics for the beginner or relatively inexperienced pathologist and also offers [books.google.com]
For a general discussion of clinical presentation, epidemiology, treatment please refer to the article on low grade astrocytomas. [radiopaedia.org]
Entire Body System
- Pathologist
[…] experienced pathologists the chance to see some of the rare entities. [books.google.com]
[…] sack tumor, Embryonal carcinoma Choriocarcinoma Tumors of sellar region Craniopharyngioma Granular cell tumor Familial Tumors Neurofibromatosis type 1 Neurofibromatosis type 2 Von Hippel Lindau Tuberous sclerosis Metastatic tumors Image Donated by the pathologist [howmed.net]
This is the first case where this typical progression pattern was not observed in over thirty years of clinical practice by the senior pathologist of this case report. [cureus.com]
The Daumas-Duport grading system has organized relatively well-defined features recognizable by most pathologists into a point system that is useful in distinguishing grades II, III, and IV fibrillary astrocytomas. [emedicine.medscape.com]
- Epilepsy
(AT/RT) Retinoblastoma Benign: Acoustic Neuroma (Vestibular Schwannoma) Pituitary Adenoma Trigeminal Neuralgia Sphenopalatine Neuralgia Chronic Cluster Headaches Arteriovenous Malformation (AVM) Cavernous Malformation Glomus Jugulare (Paraganglioma) Epilepsy [en.wikibooks.org]
They are one of the common causes of intractable epilepsy. The CT characteristics of typical low-grade astrocy tomas are those of a poorly defined, hypodense mass. [thamburaj.com]
This association was also observed in a study in which epilepsy was associated with a better outcome if this was the only symptom at presentation. When other symptoms were presented, seizures were no longer a positive prognostic factor ( 14 ). [spandidos-publications.com]
This recently described tumor presents with intractable epilepsy in infancy and early childhood. It is usually located in the frontal or temporal lobe of the brain. A complete surgical resection can cure both the tumor and the seizures. [aans.org]
- Swelling
Changes (such as swelling) may be observed in the back of the eye, where the blind spot is. Usually there are no changes in temperature, blood pressure, pulse or respiratory rates except just before death. [cedars-sinai.edu]
Corticosteroids help lessen the swelling around the brain tumour and may relieve headaches and other symptoms. A commonly used corticosteroid is dexamethasone (Decadron, Dexasone). [cancer.ca]
Characteristics include red or dark patches on the skin; burning, itching, swelling, hardening, and tightening of the skin; yellow spots on the whites of the eyes; joint stiffness with trouble moving or straightening the arms, hands, legs, or feet; pain [emedicine.medscape.com]
- Surgical Procedure
All patients underwent surgical procedures (four total and 19 partial resections, and five biopsies) and postoperative radiation therapy. The majority also had interstitial brachytherapy, chemotherapy, or both. [ncbi.nlm.nih.gov]
procedure, helps to confirm the diagnosis. [12] Treatment The predominant therapy for gemistocytic astrocytoma is surgical resection. [wikidoc.org]
However, even with aggressive surgical procedures, total resection is rarely achieved. This is due to the tumor size, location in critical regions of the brain and the diffusely infiltrative nature of these tumors. [spandidos-publications.com]
Gastrointestinal
- Nausea
Immediately before admission, the patient experienced severe headaches associated with nausea and vomiting, acute confusion, and agitation. Unenhanced CT of the brain revealed a right frontotemporal mass. [ajnr.org]
He had very little nausea thanks to the wonder-drug Kytril. The next day or two was spent at home with IV saline to continue flushing the chemo drugs from his system. [brainstormwebs.com]
Clinical features of this condition commonly include headaches, nausea, papilledema, and blurred vision. [thamburaj.com]
Tumors originating in clinically silent areas of the brain may be quite extensive at diagnosis but present with only signs of raised intracranial pressure, including headaches, nausea, diplopia, personality changes, and lethargy. [12] Inheritable brain [emedicine.medscape.com]
- Vomiting
These symptoms include headache, vomiting and mental status changes. [cedars-sinai.edu]
Infants with a brain tumor tend to present with large heads and non-specific symptoms of irritability, vomiting, failure to thrive, and regression of developmental milestones. [childrensmn.org]
Rarely, the tumor may arise from the third ventricle. [2], [3], [4], [5], [6], [8] Patients commonly present with seizures and symptoms of raised intracranial pressure such as a headache, vomiting, and visual disturbances. [1], [5], [6], [7], [8], [9] [jlponline.org]
Immediately before admission, the patient experienced severe headaches associated with nausea and vomiting, acute confusion, and agitation. Unenhanced CT of the brain revealed a right frontotemporal mass. [ajnr.org]
Eyes
- Blurred Vision
Clinical features of this condition commonly include headaches, nausea, papilledema, and blurred vision. [thamburaj.com]
Musculoskeletal
- Long Arm
Green bars represent amplifications, and CN-LOH is marked with gray boxes. b Results of I-FISH analysis confirming and extending the SNP array findings. 1, biallelic deletion of subtelomeric area of the long arm of chromosome 6; 2, biallelic deletion [molecularcytogenetics.biomedcentral.com]
Psychiatrical
- Aggressive Behavior
Treatment and prognosis In general gemistocytic astrocytomas, although often still considered WHO II tumors, have a more aggressive behavior compared to fibrillary astrocytomas 1-3. [radiopaedia.org]
behavior. [10] However, some atypical SEGA can show more aggressive behavior and requires longer follow-up. [7], [8], [11] Cytologic features of atypical SEGA are not described in the literature the till date. [jlponline.org]
This category of patients with biologically aggressive behavior merits close clinical follow-up and serial neuroimaging to detect early recurrence and malignant transformation. [ruralneuropractice.com]
In contrast, gemistocytic morphology, p53 overexpression and microvascular density count of more than 20 are unfavorable factors, which are indicative of early recurrence and aggressive behavior of the tumor. [neurologyindia.com]
Gemistocytic astrocytoma though classified as a grade II tumor generally shows an aggressive behavior and is characterized by a low proliferative activity. [ijpmonline.org]
Workup
Detection of many of the molecular changes that underlie the development of gliomas and other BT can now be done by immunohistochemistry and is getting into the mainstream of the diagnostic workup of BT. [neuropathology-web.org]
Treatment
Given the generally worse prognosis, most clinicians would favor a more aggressive approach to treatment. [radiopaedia.org]
Learn more about different treatment options for brain tumors on our Treatment page. [abta.org]
It may be given as the main treatment if surgery can’t be done. Chemotherapy may be given after surgery or as the main treatment if surgery can’t be done. The most common chemotherapy drug used is temozolomide (Temodal). [cancer.ca]
Treatment is dictated by the tumor's location and patient's symptoms. [aans.org]
Adjunctive radiation and nitrosourea-based chemotherapy may be required. [6] Surgery : Since gemistocytic astrocytoma can behave aggressively, surgery is the mainstay of treatment. [wikidoc.org]
Prognosis
Given the generally worse prognosis, most clinicians would favor a more aggressive approach to treatment. [radiopaedia.org]
Nevertheless, a precise diagnosis is crucial as the prognosis and therapy of these diseases are different. Quantitative MR imaging sequences, which provide metabolic and vascular information, could be useful in the prevention of misdiagnosis. [ncbi.nlm.nih.gov]
Prognosis Gemistocytic astrocytoma has a poorer prognosis than the other matched WHO grade II (low-grade) astrocytic tumors ( fibrillary astrocytoma, protoplasmic astrocytoma, and oligoastrocytoma ). [1] The 5-year survival rate of patients with gemistocytic [wikidoc.org]
Clinical Outcome and Prognostic Factors Background and Purpose: Although gemistocytic astrocytomas are considered slow-growing tumors, they often behave aggressively and carry the least favorable prognosis among low-grade astrocytomas. [link.springer.com]
Etiology
The etiology, cellular and molecular pathogenic mechanisms remain unclear to a great extent. [journal-imab-bg.org]
For the majority of astrocytoma, the etiology is unknown. Children with a familial cancer predisposition have an increased risk for developing both low grade and high grade gliomas. [childrensmn.org]
Epidemiology
An updated nationwide epidemiology of primary brain tumors in republic of Korea. [scielo.org.mx]
For a general discussion of clinical presentation, epidemiology, treatment please refer to the article on low grade astrocytomas. [radiopaedia.org]
Accessed on January 5, 2016 ↑ 8.0 8.1 Epidemiology of gemistocytic astrocytoma. Dr Ahmed Abd Rabou and A.Prof Frank Gaillard et al. Radiopaedia 2016. http://radiopaedia.org/articles/low-grade-infiltrative-astrocytoma. [wikidoc.org]
Mesothelioma Cristaudo A, et al., SV40 enhances the risk of malignant mesothelioma among people exposed to asbestos: a molecular epidemiologic case-control study. Cancer Res. 2005 Apr 15;65(8):3049-52. [sv40foundation.org]
Epidemiologic data support a peak incidence in the fifth decade, a point between the peak incidence of diffuse astrocytomas (fourth decade) and glioblastomas (seventh decade). [2, 3] Pathologic confirmation comes from serial biopsies of individuals with [emedicine.medscape.com]
Pathophysiology
Gemistocytic astrocytoma is a histologic subtype of low grade astrocytoma, with a poorer prognosis than other matched WHO grade II astrocytic tumors. [1] Historical Perspective Gemistocytic astrocyte was first described by Franz Nissl in the 20th century. [2] Pathophysiology [wikidoc.org]
Astrocytomas in the base of the brain are more common in young people and account for roughly 75% of neuroepithelial tumors. [ citation needed ] Pathophysiology [ edit ] Astrocytoma causes regional effects by compression, invasion, and destruction of [en.wikipedia.org]
Pathophysiology There are two forms of nephrosclerosis: malignant (accelerated) and benign. Anat. [forexgrowthfunds.com]
[…] genomewide data from multiple platforms delineated three molecular classes of lower-grade gliomas that were more concordant with IDH, 1p/19q, and TP53 status than with histologic class. [5, 6, 7] These findings were also reported in a 2013 study. [8] Pathophysiology [emedicine.medscape.com]
Prevention
A report released by AICR estimated the number of cancers that could be prevented each year in the United States if everyone maintained a healthy body weight: 1 Percentages from AICR/WCRF ’ s Policy and Action for Cancer Prevention, 2009 2 Calculated [news.cancerconnect.com]
Quantitative MR imaging sequences, which provide metabolic and vascular information, could be useful in the prevention of misdiagnosis. [ncbi.nlm.nih.gov]
Quantitative MR imaging sequences, which provide metabolic and vascular information, could be useful in the prevention of misdiagnosis. The full text of this article is available in PDF format. [em-consulte.com]
Clinical trials look at new ways to prevent, find and treat cancer. Find out more about clinical trials . [cancer.ca]
Prevention [ edit ] There are no precise guidelines because the exact cause of astrocytoma is not known. Treatment [ edit ] For low-grade astrocytomas, removal of the tumor generally allows functional survival for many years. [en.wikipedia.org]