Desmoplastic infantile ganglioglioma: a rare tumor with an unusual presentation

Ann Diagn Pathol. 2004 Oct;8(5):280-3. doi: 10.1016/j.anndiagpath.2004.07.004.

Abstract

Desmoplastic infantile ganglioglioma (World Health Organization grade I) is a rare neoplasm. Despite their common large size and spectacular radiologic and histologic features, the prognosis after surgical resection is good. We present a new case of this tumor in a 14-month-old boy with a recent history of intracranial hypertension. Magnetic resonance imaging revealed a large tumor involving the left collateral trigone with dilatation of the lateral ventricles. Surgery revealed two separate solid tumors: one in the left falco-tentorial region and the other in the left rolandic area. Microscopic examination showed a proliferation of neoplastic astrocytes in reticulin-rich desmoplastic stroma associated with scattered ganglion cells. One year after surgery follow-up magnetic resonance imaging did not show tumor progression.

Publication types

  • Case Reports

MeSH terms

  • Astrocytes / metabolism
  • Astrocytes / pathology
  • Biomarkers, Tumor / metabolism
  • Brain / pathology
  • Brain Neoplasms / metabolism
  • Brain Neoplasms / pathology*
  • Brain Neoplasms / surgery
  • Ganglioglioma / metabolism
  • Ganglioglioma / pathology*
  • Ganglioglioma / surgery
  • Humans
  • Immunohistochemistry
  • Infant
  • Magnetic Resonance Imaging
  • Male
  • Necrosis
  • Neoplasm Staging
  • Occipital Lobe / pathology
  • Occipital Lobe / surgery
  • Treatment Outcome

Substances

  • Biomarkers, Tumor