Giant cell glioblastoma imaging findings and pathologic correlation
10.3969/j.issn.1002-1671.2017.04.002
- VernacularTitle:巨细胞型胶质母细胞瘤的影像表现与病理对照
- Author:
Changlei Lü
;
Jianyuan LEI
;
Yan ZHANG
;
Xiaolong CHEN
;
Jian LI
;
Minggang HUANG
- Keywords:
giant cell glioblastoma;
computed tomography;
magnetic resonance imaging
- From:
Journal of Practical Radiology
2017;33(4):497-499,521
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the imaging findings of giant cell glioblastoma(GCG).Methods Imaging findings of 8 cases with pathology-confirmed GCG were retrospectively reviewed and correlated with pathologic findings.Results All of the 8 cases were located in the cerebral hemisphere.On CT images, 1 lesion case was shown appeared as mixed density,4 lesions were shown as cystic and solid mass.Mural nodule were slightly hyperdense.On MRI images, all of 4 cases lesions were hypointensity on T1WI, mixed signal intensity or hyperintensity on T2WI and FLAIR, low signal intensity on DWI.The lesion showed nonuniform enhancement,with enhanced mural nodules and cyst walls,and mildmoderate or no peritumoral edema.Microscopically, the cells were arranged in perivascular pseudorosettes to form palisades.Cellular pleomorphism was a typical feature, including monstrous and multinucleated giant cells.Mitotic figures were usually numerous.Reticulin was abundant in the stroma.Immunohistochemistry showed staining for S-100, Vim, p53, GFAP.The proliferation rate determined by Ki-67 immunohistochemistry was 30%.Conclusion GCG has certain imaging characteristics,CT and MRI are effective in detecting the disease.
