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  • 1
    ISSN: 1432-1920
    Keywords: Key words Xenon CT ; Astrocytoma ; Brain-blood partition coefficient
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract It is possible to underestimate the grade of nonenhancing cerebral tumours on conventional contrast-enhanced MRI or CT. Differentiation of high- and low-grade gliomas by measurement of the brain-blood partition coefficient lambda (Tλ ) with Xe-enhanced CT (XeCT) has been reported. We assessed the practical applications of XeCT in suspected low-grade astrocytomas. We examined 15 patients with tumours which showed no contrast enhancement on conventional MRI and CT, using XeCT. Tumour blood flow (TBF) and Tλ were calculated. Fourteen patients underwent surgery, one patient had a biopsy. We recognised three histological groups. While Tλ differed significantly between them, TBF did not. Group 1 contained grade II–III astrocytomas and Tλ was 0.77; group 2 contained grade I–II astrocytomas with Tλ 1.14, and group 3 four oligodendrogliomas in which a Tλ of 1.50 was found.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-0533
    Keywords: Brain tumour ; Suprasellar tumour ; Meningioma ; Glial fibrillary acidic protein ; Neuropathology
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A 24-year-old female presented with a 3-year history of a suprasellar and intraventricular solid midline process measuring about 3×4 cm. At surgery, this tumour was sharply delineated and of stone-like firmness and was removed completely. Histology suggested meningioma, featuring nests and cords of epithelium-like cells with prominent cytoplasm amidst abundant fibrous stroma with prominent lymphoplasmocellular infiltration. Immunocytochemically, the tumour cells expressed vimentin, S-100 protein, epithelial membrane antigen, cytokeratins, and most surprisingly, glial fibrillary acidic protein (GFAP). Ultrastructural investigation revealed abundant intermediate filaments and occasionally dense secretory granules in tumour cells with short, finger-like cytoplasmic processes joined by very rare small, but well-developed desmosomes. This tumour most likely represents a peculiar variant of meningioma with prominent production of GFAP, as previously described [Budka H (1986) Acta Neuropathol (Berl) 72: 43–54].
    Type of Medium: Electronic Resource
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