CENTRAL NEUROCYTOMA: CASE REPORT

Year 2010, Volume: 4 Issue: 2, 81 - 84, 25.07.2010

Salim Şentürk

Abstract

Intraventriculer tumours account %2.5-5 of all intracranial tumours and generally originate from ependyma, choroid plexus and rarely from neuronal cells. Neurocytoma is a tumor that originates from neuronal precursors in the periventricular germinal matrix and benign as histopathological. Commonly, it is situated around the foramen of Monroe and is seen in young adults with obstructive hydrocephalus symptoms. This tumor which is rarely seen and which has good biological behaviour, has a good prognosis after total (or gross total) resection by surgery. In the histopathological diagnosis, it differs from ependymomas and oligodendrogliomas by further immunohistochemical and ultrastructural investigations. We present an intraventricular central neurocytoma that was evacuated gross totally by surgery.

Keywords

Surgery, histology, intraventricular tumour, central neurocytoma

SANTRAL NÖROSİTOMA: VAKA TAKDİMİ

Abstract

Ventrikül içi tümörler tüm intrakranial tümörlerin %2.5-5’ini oluşturur ve çoğunlukla epan-dim ve koroid pleksustan, nadiren nöronal hücrelerden köken alır. Nörositoma, periventriküler germinal matriksteki nöronal hücrelerden köken alan histopatolojik olarak benign bir tümördür. Genellikle foramen Monroe çevresinde yerleşir ve genç erişkinlerde çoğunlukla tıkayıcı hidrosefali bulguları ile ortaya çıkarlar. Benign biyolojik davranışa sahip olan santral nörositomanın cerrahi olarak tam çıkarılması ile iyi prognoz elde edilmektedir. Histopatolojik tanıda epandimom ile oligodendrogliomdan immünohistokimyasal ve ultrastrüktürel incelemelerle ayrılır. Kliniğimizde intraventriküler santral nörositom tanısı alan ve cerrahi olarak tümörü tamamen çıkarılan bir olguyu literatürü gözden geçirerek sunuyoruz.

Dr. Ömer Faruk TÜRKOĞLU,
Dr. Salim ŞENTÜRK,
Dr. Barış SAYGILI,
Dr. Dinç SÜREN,
Dr. Özerk OKUTAN,
Dr. Etem BEŞKONAKLI

Keywords

Cerrahi, histoloji, ventrikül içi tümör, santral nörositoma

References

• 1. Hassoun J, Söylemezoglu F, Gambarelli D, Fgarella-Branger D, Von Ammon K, Klei-hues P et al. Centralneurocytoma: a synopsis of clinical and histological features. Brain Pathol 1993; 3; 297-306
• 2. Hassoun J, Gambarelli D, Grisoli F, HenricA, Toga M . Centralneurocytoma. An electron-microscopic study of two cases. Acta Neuro-pathol 1982; 56: 151-156
• 3. Resimarella-Branger D, Soylemezoglu F, Kleihues P, Hassoun J. Central neurocytoma In: Kleihues P Cavenee WK, editors. Pathology and genetics of tumors of the central nervous system.World Health Organization classification of tumours. IARC Press, Lyon, 2000; p. 107-111
• 4. Lee HY, Chuah KL, Chan LP. An intraventricular braintumor in a young woman. Part 1. Central neurocytoma. Pathology 2002; 34:185-188
• 5. Moller-Hartmann W, Krings T, Brunn A, Ko ri nth M, Thron A . Proton magnetic resonance spectroscopy of neurocytoma outside the ventricular region. Case report and review of theliterature. Neuroradiology 2002; 44: 230-234
• 6. Tatter SB, Borges LF, Louis DN. Central neurocytoma of the cervical spinal cord. Report of two cases. J Neurosurg 1994; 81: 288-293
• 7. Kulkarni V, Rajshekhar V, Haran RP, Chandi SM. Long-term outcome in patients with central neurocytoma following stereotactic biopsy and radiation therapy. Br J Neurosurg 2002; 16: 126-132
• 8. Elek G, Slowik K, Eross L. Central neurocytoma with malignant course. Pathol Oncol Res 1999; 5: 155-159
• 9. Nishio S, Tashima T, Takeshita I, Fukui M. Intraventricular neurocytoma: Clinicopatho-logical features of six cases.J Neurosurg 1988; 68: 665-670
• 10. Maiuri F, Spaziante R, De Caro ML, Cappa-bianca P, Giamundo A, laconetta G.. Central neurocytoma: clinico-pathological study of 5 cases and review of the literature. Clin Neurol Neurosurg 1995; 97: 219-228
• 11. Eng DY, De Monte F, Ginsberg L, Fuller G, Jaeckle K. Craniospinal dissemination of central neurocytoma. J Neurosurg 1997; 86: 547-552
• 12. Bertalanffy A, Roessler K, Koperek O, Gelpi E, Prayer D, Knosp E. Recurrent central neurocytomas. Cancer 2005; 104: 135-142
• 13. Pollock BE, Stafford SL. Stereotactic radiosurgery for recurrent central neurocytoma: case report. Neurosurgery 2001; 48: 441443
• 14. Becker M, Schroth G, Zbaren P, Denavella J, Greiner R, Vock P et al. Long-term changes induced by high-dose irradiation of the head and neck region: imaging findings. Radiographics 1997; 17: 5-26
• 15. Kim CY, Paek SH, Kim DG.. Linear accelerator radiosurgery for central neurocytoma: a case report. J Neurooncol 2003; 61: 249254
• 16. Martin JM, Katati M, Lopez E, Bullejos JA, Arregui G, Busquier H et al. Linear accelerator radiosurgery in treatment of central neurocytomas. Acta Neurochir (Wien) 2003; 145: 749-754 discussion 754
• 17. Moussa R, Abadjian G, Nader M, Rizk T, Samaha E, Nohra G et al. Central neurocytoma. Four patients. Neurochirurgie 2004; 50:639-646
• 18. Leenstra JL, Rodriguez FJ, Frechette CM, Giannini C, Stafford SL, Pollock BE et al. Centra neurocytoma: management recommendations based on a 35-year experience. Int J Radiat Oncol Biol Phys 2005; 67: 11451154
• 19. Rades D, Schild SE. Value of postoperative stereotactic radiosurgery and conventional radiotherapy for incompletely resected typical neurocytomas. Cancer 2006; 106: 1140-1143
• 20. Von Koch CS, Schmidt MH, Uyehara-Lock JH, Berger MS,Chang SM. The role of PCV chemotherapy in the treatment of central neurocytoma: illustration of a case and review of the literature. Surg Neurol 2003; 60: 560-565