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A case of pleomorphic xanthoastrocytoma with anaplastic features in the pineal gland

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Abstract

Background and importance

Different types of tumor have been reported in the pineal gland, but pleomorphic xanthoastrocytoma (PXA) in this region is extremely rare.

Clinical presentations

A 61-year-old man had gait disturbance and dementia for 1 month. Radiological examination revealed a 22 × 26 × 22-mm-diameter mass in the pineal gland and remarkable hydrocephalus. Biopsy of the tumor was performed and histological examination confirmed diagnosis of PXA with anaplastic features. Radiation therapy with concomitant temozolomide was performed, and tumor reduction was achieved.

Conclusion

We report the first case of PXA with anaplastic features in the pineal gland. This case indicates that temozolomide and radiation therapy are effective for treating PXA with anaplastic features.

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Authors and Affiliations

  1. Department of Neurosurgery, Hirosaki University Graduate School of Medicine, Zaifu-cho 5, Hirosaki, Aomori, 036-8562, Japan

    Kosuke Katayama, Kenichiro Asano, Norihito Shimamura, Yukari Ogasawara, Masato Naraoka & Hiroki Ohkuma

  2. Department of Anatomic Pathology, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan

    Akira Kurose

Authors
  1. Kosuke Katayama
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  2. Kenichiro Asano
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  3. Norihito Shimamura
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  4. Yukari Ogasawara
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  5. Masato Naraoka
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  6. Hiroki Ohkuma
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  7. Akira Kurose
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Correspondence to Kosuke Katayama.

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Katayama, K., Asano, K., Shimamura, N. et al. A case of pleomorphic xanthoastrocytoma with anaplastic features in the pineal gland. Brain Tumor Pathol 30, 242–246 (2013). https://doi.org/10.1007/s10014-013-0137-1

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  • DOI: https://doi.org/10.1007/s10014-013-0137-1

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