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DOI QR Code

Extramedullary tanycytic ependymoma of the lumbar spinal cord

  • Kim, Dong Ja (Department of Forensic Medicine, School of Medicine, Kyungpook National University) ;
  • Han, Man-Hoon (Department of Pathology, Kyungpook National University Hospital) ;
  • Lee, SangHan (Department of Forensic Medicine, School of Medicine, Kyungpook National University)
  • 투고 : 2019.09.24
  • 심사 : 2019.11.04
  • 발행 : 2020.04.30

초록

Tanycytic ependymoma is a rare variant of ependymoma that commonly affects the cervical and thoracic spinal cord. It usually arises as intramedullary lesions, and extramedullary cases are extremely rare. We report a case of a 44-year-old woman who was diagnosed with tanycytic ependymoma in her lumbar spine at level 2-3. The tumor mass developed in an intradural extramedullary location. Histopathologically, tanycytic ependymoma can be misdiagnosed as schwannoma or pilocytic astrocytoma. Immunohistochemical findings such as strong positivity for glial fibrillary acidic protein, perinuclear dot-like positive patterns for epithelial membrane antigen, and focal positivity for S100 protein are helpful in diagnosing tanycytic ependymoma. It is important to be aware of this rare tumor to ensure appropriate patient management and accurate prognosis.

키워드

참고문헌

  1. Louis DN, Perry A, Reifenberger G, von Deimling A, Figarella-Branger D, Cavenee WK, et al. The 2016 World Health Organization Classification of Tumors of the Central Nervous System: a summary. Acta Neuropathol 2016;131:803-20. https://doi.org/10.1007/s00401-016-1545-1
  2. Tao X, Hou Z, Hao S, Zhang Q, Wu Z, Zhang J, et al. The clinical features and surgical outcomes of spinal cord tanycytic ependymomas: a report of 40 cases. World Neurosurg 2017;106:60-73. https://doi.org/10.1016/j.wneu.2017.06.111
  3. Friede RL, Pollak A. The cytogenetic basis for classifying ependymomas. J Neuropathol Exp Neurol 1978;37:103-18. https://doi.org/10.1097/00005072-197803000-00001
  4. Kawano N, Yagishita S, Oka H, Utsuki S, Kobayashi I, Suzuki S, et al. Spinal tanycytic ependymomas. Acta Neuropathol 2001;101:43-8. https://doi.org/10.1007/s004010000265
  5. Dvoracek MA, Kirby PA. Intraoperative diagnosis of tanycytic ependymoma: pitfalls and differential diagnosis. Diagn Cytopathol 2001;24:289-92. https://doi.org/10.1002/dc.1061
  6. Krisht KM, Schmidt MH. Tanycytic ependymoma: a challenging histological diagnosis. Case Rep Neurol Med 2013;2013:170791. https://doi.org/10.1155/2013/170791
  7. Funayama T, Sakane M, Yoshizawa T, Takeuchi Y, Ochiai N. Tanycytic ependymoma of the filum terminale associated with multiple endocrine neoplasia type 1: first reported case. Spine J 2013;13:e49-54.
  8. Radhakrishnan N, Nair NS, Hingwala DR, Kapilamoorthy TR, Radhakrishnan VV. Tanycytic ependymoma of filum terminale: a case report. Clin Neurol Neurosurg 2012;114:169-71. https://doi.org/10.1016/j.clineuro.2011.09.017
  9. D'Souza P, Martin WE, Bodhireddy S, Belirgen M. Extramedullary tanycytic ependymoma in a 12-year-old boy. J Neurosci Rural Pract 2019;10:381-3. https://doi.org/10.4103/jnrp.jnrp_263_18
  10. Lim BS, Park SQ, Chang UK, Kim MS. Spinal cord tanycytic ependymoma associated with neurofibromatosis type 2. J Clin Neurosci 2010;17:922-4. https://doi.org/10.1016/j.jocn.2009.09.045
  11. Tao XG, Hou ZG, Hao SY, Zhang JT, Liu BY. Two cases of spinal tanycytic ependymoma associated with neurofibromatosis type 2. Chin Med J (Engl) 2017;130:872-3. https://doi.org/10.4103/0366-6999.202732
  12. Tomek M, Jayajothi A, Brandner S, Jaunmuktane Z, Lee CH, Davagnanam I. Imaging features of spinal tanycytic ependymoma. Neuroradiol J 2016;29:61-5. https://doi.org/10.1177/1971400915621322
  13. Ortiz Ydel M, Perez Berenguer JL, Mercado Acosta J, Polo M, de Jesus-Garces O, Vega IE. Tanycytic ependymoma in a 76-year-old Puerto Rican male. Int J Clin Exp Pathol 2014;7:7789-94.
  14. Wostrack M, Ringel F, Eicker SO, Jagersberg M, Schaller K, Kerschbaumer J, et al. Spinal ependymoma in adults: a multicenter investigation of surgical outcome and progression-free survival. J Neurosurg Spine 2018;28:654-62. https://doi.org/10.3171/2017.9.SPINE17494
  15. Prayson RA. Clinicopathologic study of 61 patients with ependymoma including MIB-1 immunohistochemistry. Ann Diagn Pathol 1999;3:11-8. https://doi.org/10.1016/S1092-9134(99)80004-5

피인용 문헌

  1. Intradural extramedullary tanycytic ependymoma of the cervical spine: A case report vol.26, 2020, https://doi.org/10.1016/j.inat.2021.101319