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