The most important issue when trying to come to grips with this topic is to recognise is that these tumours are not thought to be the same as pituicytoma or for that matter granular cell tumours of the pituitary region, both of which are separate and distinct entities under the current (2016) WHO classification of CNS tumours 2. This is crucial, as some older reports use the term synonymously with pituicytoma, thus confusing the literature even further 3.
Other case reports have suggested that although these tumours are pilocytic astrocytomas they are nonetheless distinct lesions 1. It is probably, however, safer to consider them as a part of optic pathway gliomas (sometimes also referred to by the more accurate but cumbersome term hypothalamic-optochiasmatic gliomas).
This seems to be the stance of the WHO classification of CNS tumour which does not explicitly recognise pilocytic astrocytoma of the neurohypophysis as a distinct entity 2.
- 1. Reís A, Kuzeylí K, Cobanoğlu U, Cakir E, Usul H, Sari A. Pilocytic astrocytoma of neurohypophysis. Neuropathology : official journal of the Japanese Society of Neuropathology. 23 (3): 214-8. Pubmed
- 2. Louis DN, Ohgaki H, Wiestler OD, Cavenee WK "WHO Classification of Tumours of the Central Nervous System. 4th Edition Revised" ISBN: 9789283244929
- 3. Tacconi L, Farah JO, Rossi ML, Jeffreys R. Neurohypophyseal pilocytic astrocytoma invading the skull base. British journal of neurosurgery. 13 (6): 614-7. Pubmed