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Brain Tumors

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Description
Tumor
show Schwannoma (most common tumor in neurofibromatosis type 2; they are usually bilateral; these patients are also at risk for meningiomas and ependymomas)  
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Frontal lobe tumor biopsy shows infiltrating cells with perinuclear halos and prominent delicate vasculature   show
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Adult with "head fullness" and headaches when standing; T2-MRI shows lobulated mass that enhances with contrast and crosses the midline; immunostain is positive for glial fibrillary acidic protein   show
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Biopsy of a solid cerebellar brain tumor from a child shows gray matter with abundant fibrillary material surrounded by a wheel-shaped configuration of differentiated cells   show
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Tumor at cerebellopontine angle that stains positive for a protein that is 100% soluble in ammonium sulfate at neutral pH   show
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Most likely brain tumor in a patient with bilateral renal cell carcinoma and pheochromocytoma   show
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show Meningioma (these arachnoid cell tumors are more common in females than males, and locations may include parasagittal, olfactory groove, or lesser wing of sphenoid; they may indent and compress the surface of the brain, but will not invade)  
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show Pilocytic astrocytoma (the description is characteristic of Rosenthal fibers; this tumor would also stain positive for GFAP)  
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Resectable tumor often localized to CN VIII   show
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show Craniopharyngioma (most childhood brain tumors are below the tentorium cerebelli, while most adult primary brain tumors are above)  
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Most common cause of hypopituitarism in adults   show
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show Craniopharyngioma  
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show Pilocytic astrocytoma  
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show Cerebellar hemangioblastoma (the genetic disease is Von Hippel-Lindau and the tumor is producing erythropoietin)  
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show Pilocytic astrocytoma  
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Most common primary malignant childhood brain tumor   show
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2nd most common primary childhood brain tumor   show
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show Meningioma  
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A child with hydrocephalus is determined to have a solid tumor in the cerebellar vermis; biopsy shows primitive small blue cells   show
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show Glioblastoma multiforme  
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show Meningioma  
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show Meningioma  
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show Metastasis  
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Most frequent metastatic brain tumor primary location   show
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Childhood brain tumor of cells lining the ventricles characterized by perivascular pseudorosettes and rod-shaped blepharoplasts (basal ciliary bodies) found near the nucleus   show
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show Craniopharyngioma (benign Rathke's pouch [surface ectoderm] tumor; do not confuse with pituitary adenoma)  
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show Glioblastoma multiforme  
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Spindle cells concentrically arranged in a whorled pattern with basophilic laminated calcifications   show
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show Germinoma of the pineal gland (this is the most common tumor of the pineal gland; they produce beta-hCG that causes precocious puberty, hydrocephalus due to acqueductal compression, and Parinaud's syndrome due to compression of the midbrain tectal area)  
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Tumor is usually benign and may present as a hemorrhagic mass; it arises in the fourth ventricle in children (causing hydrocephalus) or the cauda equina in adults (causing syringomyelia)   show
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Created by: kesselmb
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