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29 Cards in this Set

  • Front
  • Back
Most common site that a secondary metastatic brain tumor came from
Lungs
Most common primary malignant CNS tumor in children
Medulloblastoma
Most common primary malignant CNS tumor in adults
Lung carcinoma leading to adenocarcinoma
Most common benign CNS tumor in children
Pilocytic astrocytoma
Most common Benign CNS tumor in adults
Meningioma
The two biggest risk factors for a CNS tumor in order are
Radiation
Immunosuppresion
The most common tumor from radiation and how many years post radiation does it typically develop
Meningioma, 8-10 yrs
What grade are cystic tumors typically? Ring enhancing ones?
Cystic- low grade
Ring-enhancing high grade
Supratentorial vs infratentorial
which is common in adults? which in childre?
Adults- supratentorial
Children- intratentorial
Do low grade tumors closely or poorly resemble the cell tissue of origin?
Closely
Among the gliomas which is the most common type of tumor
Astrocytoma
Is a diffuse astrocytoma grade IV common?
Yes, it is the most common malignant CNS tumor in adults
What does histology of grade IV astrocytoma look like?
nuclear atypia, hypercellular, vascular proliferation, pseudo pallisating
what is the most common site of a pilocytic astrocytoma?
cerebellum
How does a pilocytic astrocytoma look on imaging?
Cystic with a contrast enhancing mural nodule
Describe the defining pathology of a pilocytic astrocytoma
Rosenthal Fibers
Most common site of an oligodendroglioma
Frontal Lobe
What are key pathologic features of oligodendrogliomas
Round Fried Egg Nuclei
Arborizing microvasculature (chicken wire)
A favorable genetic alteration for prognosis of oligodendrogliomas is
loss of 1p/19q
Ependymomas are predominantly tumors of what age group and in which brain location
Children
Posterior Fossa
Pathology of ependymomas shows
perivascular pseudorosettes
Gangliomas typically occur in the
temporal lobe and cause seizures
The location of a medulloblastoma and appearance on radiology
Posterior fossa/ cerebellum
Well circumscribed, contrast enhancing, often nodular
Which tumor has whorls and psammoma bodies
meningiomas
Most common location for a schwannoma
cerebellopontine angle
Describe the enchancing characteristics of astrocytomas
Grade II
Grade III
Grade IV
Grade II - Non-enhancing
Grade III- Patchy enhancing
Grade IV Ring Enchancement
Most commonly mutated tumor suppressor gene in diffuse astrocytomas
TP53
Pathology shows paranuclear halos, what is the most likely genetic mutation involved?
its a Oligodendroglioma, genetics are deletion of 1p/19q
A schwannoma patient likely has what syndrome
Neurofibromatosis type 2