Gangliocytoma

Case contributed by Frank Gaillard , 27 Jan 2009
Diagnosis certain
Changed by Frank Gaillard , 3 Dec 2015

Updates to Study Attributes

Updates to Study Attributes

Findings was added:

An enhancing multicystic mass in the superior frontal gyrus of the right frontal lobe is demonstrated with surrounding vasogenic oedema. It appears to be centred on the white matter. 

Images Changes:

Image MRI (Gradient Echo) ( update )

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Description was removed:
Gangliocytoma GE

Image MRI (T1 C+) ( update )

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Gangliocytoma T1 Gad

Image MRI (T2) ( update )

Description was removed:
Gangliocytoma T2

Image MRI (DWI) ( update )

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Gangliocytoma DWI
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Image MRI (FLAIR) ( update )

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Gangliocytoma FLAIR
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Image MRI (T1) ( update )

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Gangliocytoma T1
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Image MRI (T1 C+) ( update )

Description was removed:
Gangliocytoma T1 Gad
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Image MRI (T1 C+) ( update )

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Gangliocytoma T1 Gad
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Image 2 MRI (T1 C+) ( update )

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Image 3 MRI (T2) ( update )

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Image 8 MRI (Gradient Echo) ( update )

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Updates to Case Attributes

Diagnostic Certainty was set to .
Body was changed:

Final Diagnosis:

Right frontal lesion: gangliocytoma.

Based

The patient went on the histological features of the small amount of tissue provided, the appropriate diagnosis is gangliocytomato have a craniotomy and biopsy. This is an uncommon benign primary brain tumour.

Histology

Microscopic Description:

Sections show multiple small fragments of neuropil containing focal collections of atypical ganglion cell neurons. These cells have large round nuclei with prominent nucleoli, abundant cytoplasm and peripheral Nissl substance. The cells are atypical in their morphology, orientation and spacial arrangement. Many blood vessels are surrounded by small cuffs of reactive lymphocytes. The intervening neuropil shows a mild degree of reactive gliosis, occasional axonal steroids and multiple small calcified deposits, resembling psammoma bodies. There does not appear to be any neoplastic glial component to this lesion.

Final Diagnosis: gangliocytoma.

  • -<h4>Final Diagnosis: </h4><p>Right frontal lesion: <a href="/articles/gangliocytoma">gangliocytoma</a>.</p><p>Based on the histological features of the small amount of tissue provided, the appropriate diagnosis is gangliocytoma. This is an uncommon benign primary brain tumour.</p><h5>Microscopic Description: </h5><p>Sections show multiple small fragments of neuropil containing focal collections of atypical ganglion cell neurons. These cells have large round nuclei with prominent nucleoli, abundant cytoplasm and peripheral Nissl substance. The cells are atypical in their morphology, orientation and spacial arrangement. Many blood vessels are surrounded by small cuffs of reactive lymphocytes. The intervening neuropil shows a mild degree of reactive gliosis, occasional axonal steroids and multiple small calcified deposits, resembling psammoma bodies. There does not appear to be any neoplastic glial component to this lesion.</p>
  • +<p>The patient went on to have a craniotomy and biopsy. </p><p><strong>Histology</strong></p><p>Microscopic Description:</p><p>Sections show multiple small fragments of neuropil containing focal collections of atypical ganglion cell neurons. These cells have large round nuclei with prominent nucleoli, abundant cytoplasm and peripheral Nissl substance. The cells are atypical in their morphology, orientation and spacial arrangement. Many blood vessels are surrounded by small cuffs of reactive lymphocytes. The intervening neuropil shows a mild degree of reactive gliosis, occasional axonal steroids and multiple small calcified deposits, resembling psammoma bodies. There does not appear to be any neoplastic glial component to this lesion.</p><p>Final Diagnosis: <a href="/articles/gangliocytoma">gangliocytoma</a>.</p>

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