Myxopapillary ependymoma

Case contributed by A.Prof Frank Gaillard

Presentation

8 month history of low back pain radiating down right leg.

Patient Data

Age: 55 years
Gender: Male

MRI lumbar spine

Modality: MRI

A large ovoid high T2 low T1 mass is located just below the conus. It demonstrates vivid contrast enhancement. Further enhancing deposits are located in the thecal cul de sac. 

MICROSCOPIC DESCRIPTION: The sections show a moderately cellular tumour, forming perivascular pseudorosettes. The tumour cells form cuffs around blood vessels. There is mucoid material in-between the blood vessels and the tumour cells. The tumour cells have mildly enlarged round nuclei and small nucleoli. No mitoses are seen. There is no endothelial cell hyperplasia or necrosis. The features are those of myxopapillary ependymoma.

FINAL DIAGNOSIS: Myxopapillary ependymoma (WHO Grade I). 

Case Discussion

Typical appearances of a myxopapillary ependymoma, with drop metastases. 

PlayAdd to Share

Case Information

rID: 22046
Case created: 6th Mar 2013
Last edited: 2nd Nov 2015
Tag: spine
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.