Intracranial Gliofibroma: A Case Report and Review of the Literature

Gliofibroma is a rare tumor with biphasic morphology, commonly occurring in the first two decades of life. Currently, the tumor is not listed as a distinct entity in the current World Health Organization (WHO) classification of central nervous system tumors. As its biological behavior, histogenesis,...

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Main Authors: Patricia Gargano, Graciela Zuccaro, Fabiana Lubieniecki
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Pathology
Online Access:http://dx.doi.org/10.1155/2014/165025
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author Patricia Gargano
Graciela Zuccaro
Fabiana Lubieniecki
author_facet Patricia Gargano
Graciela Zuccaro
Fabiana Lubieniecki
author_sort Patricia Gargano
collection DOAJ
description Gliofibroma is a rare tumor with biphasic morphology, commonly occurring in the first two decades of life. Currently, the tumor is not listed as a distinct entity in the current World Health Organization (WHO) classification of central nervous system tumors. As its biological behavior, histogenesis, and prognostic factors are still debated, the aim of this paper was to describe a case of a gliofibroma and to update the data about these lesions. Hence, we present here clinical symptoms, pathological findings, and evolution observed in a child with gliofibroma. A 10-year-old girl with seizures was referred for study. Neuroimaging showed a hemispheric hyperdense tumor with little peritumoral edema and no mass effect. The tumor was totally removed. Histologically, the tumor consisted of a mixture of glial cells and collagen-rich stroma. Immunohistochemical examination revealed positive staining for GFAP, CD 99, S100, and vimentin. EMA staining showed a paranuclear dot pattern in only few cells in isolated areas. These findings of a glial component with collagenous stroma were consistent with a desmoplastic glioma. Because of the rarity of this entity, we believe it is important to report every case in order to adequately analyze and categorize the tumor in the next WHO classification.
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spelling doaj-art-e43abe76f46c4ac4a73be007307018742025-02-03T06:06:57ZengWileyCase Reports in Pathology2090-67812090-679X2014-01-01201410.1155/2014/165025165025Intracranial Gliofibroma: A Case Report and Review of the LiteraturePatricia Gargano0Graciela Zuccaro1Fabiana Lubieniecki2Department of Pathology, Garrahan Pediatrics Hospital, Combate de los Pozos 1881, C1245AAM Buenos Aires, ArgentinaDepartment of Neurosurgery, Garrahan Pediatrics Hospital, Combate de los Pozos 1881, C1245AAM Buenos Aires, ArgentinaDepartment of Pathology, Garrahan Pediatrics Hospital, Combate de los Pozos 1881, C1245AAM Buenos Aires, ArgentinaGliofibroma is a rare tumor with biphasic morphology, commonly occurring in the first two decades of life. Currently, the tumor is not listed as a distinct entity in the current World Health Organization (WHO) classification of central nervous system tumors. As its biological behavior, histogenesis, and prognostic factors are still debated, the aim of this paper was to describe a case of a gliofibroma and to update the data about these lesions. Hence, we present here clinical symptoms, pathological findings, and evolution observed in a child with gliofibroma. A 10-year-old girl with seizures was referred for study. Neuroimaging showed a hemispheric hyperdense tumor with little peritumoral edema and no mass effect. The tumor was totally removed. Histologically, the tumor consisted of a mixture of glial cells and collagen-rich stroma. Immunohistochemical examination revealed positive staining for GFAP, CD 99, S100, and vimentin. EMA staining showed a paranuclear dot pattern in only few cells in isolated areas. These findings of a glial component with collagenous stroma were consistent with a desmoplastic glioma. Because of the rarity of this entity, we believe it is important to report every case in order to adequately analyze and categorize the tumor in the next WHO classification.http://dx.doi.org/10.1155/2014/165025
spellingShingle Patricia Gargano
Graciela Zuccaro
Fabiana Lubieniecki
Intracranial Gliofibroma: A Case Report and Review of the Literature
Case Reports in Pathology
title Intracranial Gliofibroma: A Case Report and Review of the Literature
title_full Intracranial Gliofibroma: A Case Report and Review of the Literature
title_fullStr Intracranial Gliofibroma: A Case Report and Review of the Literature
title_full_unstemmed Intracranial Gliofibroma: A Case Report and Review of the Literature
title_short Intracranial Gliofibroma: A Case Report and Review of the Literature
title_sort intracranial gliofibroma a case report and review of the literature
url http://dx.doi.org/10.1155/2014/165025
work_keys_str_mv AT patriciagargano intracranialgliofibromaacasereportandreviewoftheliterature
AT gracielazuccaro intracranialgliofibromaacasereportandreviewoftheliterature
AT fabianalubieniecki intracranialgliofibromaacasereportandreviewoftheliterature