CC BY-NC-ND 4.0 · Indian Journal of Neurosurgery 2023; 12(01): 086-089
DOI: 10.1055/s-0042-1742476
Short Communication

High-Grade Astroblastoma in a Young Female: An Enigma with a Rare Cautionary Tale

1   Department of Pathology, SMS Medical College, Jaipur, Rajasthan, India
,
Ashok Gandhi
2   Department of Neurosurgery, SMS Medical College, Jaipur, Rajasthan, India
,
Arpita Jindal
1   Department of Pathology, SMS Medical College, Jaipur, Rajasthan, India
,
Mukesh Kumar
2   Department of Neurosurgery, SMS Medical College, Jaipur, Rajasthan, India
› Author Affiliations
Funding None.

Abstract

Astroblastoma is an uncommon neuroepithelial primary brain neoplasm with speculative histopathological origin and unpredictable clinical behavior. They can be easily misdiagnosed, as they are rarely encountered in clinical practice and share common radiological and histopathologic appearances with other glial neoplasms. Herein, we report a case of high-grade astroblastoma in a 27-year-old female with complaints of seizures and loss of consciousness, which was misdiagnosed as atypical meningioma on neuroimaging, due to its rarity and superficial cortical location appearing as extra-axial mass. Although intraoperative findings were also of an extra-axial tumor, the histology and immunophenotype was of an astroblastoma; thus, highlighting the role of histopathology and immunohistochemistry.



Publication History

Article published online:
26 April 2022

© 2021. Neurological Surgeons' Society of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Pizer BL, Moss T, Oakhill A, Webb D, Coakham HB. Congenital astroblastoma: an immunohistochemical study. Case report. J Neurosurg 1995; 83 (03) 550-555
  • 2 Aldape KD, Rosenblum MK. Astroblastoma. In: Louis DN, Ohgaki H, Wiestler OD, Cavenee WK. eds. World Health Organization Classification of Tumours of the Central Nervous System. Lyon: IARC; 2007: 88-89
  • 3 Bahadur G, Hindmarsh P. Age definitions, childhood and adolescent cancers in relation to reproductive issues. Hum Reprod 2000; 15 (01) 227-230
  • 4 Bonnin JM, Rubinstein LJ. Astroblastomas: a pathological study of 23 tumors, with a postoperative follow-up in 13 patients. Neurosurgery 1989; 25 (01) 6-13
  • 5 Denaro L, Gardiman M, Calderone M. et al. Intraventricular astroblastoma. Case report. J Neurosurg Pediatr 2008; 1 (02) 152-155
  • 6 Narayan S, Kapoor A, Singhal MK. et al. Astroblastoma of cerebrum: a rare case report and review of literature. J Cancer Res Ther 2015; 11 (03) 667
  • 7 Notarianni C, Akin M, Fowler M, Nanda A. Brainstem astroblastoma: a case report and review of the literature. Surg Neurol 2008; 69 (02) 201-205
  • 8 Sughrue ME, Choi J, Rutkowski MJ. et al. Clinical features and post-surgical outcome of patients with astroblastoma. J Clin Neurosci 2011; 18 (06) 750-754
  • 9 Bailey P, Cushing H. Classification of the Tumors of the Glioma Group. Philadelphia, PA: Lippincott; 1926. . p.83–4, 133-136
  • 10 Bailey P, Bucy PC. Astroblastomas of the brain. Acta Psychiatr Neurol 1930; 5: 439-461
  • 11 Rubinstein LJ, Herman MM. The astroblastoma and its possible cytogenic relationship to the tanycyte. An electron microscopic, immunohistochemical, tissue- and organ-culture study. Acta Neuropathol 1989; 78 (05) 472-483
  • 12 Bell JW, Osborn AG, Salzman KL, Blaser SI, Jones BV, Chin SS. Neuroradiologic characteristics of astroblastoma. Neuroradiology 2007; 49 (03) 203-209