Dysembryoplastic neuroepithelial tumor-like neoplasm of the septum pellucidum: A lesion often misdiagnosed as glioma: Report of 10 cases

Blaire L. Baisden, Daniel J. Brat, Elias R. Melhem, Marc K. Rosenblum, Andrew P. King, Peter C. Burger

Research output: Contribution to journalArticle

Abstract

The authors report a series of 10 low-grade neoplasms arising in the midline anteriorly in the region of the septum pellucidum with many of the histologic features of dysembryoplastic neuroepithelial tumor (DNT). The patients (five female, five male) ranged in age from 6 to 35 years (mean age, 21.5 years). The most common presenting symptoms were headache, nausea and vomiting, and visual disturbances. Radiographically, the tumors extended into the lateral ventricles from the septal region and obstructed the foramen of Monro. Varying degrees of hydrocephalus were present. The lesions were lobular, well-delineated, hypointense to brain on T1-weighted magnetic resonance imaging, and hyperintense on T2-weighted images. They were uniformly nonenhancing or showed only minimal peripheral enhancement. The tumors, in aggregate, had the histologic features of DNT. These included a mucin-rich background, oligodendrocyte-like cells, "floating neurons," and a "specific glioneuronal element." Seven patients underwent gross total resection and two underwent subtotal resection. No patients received adjuvant chemotherapy or radiotherapy. On follow-up (n = 6; median, 14 months), all tumors had either not recurred or were radiologically stable. On the basis of both neuroimaging and histopathology, DNT-like lesions should be considered in the differential diagnosis of midline intraventricular tumors in children and young adults. Distinction from more aggressive neoplasms is essential because these tumors appear to behave in a benign fashion.

Original languageEnglish (US)
Pages (from-to)494-499
Number of pages6
JournalAmerican Journal of Surgical Pathology
Volume25
Issue number4
DOIs
StatePublished - 2001

Fingerprint

Septum Pellucidum
Neuroepithelial Neoplasms
Diagnostic Errors
Glioma
Neoplasms
Septum of Brain
Cerebral Ventricles
Adjuvant Radiotherapy
Lateral Ventricles
Oligodendroglia
Mucins
Adjuvant Chemotherapy
Hydrocephalus
Neuroimaging
Nausea
Vomiting
Headache
Young Adult
Differential Diagnosis
Magnetic Resonance Imaging

Keywords

  • Brain neoplasm
  • Dysembryoplastic neuroepithelial tumor
  • Extracortical
  • Septum pellucidum

ASJC Scopus subject areas

  • Anatomy
  • Pathology and Forensic Medicine

Cite this

Dysembryoplastic neuroepithelial tumor-like neoplasm of the septum pellucidum : A lesion often misdiagnosed as glioma: Report of 10 cases. / Baisden, Blaire L.; Brat, Daniel J.; Melhem, Elias R.; Rosenblum, Marc K.; King, Andrew P.; Burger, Peter C.

In: American Journal of Surgical Pathology, Vol. 25, No. 4, 2001, p. 494-499.

Research output: Contribution to journalArticle

Baisden, Blaire L. ; Brat, Daniel J. ; Melhem, Elias R. ; Rosenblum, Marc K. ; King, Andrew P. ; Burger, Peter C. / Dysembryoplastic neuroepithelial tumor-like neoplasm of the septum pellucidum : A lesion often misdiagnosed as glioma: Report of 10 cases. In: American Journal of Surgical Pathology. 2001 ; Vol. 25, No. 4. pp. 494-499.
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