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Practical Surgical Neuropathology: A Diagnostic Approach E-Book

Practical Surgical Neuropathology: A Diagnostic Approach E-Book

Arie Perry | Daniel J. Brat

(2010)

Additional Information

Book Details

Abstract

Practical Surgical Neuropathy—a volume in the new Pattern Recognition series— offers you a practical guide to solving the problems you encounter in the surgical reporting room. Drs. Arie Perry and Daniel J. Brat present diagnoses according to a pattern-based organization that guides you from a histological pattern, through the appropriate work-up, around the pitfalls, and to the best diagnosis. Lavish illustrations capture key neuropathological patterns for a full range of common and rare conditions, and a "visual index" at the beginning of the book directs you to the exact location of in-depth diagnostic guidance. No other single source delivers the practical, hands-on information you need to solve even the toughest diagnostic challenges in neuropathology.

  • Provides all the information essential for completing a sign-out report: clinical findings, pathologic findings, diagnosis, treatment, and prognosis.
  • Illustrates key pathologic and clinical aspects of disease entities through over 1430 superb, high-quality full-color images that help you evaluate and interpret biopsy samples.
  • Presents a team of internationally recognized experts for authoritative and up-to-date information from leading diagnosticians in neuropathology.
  • Features a user-friendly design with patterns color-coded to specific entities in the table of context and text and key points summarized in tables, charts, and graphs so you can quickly and easily find what you are looking for.
  • Directs you to the chapter and specific page number of the in-depth diagnostic guidance you need through a unique, pattern-based visual index at the beginning of the book.
  • Details key diagnostic features associated with rare and esoteric conditions in a visual encyclopedia with distinctive findings and artifacts for unusual patterns at the end of the book.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Practical Surgical Neuropathology: A Diagnostic Approach iii
Copyright Page iv
Contributors v
Series Preface vii
Preface ix
Acknowledgments xi
Contents xiii
Practical Surgical Neuropathology Major Patterns xv
Chapter 1: Neuropathology Patterns and Introduction 1
Central Nervous System Tumor Classification Schemes and Additional “Neuropathology Patterns” 1
Electron Microscopy 1
Immunohistochemistry 11
Molecular Diagnostics 13
References 14
Chapter 2: Normal Brain Histopathology 15
Cell Types 15
Tissue Organization 22
Suggested Readings 33
Chapter 3: Intraoperative Consultation and Optimal Processing 35
Types of Neurosurgical Specimens 35
Intraoperative Cytologic Preparations as a Complement to Frozen Tissue Sections 36
Fixation and Staining Options for Intraoperative Cytologic Preparations 36
Frozen Sectioning of Central Nervous System Tissue 36
Artifacts 37
Iatrogenically Introduced Hemostatic \nand Embolic Agents 42
The Bottom Line: What Does the SurgeonNeed to Know? 42
Suggested Readings 45
References 45
Chapter 4: Neuroradiology: The Surrogate of Gross Neuropathology 47
Basic Noninvasive Diagnostic Imaging Techniques 47
Advanced Noninvasive Diagnostic Imaging Techniques 51
Basic Invasive Diagnostic Imaging Techniques 52
Advanced Invasive Therapeutic Techniques 53
Imaging Patterns in Neuroradiology 53
Advanced Strategies of Lesion Analysis 59
Conclusion 61
Selected Readings 62
References 62
Chapter 5: Astrocytic and Oligodendroglial Tumors 63
Introduction and Brief Historical Overview 63
Diffuse Astrocytomas 63
Pilocytic Astrocytoma 82
Subependymal Giant-Cell Astrocytoma 88
Pleomorphic Xanthoastrocytoma 91
Oligodendroglioma 93
Oligoastrocytoma 99
Suggested Readings 101
References 101
Chapter 6: Ependymomas and Choroid Plexus Tumors 103
Definitions and Synonyms 103
Brief Historical Overview 103
Ependymal Tumors 103
Choroid Plexus Tumors 113
Suggested Readings 120
References 120
Chapter 7: Neuronal and Glioneuronal Neoplasms 125
Gangliogliomas and Gangliocytomas (“Ganglion Cell Tumors”) 125
Desmoplastic Infantile Astrocytoma \nand Ganglioglioma 130
Dysplastic Gangliocytoma of the Cerebellum (Lhermitte-Duclos Disease) 133
Central Neurocytoma and Other Neurocytic Neoplasms 135
Cerebellar Liponeurocytoma 139
Dysembryoplastic Neuroepithelial Tumor 140
Papillary Glioneuronal Tumor 143
Rosette-Forming Glioneuronal Tumor \nof the Fourth Ventricle 144
Hypothalamic Hamartoma 146
Suggested Readings 148
References 148
Chapter 8: Pineal Parenchymal Tumors 151
Introduction, Definitions, and Synonyms 151
Brief Historical Overview 151
Incidence and Demographics 152
Localization and Clinical Manifestations 152
Radiologic Features and Gross Pathology 152
Histopathology 152
Histologic Variants and Grading 156
Principles of Diagnosis and Grading on \nSmall or Artifact-Ridden Samples 157
Differential Diagnosis 157
Ancillary Diagnostic Studies 160
Treatment and Prognosis 161
Suggested Readings 162
References 162
Chapter 9: Embryonal (Primitive) Neoplasms of the Central Nervous System 165
Definition and Synonyms 165
Brief Historical Overview 165
Medulloblastoma (Cerebellar Primitive Neuroectodermal Tumor) 166
Central Nervous System Supratentorial Primitive Neuroectodermal Tumors and Related Embryonal Neoplasms 175
Atypical Teratoid Rhabdoid Tumor 179
Suggested Readings 183
References 183
Chapter 10: Meningiomas 185
Introduction and Proposed Etiologies 185
Definition and Analogies with Meningothelial Cells 185
Brief Historical Overview of Nomenclature and Histogenetic Notions 186
Incidence and Demographics 186
Localization and Clinical Manifestations 186
Multiple Meningiomas 188
Radiologic Features and Gross Pathology 189
Histopathology 191
Histologic Variants and Grading 192
Meningiomas That Are Mostly Benign (WHO Grade I) 193
WHO Grade II Meningiomas 198
WHO Grade III (Malignant) Meningiomas 203
Other Meningioma Patterns Not Included in the WHO 205
Metastasis of and to Meningiomas 205
Differential Diagnosis 210
Ancillary Diagnostic Studies 212
Genetics 214
Treatment and Prognosis 215
Suggested Readings 216
References 216
Chapter 11: Mesenchymal Tumors of the Central Nervous System 219
Brief Historical Overview 219
Incidence and Demographics 219
Lipoma and Liposarcoma 220
Fibroblastic–Myofibroblastic Tumors 220
Smooth Muscle Tumors 225
Skeletal Muscle Tumors 226
Vascular Tumors 227
Bone Tumors 228
Chondromatous Tumors 230
Chordoma 231
Undifferentiated Sarcoma 232
Miscellaneous Tumors and Tumor-like Lesions 233
Suggested Readings 234
References 234
Chapter 12: Peripheral Nerve Sheath Tumors 235
Traumatic Neuroma 235
Schwannoma 240
Neurofibroma 251
Perineurioma 260
Granular Cell Tumor 267
Miscellaneous Benign Neurogenic Tumors 268
Primary Malignant Tumors of Nerve 272
Malignant Granular Cell Tumor 279
Primitive Neuroectodermal Tumor of the Nerve 281
Suggested Readings 282
References 282
Chapter 13: Epithelial, Neuroendocrine, and Metastatic Lesions 287
Metastatic Epithelial and Epithelioid Neoplasms 287
Paraganglioma 296
Papillary Tumor of the Pineal Region 299
Cysts of the Central Nervous System 303
Suggested Readings 312
References 312
Chapter 14: Lymphomas and Histiocytic Tumors 315
Definition and Synonyms 315
Histiocytic Disorders 326
Suggested Readings 331
References 331
Chapter 15: Germ Cell Tumors 333
Definition and Synonyms 333
Brief Historical Overview 333
Incidence and Demographics 334
Clinical Manifestations and Localization 334
Radiologic Features and Gross Pathology 335
Histopathology 336
Histologic Variants 336
Ancillary Diagnostic Studies 343
Differential Diagnosis 346
Genetics 348
Treatment and Prognosis 348
Suggested Readings 350
References 350
Chapter 16: Melanocytic Neoplasms of the Central Nervous System 353
Definitions and Synonyms 353
Brief Historical Overview 353
Melanocytoma and Melanoma 353
Neurocutaneous Melanosis/Melanomatosis 357
Suggested Readings 358
References 359
Chapter 17: Other Glial Neoplasms 361
Angiocentric Glioma 361
Astroblastoma 363
Chordoid Glioma 364
Suggested Readings 369
References 369
Chapter 18: Pathology of the Pituitaryand Sellar Region 371
The Sellar Region and Normal Pituitary 371
Anterior Pituitary Tumors 372
Invasion and Malignancy in Anterior \nPituitary Tumors 397
Pituitary Hyperplasia 400
Other Primary Pituitary Tumors 401
Miscellaneous Sellar Region Tumors 402
Sellar Region Cysts 408
Inflammatory Lesions 409
Infectious Lesions 411
Acknowledgment 412
References 412
Chapter 19: Therapy-Associated Neuropathology 417
Radiation Necrosis and Other Forms \nof Radiation Injury 417
Therapy-Induced Leukoencephalopathies and Vasculopathies 421
Therapy-Induced Secondary Neoplasms 424
Suggested Readings 425
References 425
Chapter 20: Familial Tumor Syndromes 427
Neurofibromatosis Type 1 427
Neurofibromatosis Type 2 432
Schwannomatosis 435
Tuberous Sclerosis Complex 436
Von Hippel-Lindau Disease 439
Turcot Syndrome 443
Nevoid Basal Cell Carcinoma Syndrome (Gorlin Syndrome) 444
Cowden Disease 445
Li-Fraumeni Syndrome 447
Carney Complex 448
Rhabdoid Predisposition Syndrome 450
Other Syndromes 451
Suggested Readings 452
References 452
Chapter 21: Infections and Inflammatory Disorders 455
Meningitis 456
Encephalitis 468
Focal Discrete Central Nervous System Infection 477
Inflammatory Conditions of the Nervous System Mimicking Infections 481
Central Nervous System Manifestations of Rheumatoid Arthritis 481
Central Nervous System Manifestations of Wegener Granulomatosis 483
Acknowledgment 483
Suggested Readings 484
References 484
Chapter 22: White Matter and Myelin Disorders 485
Multiple Sclerosis 485
Neuromyelitis Optica 494
Acute Disseminated Encephalomyelitis 495
Acute Hemorrhagic Leukoencephalitis 496
Progressive Multifocal Leukoencephalopathy 497
Subacute Sclerosing Panencephalitis 498
HIV Leukoencepahlopathy and Vacuolar Myelopathy 500
Binswanger Encephalopathy 502
Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy 503
Fat Embolism 504
Leukodystrophies 506
Osmotic Demyelination Syndrome (Central Pontine and Extrapontine Myelinolysis) 510
Suggested Readings 512
References 512
Chapter 23: Pathology of Epilepsy 515
Malformations of Cortical Development (Cortical Dysplasia) 515
Hippocampal Sclerosis 520
Infarct Including Porencephalic Cyst 522
Rasmussen Encephalitis 523
Suggested Readings 525
References 525
Chapter 24: Vascular and Ischemic Disorders 527
Ischemic Cerebral Infarct 528
Hypertensive Cerebrovascular Disease 532
Cerebral Amyloid Angiopathy 535
Vasculitis Involving the Nervous System 537
Giant-Cell Arteritis 537
Primary Angiitis of the Central Nervous System 538
Polyarteritis Nodosa 539
Cerebral Aneurysms 539
Fusiform and Infective (“Mycotic”) Aneurysms 541
Vascular Malformations 542
Cerebral Autosomal Dominant Arteriopathy \nwith Subcortical Infarcts and Leukoencephalopathy 546
Moyamoya Syndrome 547
Suggested Readings 549
References 549
Chapter 25: Biopsy Pathology of Neurodegenerative Disorders in Adults 551
Alzheimer Disease 553
Dementia with Lewy Bodies and Idiopathic Parkinson Disease 558
Frontotemporal Lobar Degeneration \nand Pick Disease 564
Human Prion Diseases (Transmissible Spongiform Encephalopathies) Including Creutzfeldt-Jakob Disease 566
Suggested Readings 570
References 571
Index 573