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42 Cards in this Set

  • Front
  • Back
T or F: Primary brian tumors are the most common solid tumors in the first decade of life
TRUE
T or F: Brain tumors don't generally cause mass effect
FALSE
What makes intrinsic brain tumors lethal
invasion
Where are most primary brain tumors?
frontal lobes (and temporal)
What are the 5 classes of brain tumors?
Glial tumors
Meningeal tumors
Peripheral nerve tumors
Embryonal tumors
Mets
What are some examples of glial tumors?
astrocytomas, oligodendrogliomas, ependymomas
What are some examples of meningeal tumors
meningiomas
What are some examples of peripheral nerve tumors?
Schwannomas and neurofibromas
What is an example of an embryonal tumor
medulloblastoma
Gliomas account for __% of all tumors and __% of malignant tumors of the brain
40% of all tumors and 78% of malignant tumors
What are the most common brain tumors of the brain?
meningiomas
What is the most common brain tumor in pts over 20 yo?
glioblastomas
What are the most common brain tumors in the first 2 decades of life?
medulloblastoma
Which tumor has the worst prognosis?
glioblastomas
Solid glioma that is well circumscribed, solid and cystic found in the cerebellum, hypothalamus, or optic nerve --> __
pilocytic astrocytoma (WHO grade I)
kids or adults more: pilocytic astrocytoma
kids
What are Rosenthal fibers and Eosinophilic granular bodies?
brightly eosinophilic fibers seen in pilocytic astrocytoma that are remnants of degenerating axons, etc. indicative of a slow-growing process.
Diffuse infiltration by cytologically atypical cells that are diffuse and hyperdense on T2 non-con MRI. What kind of glioma?
Diffuse astrocytoma (WHO grade II)
What is a grade III astrocytoma?
Anaplastic astrocytoma
Which astrocytoma has variable MRI appearance, and histo similar to diffuse astrocytoma with increased mitotic activity?
Anaplastic astrocytoma
Which is a grade II glimoa?
Diffuse astrocytoma (WHO grade II)
What is a grade IV astrocytoma?
glioblastoma
What astrocytoma presents as a single ring enhancing lesion on T1 MRI?
glioblastoma
Which astrocytoma has microvascular proliferation and necrosis(pseudopalisading)?
glioblastoma
Which gliomas are frequently calcified?
oligodendrogliomas
What is the signature molecular event of oligodendrogliomas?
deletion of 1p and 19q (usually an unbalanced translocation)
Which non-diffuse glioma typically grows in the cerebellum and spinal cord?
ependymomas
Which glioma can seed the CSF?
ependymomas
perivasuclar rosette -->
ependymomas
What is a useful diagnostic feature of meningioma on T1 MR w/ con?
dural tail
Which tumor takes up contrast the best?
meningiomas
What grade are typical meningiomas?
WHO grade I
What are some familial cancer syndromes?
NF1, NF2, TSC, vHL, etc.
Which PNS tumor expands the nerve sheath?
Neurofibromas
Bilateral acoustic schwannoma -->
NF2
Which tumor has biphasic (hypo and hyper cellular areas)?
Schwannomas
what are verocay bodies and where are they seen?
nuclear palisades surrounding acellular zones seen in Schwanomas
Which tumor occurs in the posterior fossa or cerebellum only?
medulloblastoma
What is the grade of medulloblastoma?
WHO grade IV
T or F: Medulloblastomas typically seed the CSF
TRUE
What is the most common "brain" tumor
mets from somewhere else
What are the most common sources of mets to the brain?
lung, breast, skin (melanoma), kidney (rcc)