Chordoid glioma is a rare, slowly growing tumor of the CNS, which is always located in the third ventricle of adults. Chordoid glioma has classic histological features consisting of clusters and cords of epithelioid tumor cells embedded within a mucinous stroma with rich lymphoplasmacytic infiltrate. The important distinctive immunohistochemical feature of this neoplasm is strong and diffuse reactivity for GFAP. Here, we report four cases of chordoid glioma that occupied the anterior portion of the third ventricle or suprasellar region. These four cases were all adult females with almost typical clinical, radiological, histologic and immunohistochemical characteristics of chordoid glioma. However, in one case there was an unusual histologic finding with regard to the papillary region. In this region, elongated tumor cells were observed radiating toward a central vessel to form characteristic papillary structures. Immunohistochemically, three cases showed strong reactivity for GFAP, and one exhibited weak reactivity. All cases were focally positive for epithelial membrane antigen, CD34 and D2-40, but negative for neurofilament protein (NFP). Several ultrastructural investigations have supported the ependymal origin of chordoid glioma. In some cases of immunoreactivity for NFP, some authors have supposed that chordoid glioma originates from a multipotential stem cell with glial and neuronal cell differentiation. With regard to the present four cases with immunoreactivity for D2-40 (an ependymal marker) and CD34 (undifferentiated neural precursors) and based on previously published data, we considered that the majority of chordoid gliomas had an ependymal origin, and that a small minority might have originated from a multipotential stem cell having ependymal and neuronal cell differentiation.
基金:
Beijing Municipal Health Bureau “215 project” (No. 2011-3-095)
第一作者机构:[1]Department of Neuropathology, Xuanwu Hospital, Capital Medical University, Beijing, China
通讯作者:
通讯机构:[*1]Department of Neuropathology, Xuanwu Hospital, Capital Medical University, Chang Chun Street 45, Xuanwu District, Beijing 100053, China.
推荐引用方式(GB/T 7714):
Hai-Chun Ni,Yue-Shan Piao,De-Hong Lu,et al.Chordoid glioma of the third ventricle: Four cases including one case with papillary features[J].NEUROPATHOLOGY.2013,33(2):134-139.doi:10.1111/j.1440-1789.2012.01333.x.
APA:
Hai-Chun Ni,Yue-Shan Piao,De-Hong Lu,Yong-Juan Fu,Xiao-Li Ma&Xiao-Juan Zhang.(2013).Chordoid glioma of the third ventricle: Four cases including one case with papillary features.NEUROPATHOLOGY,33,(2)
MLA:
Hai-Chun Ni,et al."Chordoid glioma of the third ventricle: Four cases including one case with papillary features".NEUROPATHOLOGY 33..2(2013):134-139