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Clinical features and prognosis for intraventricular liponeurocytoma

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机构: [1]Capital Med Univ, Beijing Tiantan Hosp, Dept Radiol, Beijing, Peoples R China; [2]Capital Med Univ, Beijing Neurosurg Inst, Dept Neuropathol, Beijing, Peoples R China; [3]Harbin Med Univ, Affiliated Hosp 4, PET CT MRI Ctr, Harbin, Heilongjiang, Peoples R China; [4]Univ Louisville, Dept Radiol, Louisville, KY 40292 USA
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关键词: cerebellar liponeurocytoma intraventricular computed tomography magnetic resonance imaging immunohistochemistry

摘要:
Cerebellar liponeurocytoma is a rare central nervous system tumor, we investigate its biological behaviors and clinical prognosis to improve the understanding of this tumor. We retrospectively analyzed the clinical, radiological and histopathological findings as well as follow-up data of two patients with intraventricular liponeurocytomas in Beijing Tiantan Hospital between July 2000 and July 2016. The main clinical manifestations of the two patients were headache. The supratentorial intraventricular liponeurocytoma appeared as isodense to slight hyperdense on CT scan and heterogeneous intensity on T1-weighted imaging (T1WI) and T2-weighted imaging (T2WI). The plaque-like hypodense on CT images and hyperintensity on T1WI resembling fat could be seen inside the tumor. The liponeurocytoma located in the fourth ventricle showed isointensity on T1 and T2WI as well as slight enhancement on contrast. Two patients accepted gross total resection of tumors. Two intraventricular tumors demonstrated similarly histopathological features, such as isomorphic small tumor cells with clear cytoplasm, sheets of monomorphic round cells and focal lipomatous differentiation. In addition, expression of synaptophysin, neuron specific enolase, microtubule-associated protein 2 and S-100 were found. No radiological or clinical evidence of recurrence of the tumors was observed in their follow-up surveys. In conclusion, intraventricular liponeurocytoma has a favorable clinical course, radiological features may be useful in the diagnosis of this rare tumor before surgery.

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出版当年[2016]版:
大类 | 1 区 医学
小类 | 2 区 细胞生物学 2 区 肿瘤学
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Q1 CELL BIOLOGY Q1 ONCOLOGY
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第一作者机构: [1]Capital Med Univ, Beijing Tiantan Hosp, Dept Radiol, Beijing, Peoples R China;
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通讯机构: [1]Capital Med Univ, Beijing Tiantan Hosp, Dept Radiol, Beijing, Peoples R China;
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