Primitive neuroectodermal tumor in the cerebellopontine angle with isochromosome 17q presenting as meningioma in a woman 26 years of age.
An unusual posterior fossa neoplasm in a 26-year-old woman with short history of the cerebellar symptoms is presented. CT and MR images showed the tumor within the cerebellopontine angle, suspected as meningioma. At surgery, the tumor was dura-attached and did not infiltrate the arachnoid. Histologically, the neoplasm was a small blue cell tumor with solid and microcystic pattern, consistent with primitive neuroectodermal tumor (PNET). Immunohistochemically the cells were strongly positive for NCAM and GFAP. Fluorescence in situ hybridization (FISH) was performed with the cosmids G9 and F7 (flanking EWSR1/22q12 region) DNA probes and dual-color spectrum-orange LSI HER-2/neu (17q11.2)/spectrum green CEP17 (17p11.1-q11.1) DNA probe. The presence of isochromosome 17q within neoplastic cells was found. The tumor was classified as a medulloblastoma. We demonstrate the utility of a multidisciplinary approach to nervous system tumor diagnosis. The clinical features together with histological, immunohistochemical, and characteristic molecular alteration allowed classification of the presented case.
Izycka-Swieszewska
E
E
Department of Pathology, Medical University of Gdansk, Poland. eczis@wp.pl
Debiec-Rychter
M
M
Kloc
W
W
D000328:Adult; D002528:Cerebellar Neoplasms / Q000175:diagnosis* / Q000235:genetics*; D002530:Cerebellopontine Angle / Q000473:pathology*; D002886:Chromosomes, Human, Pair 17; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D018404:Isochromosomes / Q000235:genetics*; D008279:Magnetic Resonance Imaging; D008527:Medulloblastoma / Q000175:diagnosis* / Q000235:genetics*; D008577:Meningeal Neoplasms / Q000175:diagnosis; D008579:Meningioma / Q000175:diagnosis