Haemangioblastoma

Case contributed by A.Prof Frank Gaillard

Presentation

Headaches.

Patient Data

Age: 80 years
Gender: Male
CT

A peripherally enhancing mass in the left cerebellar hemisphere is surrounded by oedema and exerts signigicant mass effect with early hydrocephalus. 

Case Discussion

The patient went on to have a resection. 

Histology

Microscopic Description:

Sections show a moderately cellular neoplasm that is well circumscribed from the adjacent cerebellar tissue. There are many thin-walled blood vessels of various sizes, separated by sheets of polygonal stromal cells with pleomorphic nuclei and abundant foamy cytoplasm. Rare mitoses are present. There are focal areas of necrosis and sclerosis that are possibly ischemic in nature.

Final Diagnosis:

Cerebellar lesion, excision: hemangioblastoma.

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Case information

rID: 5375
Published: 9th Jan 2009
Last edited: 29th Mar 2018
Inclusion in quiz mode: Included

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