| • Low power view of a cellular tumor showing a "chicken
wire fence" type of stroma breaking the tumor into small
lobules.
• This stromal pattern is common in the oligodendroglioma. |
| Oligodendroglioma |
| Etiology |
•The etiology of the oligodendroglioma is unknown but most tumors show abnormalties of chromosome 19 and 1. |
| Pathogenesis |
•See Etiology. |
| Epidemiology |
•Oligodendrogliomas make up about 5% of intracranial
tumors and 10% of gliomas. •They are relatively slow growing except for the anaplastic variety which is rare. |
| Clinical |
•Oligodendrogliomas act as mass lesions, infiltrating
areas of brain. •If they infiltrate the motor area,
there are seizures of a focal motor type or
hemiparesis. •Infiltrating sensory regions may produce
sensory symptoms or misinterpretations. •They also are
associated with edema so can produce herniation. |
| General Gross Description |
•Oligodendrogliomas are grey gelatinous masses in the
brain that act as mass lesions. •They are more comman in the cerebral hemispheres. |
| General Micro Description |
•The tumor is made up of uniform oval cells with clear
to pale pink cytoplasm and relatively uniform oval
to round nuclei that have a fried egg or "box like"
appearance. •The stroma is made up of capillaries having
a chickenwire appearance between groups of tumor cells.
•There is no good grading system and no specific immunoperoxidase stain to identify them. |
| Reference |
• Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th ed. Philadelphia, W.B. Saunders, 1994, pp. 1343-1345.
• Poirer J et.al. Manual of basic neuropathology. Philadelphia: Saunders, 1990, pp.26-27.
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