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Open Access Case Report

Intraventricular glioneuronal tumor with disseminated lesions at diagnosis - a case report -

Hirohito Yano1*, Noriyuki Nakayama1, Yoshinobu Hirose2, Naoyuki Ohe1, Jun Shinoda3, Shin-ichi Yoshimura1 and Toru Iwama1

Author affiliations

1 Department of Neurosurgery, Gifu University Graduate School of Medicine, Gifu, Japan

2 Pathology Division, Gifu University Hospital, Gifu, Japan

3 Chubu Medical Center for Prolonged Traumatic Brain Dysfunction, Department of Neurosurgery, Kizawa Memorial Hospital, Minokamo, Japan

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Citation and License

Diagnostic Pathology 2011, 6:119  doi:10.1186/1746-1596-6-119

Published: 6 December 2011

Abstract

A 55-year-old man presented with a large tumor in his lateral ventricles. Magnetic resonance imaging revealed disseminated lesions in the third and fourth ventricles at the time of diagnosis. The patient underwent a partial removal of the tumor in the lateral ventricles. Histologically, the surgical specimens showed glioneuronal differentiation with ganglion or ganglioid cells, Rosenthal fibers, oligodendroglia-like honeycomb appearances, a spongy pattern, perivascular pseudorosettes, and many hyalinized blood vessels. Papillary structure was not observed. The neuronal component showed a moderately high labeling index of Ki-67/MIB-1. We diagnosed this tumor as atypical intraventricular glioneuronal tumor. The disseminated lesions disappeared after chemoradiation therapy with temozolomide, and the residual tumors in the lateral ventricles remained stable for 3 years after the surgery. We discuss the pathological diagnosis, therapy and clinical course with review of the literatures.

Keywords:
dissemination; glioneuronal tumor; immunohistochemistry; intensity-modulated radiation therapy; temozolomide