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Ganglioglioma

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146: 22: 328:(MR) most commonly demonstrates a circumscribed solid or mixed solid and cystic mass spanning a long segment of the cord with hypointense T1 signal and hyperintense T2 signal in the solid component. Enhancement patterns are highly variable, ranging from minimal to marked, and may be solid, rim, or nodular. Adjacent cord edema and 368:
tissue, motor and sensory function may preclude complete resection of tumor. According to a series by Lang et al., reviewing several patients with resected spinal cord ganglioglioma, the 5- and 10-year survival rates after total resection were 89% and 83%, respectively. In that study, patients with
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are more familiar intramedullary tumors which share many similar features to ganglioglioma, including T2 hyperintensity, enhancement, tumoral cysts, and cord edema. Poorly defined margins may be more suggestive of astrocytoma, while a central location in the spinal cord, hemorrhage, and
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of spinal ganglioglioma has been seen in only a select few cases. Poor prognostic factors for adults with gangliogliomas include older age at diagnosis, male sex, and malignant histologic features.
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is also typically reserved for anaplastic ganglioglioma, but has been used anecdotally in partially resected low grade spinal cord gangliogliomas which show evidence of disease progression.
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is generally regarded to have no role in the treatment of ganglioglioma. In fact, radiation therapy may induce malignant transformation of a recurrent ganglioglioma several years later.
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glial and ganglion cells which are disorganized, variably cellular, and non-infiltrative. Occasionally, it may be challenging to differentiate ganglion cell tumors from an infiltrating
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and paraganglioma are less usual intramedullary tumors, but since they are more frequently encountered than ganglioglioma, they should also be included in the differential diagnosis.
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ganglioglioma. It has been recognized that postoperative results correlate closely with preoperative neurological status as well as the ability to achieve complete resection.
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Lang FF, Epstein FJ, Ransohoff J, Allen JC, Wisoff J, Abbott IR, Miller DC (December 1993). "Central nervous system gangliogliomas. Part 2: Clinical outcome".
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component is considered to represent WHO grade III (anaplastic ganglioglioma). Criteria for WHO grade II have been suggested, but are not established.
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confined to the neuronal component, perivascular lymphocytic infiltrates, and small foci of calcification are common, as is immunopositivity for
364:, and a good prognosis is generally expected when this is achieved. However, indistinct tumor margins and the desire to preserve normal 301:
labeling index is associated with more aggressive tumor behavior in both children and adults with gangliogliomas. The rare occurrence of
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It is nearly impossible to differentiate ganglioglioma from other more common intramedullary neoplasms based on imaging alone.
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and dysmorphic neurons are helpful clues favoring ganglioglioma over glioma. The glial component of ganglioglioma includes
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Note: Not all brain tumors are of nervous tissue, and not all nervous tissue tumors are in the brain (see
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is confined to the glial cell population, and is characterized by increased cellularity and
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of children and young adults. They are mixed cell tumors containing both neural
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with entrapped neurons. The presence of neoplastic ganglion cells forming
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and peritumoral cysts may be present in addition to reactive scoliosis.
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WHO classification of the tumors of the central nervous system
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With the exception of WHO grade III anaplastic ganglioglioma,
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Definitive treatment for ganglioglioma requires gross total
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Unsourced material may be challenged and removed. 257:Histologically, ganglioglioma is composed of both 369:spinal cord ganglioglioma had a 3.5-fold higher 237:Gangliogliomas are generally benign WHO grade I 217:(CNS) tumor which most frequently occurs in the 118:For the tumor sometimes called a ganglioma, see 467:Oppenheimer DC, Johnson MD, Judkins AR (2015). 373:of tumor recurrence compared to patients with 665: 8: 241:; the presence of anaplastic changes in the 1004:Embryonal tumour with multilayered rosettes 309:, endothelial proliferation, and necrosis. 783: 774: 754: 693: 672: 658: 650: 580: 144: 127: 494: 484: 348:staining are often seen with ependymoma. 106:Learn how and when to remove this message 1125:Malignant peripheral nerve sheath tumor 1049:Primary central nervous system lymphoma 973:Dysembryoplastic neuroepithelial tumour 409: 447:St. Jude Children's Research Hospital 422:St. Jude Children's Research Hospital 153:Dysplastic cerebellar ganglioglioma ( 7: 177:Usually childhood to young adulthood 44:adding citations to reliable sources 811:Subependymal giant cell astrocytoma 473:Journal of Clinical Imaging Science 469:"Ganglioglioma of the Spinal Cord" 213:) is a rare, slow-growing primary 14: 277:with varying degrees of cellular 999:Atypical teratoid rhabdoid tumor 20: 289:, neuron-specific enolase, and 31:needs additional citations for 1093:Cranial and paraspinal nerves 1: 806:Pleomorphic xanthoastrocytoma 681:Tumours of the nervous system 851:Anaplastic oligodendroglioma 1197: 557:10.3171/jns.1993.79.6.0867 117: 1149: 523:rarediseases.info.nih.gov 152: 143: 1176:Nervous system neoplasia 978:Lhermitte–Duclos disease 902:Choroid plexus carcinoma 897:Choroid plexus papilloma 486:10.4103/2156-7514.166355 398:Lhermitte-Duclos disease 324:tumors. Evaluation with 303:malignant transformation 247:Malignant transformation 155:Lhermitte–Duclos disease 545:Journal of Neurosurgery 197:five-year survival rate 821:Anaplastic astrocytoma 816:Fibrillary astrocytoma 215:central nervous system 1077:Esthesioneuroblastoma 801:Pilocytic astrocytoma 386:Adjuvant chemotherapy 275:fibrillary astrocytes 1082:Ganglioneuroblastoma 987:CNS embryonal tumors 892:Choroid plexus tumor 40:improve this article 925:Gliomatosis cerebri 318:Computed Tomography 1089:Nerve sheath tumor 1031:Hemangiopericytoma 624:External resources 362:surgical resection 326:Magnetic Resonance 269:, the presence of 1163: 1162: 1102:Neurofibromatosis 1057: 1056: 1012: 1011: 938: 937: 846:Oligodendroglioma 744: 743: 711:Craniopharyngioma 647: 646: 382:radiation therapy 267:abnormal clusters 225:cells and neural 203: 202: 185:Primarily surgery 125:Medical condition 116: 115: 108: 90: 1188: 1154:brain metastasis 1118:Acoustic neuroma 920:Oligoastrocytoma 913:Multiple/unknown 784: 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Retrieved 522: 513: 476: 472: 462: 450:. Retrieved 437: 425:. Retrieved 412: 379: 359: 334: 316: 271:binucleation 256: 236: 229:components. 210: 206: 204: 102: 93: 83: 76: 69: 62: 50: 38:Please help 33:verification 30: 968:Neurocytoma 930:Gliosarcoma 796:Astrocytoma 716:Pituicytoma 366:spinal cord 346:hemosiderin 337:Astrocytoma 322:spinal cord 293:. Elevated 174:Usual onset 136:Other names 1170:Categories 1113:Schwannoma 1026:Meningioma 869:Ependymoma 404:References 341:ependymoma 259:neoplastic 227:glial cell 223:ganglionic 66:newspapers 788:Astrocyte 736:Pinealoma 689:Endocrine 356:Treatment 313:Diagnosis 191:Prognosis 182:Treatment 163:Specialty 1018:Meninges 861:Ependyma 633:Orphanet 505:26605127 452:March 9, 427:March 8, 392:See also 195:>90% 96:May 2021 614:D018303 603:M9505/1 565:8246055 528:14 June 496:4629305 80:scholar 946:neuron 943:Mature 779:Glioma 727:Other: 700:Sellar 638:251949 563:  503:  493:  479:: 53. 283:stroma 279:atypia 263:glioma 239:tumors 82:  75:  68:  61:  53:  1134:Other 598:ICD-O 295:Ki-67 243:glial 87:JSTOR 73:books 609:MeSH 561:PMID 530:2019 501:PMID 454:2023 429:2023 339:and 297:and 209:(or 59:news 1063:PNS 750:CNS 553:doi 491:PMC 481:doi 299:p53 42:by 1172:: 1156:). 956:: 636:: 612:: 601:: 559:. 549:79 547:. 521:. 499:. 489:. 475:. 471:. 445:. 420:. 205:A 1111:/ 1065:: 771:) 766:, 762:( 702:: 673:e 666:t 659:v 590:D 567:. 555:: 532:. 507:. 483:: 477:5 456:. 431:. 157:) 122:. 109:) 103:( 98:) 94:( 84:· 77:· 70:· 63:· 36:.

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Ganglioneuroma

Lhermitte–Duclos disease
Specialty
Neuro-oncology
Prognosis
five-year survival rate
central nervous system
temporal lobes
ganglionic
glial cell
tumors
glial
Malignant transformation
neoplastic
glioma
abnormal clusters
binucleation
fibrillary astrocytes

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