Rhabdoid choroid plexus carcinoma: a rare histological type

Arquivos de Neuro-Psiquiatria

Martha Lilia Tena-suck²  Juan Luis Gómez-amador¹  Alma Ortiz-plata²  C. Salina-lara²  Daniel Rembao-bojórquez²  Rosalba Vega-orozco² 

[1] ,Instituto Nacional de Neurología y Neurocirugía Department of Neuropathology México City,México

关键词: choroid plexus tumors;    imunohistochemistry;    rhabdoid;    rhabdoid features;    rhabdoid carcinoma;    tumores del plexo coróide;    tumor rabdoide;    carcinoma rabdoide;    imunohistoquímica;   

DOI  :  10.1590/S0004-282X2007000400032

来源: SciELO

【 摘 要 】

Primary central nervous system atypical teratoid/rhabdoid tumors mostly occur during early childhood and are almost invariably fatal. These tumors show similar histological and radiological features to primitive neuroectodermal tumor, meduloblastoma and choroid plexus carcinoma, but present different biological behaviors. We present the case of an 18 year-old man who presented headache, vomiting and ataxia. CT-scan and MRI revealed a posterior fossa tumor. A gross total resection was performed. An intraoperative study showed papillary-like tumors with large cells and mitotic features. Histological examination showed two different main growth patterns: solid sheets of undifferentiated polygonal cells with papillary features and rhabdoid cells. Immunohistochemically, these rhabdoid cells were positive for vimentin, epithelial membrane antigen, smooth-muscle actin, cytokeratin, S-100 protein, and glial fibrillary acidic protein. Electro-microscopically, the typical rhabdoid cells contained whorled bundles of intermediate filaments in their cytoplasm. A rhabdoid tumor is a clinicalpathological entity and emphasizes the necessity to distinguish this unique tumor from other pediatric central nervous system neoplasms. Cytopathological features, immunohistochemistry and electro-microscopy differential diagnoses are discussed.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License