Glioma CT: Difference between revisions

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Head CT scan may be diagnostic of glioma.
Head CT scan may be diagnostic of glioma.


{| style="border: 0px; font-size: 90%; margin: 3px; width: 600px" align=center
|valign=top|
|+
! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|Type of glioma}}
! style="background: #4479BA; width: 400px;" | {{fontcolor|#FFF|Gross pathological features}}
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |
[[Pilocytic astrocytoma]]
| style="padding: 5px 5px; background: #F5F5F5;" |
:1. Large cystic component with a brightly enhancing mural nodule (67%)
:* Non enhancing cyst wall (21%)
:* Enhancing cyst wall (46%)
:2. Heterogeneous, mixed solid and multiple cysts and central necrosis (16%)
:3. Completely solid (17%)
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |
[[Astrocytoma|Low-grade astrocytoma]]
| style="padding: 5px 5px; background: #F5F5F5;" |
:1. Poorly demarcated tumor
:2. Tumor mass causing enlargement of the involved portion of the brain and blurring of anatomical landmarks
:3. Commonly located in the [[cerebrum|cerebral hemisphere]]
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |
[[Astrocytoma|Anaplastic astrocytoma]]
| style="padding: 5px 5px; background: #F5F5F5;" |
:1. Spongy or gelationous mass
:2. Ill defined borders
:3. Microcysts
:4. [[Calcification]]
:5. Commonly located in [[frontal lobe]], [[temporal lobe]], [[brain stem]], or [[spinal cord]]
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |
[[Glioblastoma multiforme]]
| style="padding: 5px 5px; background: #F5F5F5;" |
:1. Poorly-marginated, diffusely infiltrating tumor
:2. Firm or gelatinous in consistency
:3. Central [[necrosis|necrotic]] core
:4. Commonly located in the [[frontal]] and [[temporal lobe]]
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |
[[Oligodendroglioma]]
| style="padding: 5px 5px; background: #F5F5F5;" |
:1. Well circumscribed tumor
:2. Pinkish-white in color
:3. Mucinous changes
:4. Commonly located in the [[frontal lobe]], followed by [[parietal ]] and [[temporal lobes]]
|-
| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |
[[Ependymoma]]
| style="padding: 5px 5px; background: #F5F5F5;" |
:1. Well-differentiated tumor
:2. Exophytic pattern of growth
:3. Commonly located at the [[fourth ventricle]] and [[filum terminale]]
|}





Revision as of 17:51, 22 September 2015

Glioma Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2], Sujit Routray, M.D. [3]

Overview

Head CT scan may be diagnostic of glioma.

CT

Head CT scan may be diagnostic of glioma.

Type of glioma Gross pathological features

Pilocytic astrocytoma

1. Large cystic component with a brightly enhancing mural nodule (67%)
  • Non enhancing cyst wall (21%)
  • Enhancing cyst wall (46%)
2. Heterogeneous, mixed solid and multiple cysts and central necrosis (16%)
3. Completely solid (17%)

Low-grade astrocytoma

1. Poorly demarcated tumor
2. Tumor mass causing enlargement of the involved portion of the brain and blurring of anatomical landmarks
3. Commonly located in the cerebral hemisphere

Anaplastic astrocytoma

1. Spongy or gelationous mass
2. Ill defined borders
3. Microcysts
4. Calcification
5. Commonly located in frontal lobe, temporal lobe, brain stem, or spinal cord

Glioblastoma multiforme

1. Poorly-marginated, diffusely infiltrating tumor
2. Firm or gelatinous in consistency
3. Central necrotic core
4. Commonly located in the frontal and temporal lobe

Oligodendroglioma

1. Well circumscribed tumor
2. Pinkish-white in color
3. Mucinous changes
4. Commonly located in the frontal lobe, followed by parietal and temporal lobes

Ependymoma

1. Well-differentiated tumor
2. Exophytic pattern of growth
3. Commonly located at the fourth ventricle and filum terminale










Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology


References


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