Abstract
The incidence of CNS tumors is 7–10 per 100,000 (Parkin and Muir 1992). These include parenchymal tumors as well as other non-CNS intracranial lesions like meningioma. CNS tumors can be organized according to the cell of origin, location, or behavior. Consideration of metastatic lesions provides an additional criterion for organization into primary and secondary lesions. Most presentations and classifications are based on the cell of origin, including the recent classification protocols established by the World Health Organization (WHO) (Kleihues et al. 1993; Burger 1995). The bulk of this chapter is organized according to the cell of origin. The cell of origin is not known for all CNS tumors. The identity of the hemangioblastoma stromal cell, for example, is not known. The bulk of the mature central nervous system cellular population consists of neurons, astrocytes, oligodendrocytes,and ependymal cells. These are all derivatives of the primitive embryona neuroectoderm. The most common intraparenchymal neoplasms arise from the astrocyte and will be discussed first.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Abbott NJ, Reverst PA, Romero IA (1992) Astrocyte endothelial interaction: physiology and pathology. Neuropath Appl Neurobiol 18:424–433
Alguacil Garcia A, Pettigrew NM, Sima AA (1986) Secretory meningioma. A distinct subtype of meningioma. Am J Surg Pathol 10: 102–111
Allegranza A, Ferraresi S, Bruzzone M, et al. (1991) Cerebromeningothelial pleomorphic xanthoastrocytoma. Report on four cases: clinical, radiologic and pathologic fea tures. (Including a case with malignant evolution). Neurosurg Rev 14:43–49
Bailey P, Cushing H, Eisenhardt L (1928) Angioblastic meningiomas. Arch Pathol 6: 953–990
Becker LE, Hinton D (1983) Primitive neuroectodermal tumors of the central nervous system. Hum Pathol 14:538– 550
Becker I, Paulus W, Roggendorf W (1989) Histogenesis of stromal cells in cerebellar hemangioblastomas: an immunohistochemical study. Am J Pathol 134:271–275
Burns PE, Jha N, Bain GO (1986) Association of breast cancer with meningioma. A report of five cases. Cancer 58:1537–1539
Burger PC (1995) Revising the World Health Organization (WHO) blue-histological typing of tumors of the centralnervous system. J Neurooncol 24:3–7
Chisti MK, Bannister CM (1992) Foci of extramedullary hematopoiesis in a cerebellar hemangioblastoma. Br Neurosurg 6:157–162
Cioffi F, Buric J, Carnesecchi S, et al. (1996) Spinal meningiomas in pregnancy: report of two cases and review of the literature. Eur J Gynecol Oncol 17:384–388
Coons SW, Johnson PC (1991) Histopathology of astrocytomas: grading, patterns of spread, and correlation with modern imaging modalities. Sem Radiat Oncol 1:2–9
Cooper ERA (1935) The relation of oligocytes and astrocytes in cerebral tumors. J Pathol 41:259–266
Daumas-Duport C, Scheithauer BW, OFallon J, et al. (1988) Grading of astrocytomas. A simple and reproducible method. Cancer 62:2152–2165
Guerrieri C, Jarlsfelt I (1993) Ependymoma of the ovary. A case report with immunohistochemical, ultrastructural,and DNA cytometric findings, as well as histogenetic considerations.Am J Surg Pathol 17:623–632
Hart MN, Petito CK, Earle KM (1974) Mixed gliomas. Cancer 33:134–140
Ho K-L (1984) Ultrastructure of cerebellar capillary hemangioblastoma. I. Weibel-Palade bodies and stromal cell histiogenesis. J Neuropathol Exp Neurol 43:592–608
Hsa DW, Louis DN, Efird JT, et al. (1997) Use of MIB-1 (Ki-67) immunoreactivity in differentiating grade II and grade III gliomas. J Neuropathol Exp Neurol 56:857–865
Kepes JJ, Rubinstein LJ, Eng LF (1979) Pleomorphic xanthoastrocytoma: a distinctive meningiocerebral glioma of young subjects with relatively favorable prognosis. A study of 12 cases. Cancer 44:1839–1852
Kepes JJ (1986) Presidential address: the histopathology of meningiomas. A reflection of origins and expected behavior? J Neuropathol Exp Neurol 45:95–107
King P, Cooper PN, Malcolm AJ (1993) Soft tissue ependymoma: a report of three cases. Histopathology 22:394–396
Kleihues P, Burger PC, Scheithauer BW (1993) The new WHO classification of brain tumors. Brain Pathol 3:255–268
Kochi N, Budka H (1987) Contribution of histiocytic cells to sarcomatous development of the gliosarcoma. An immunohistochemical study. Acta Neuropathol (Berl) 73:124–130
Langley OK (1990) Ion exchange at the node of Ranvier. Histochem J 100:113–123
Little NS, Morgan MK, Eckstein RP (1994) Primary ependymoma of a cranial nerve: Case report. J Neurosurg 81:792–794
Norenberg MD, Martinez-Hernandez A (1979) Fine structural localization of glutamine synthetase in astrocytes of the rat brain. Brain Res 161:303–310
Parkin DM, Muir CS (1992) Cancer incidence in five continents. Comparability and quality of data. International Agency for Research on Cancer (IARC) Scientific Publications 120:45–173
Paulson OB, Newman EA (1987) Does the release of potassium from astrocyte end-feet regulate cerebral blood flow? Science 7:896–898
Prayson RA, Estes ML (1995) Protoplasmic astrocytoma. A clinicopathological study of 16 tumors. Am J Clin Pathol 103:705–709
Rorke LB (1983) The cerebellar medulloblastoma and its relationship to primitive neuroectodermal tumors. J Neuropath Exp Neurol 42:1–15
Schoenberg BS, Christine BW, Whisnant JP (1975) Nervous system neoplasms and primary malignancies of other sites. The unique association between meningiomas and breast cancer. Neurol 25:705–712
Shimura T, Hirano A, Llena JF (1985) Ultrastructure of cerebellar hemangioblastoma: some new observations on the stromal cells. Acta Neuropathol (Berl) 67:6–12
Slowik F, Jellinger K, Gaszo L, et al. (1985) Gliosarcomas: histological, immunohistochemical, ultrastructural, and tissue culture studies. Acta Neuropathol (Berl) 67:201–210
Weldon-Linne CM, Victor TA, Groothuis DR, et al. (1983) Pleomorphic xanthoastrocytoma. Ultrastructural and immunohistochemical study of a case with a rapidly fatal outcome following surgery. Cancer 52:2055–2063
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2003 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Atkinson, R. (2003). Pathology of CNS Tumors. In: Petrovich, Z., Brady, L.W., Apuzzo, M.L.J., Bamberg, M. (eds) Combined Modality Therapy of Central Nervous System Tumors. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56411-6_2
Download citation
DOI: https://doi.org/10.1007/978-3-642-56411-6_2
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-00627-5
Online ISBN: 978-3-642-56411-6
eBook Packages: Springer Book Archive