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hemangiopericytoma of meninges

Pathology: 1) aggressive malignancy of meningeal origin Microscopic pathology: see hemangiopericytoma for images 1) characteristic 'staghorn' vascular spaces or numerous small slit-like vascular spaces lined by flattened endothelial cells 2) highly cellular, monotonous, randomly oriented plump cells with scant ill-defined cytoplasm 3) dense network of reticulin fibers Immunohistochemsitry: - vimentin ~85% + - factor XIIIa ~80% + - leu-7 ~70% + - CD34 variable % + Management: Prognosis: - tendency to recur & metastasize; generally regarded as malignant although some are less aggressive. - corresponds to WHO histological grade II or III.

General

hemangiopericytoma meningeal neoplasm

References

  1. WHO Classification Tumours of the Nervous System. Kleihues & Cavenee eds. IARC Press 2000
  2. Harrison's Principles of Internal Medicine, 14th ed. Fauci et al (eds), McGraw-Hill Inc. NY, 1998, pg 2403