title: Does the occurrence of pleomorphic xanthoastrocytoma in the elderly carries a poor prognosis: A case report and review of literature.
abstract: Pleomorphic xanthoastrocytoma (PXA) is a rare slow growing tumor which accounts for <1% of all astrocytic neoplasms. PXA usually affects young patients in their second decade of life and carries a favorable prognosis. We present the clinical, radiological and histopathological features of PXA involving the left temporal lobe in an 84-year-old male with right upper motor neuron facial paresis of 2 weeks duration. Histopathology confirmed the diagnosis of PXA. Our case is unique in that our patient is the oldest one reported in the literature with favorable histopathological features. The occurrence of these tumors in elderly patients may indicate an aggressive behavior with unfavorable outcome. Gross total resection achieves higher recurrence free and overall survival rates.
authors: Department of Neurosurgery, Louisiana State University Health Science Center, Shreveport, Louisiana, USA.
authors: Mayur
authors: M
authors: Sharma
authors: Department of Pathology, Louisiana State University Health Science Center, Shreveport, Louisiana, USA.
authors: Shubnum
authors: S
authors: Chaudhery
authors: Department of Neurosurgery, Louisiana State University Health Science Center, Shreveport, Louisiana, USA.
authors: Ashish
authors: A
authors: Sonig
authors: Department of Neurosurgery, Louisiana State University Health Science Center, Shreveport, Louisiana, USA.
authors: Sudheer
authors: S
authors: Ambekar
authors: Department of Neurosurgery, Louisiana State University Health Science Center, Shreveport, Louisiana, USA.
authors: Anil
authors: A
authors: Nanda
keywords: Elderly; pleomorphic; prognosis; xanthoastrocytoma