When confronted by giant, pleomorphic nuclei among rather non-meningothelial cells, as depicted below, the neuropathologist given a specimen purported to be a benign meningioma might hesitate before agreeing with the neuroradiologist's and neurosurgeon's presumptive diagnosis.
But in this case, a rather small meningotheliomatous component was present to provide reassurance:
A glimpse of a shattered psammoma body also helped to confirm that this was indeed a grade I meningioma, with a predominantly microcystic component.
The microcystic variant is among the most common of the "nonclassical" meningiomas.
I discuss issues pertaining to the practice of neuropathology -- including nervous system tumors, neuroanatomy, neurodegenerative disease, muscle and nerve disorders, ophthalmologic pathology, neuro trivia, neuropathology gossip, job listings and anything else that might be of interest to a blue-collar neuropathologist.
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1 comment:
Giant, pleomorphic nuclei in a meningioma are usually indicative of degenerative, rather than anaplastic, change.
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