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Metastatic Oligodendroglioma: Diagnosis with Fine-Needle Aspiration Cytology

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Tumors of the Central Nervous System, Volume 13

Part of the book series: Tumors of the Central Nervous System ((TCNS,volume 13))

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Abstract

Extracranial/systemic metastasis of a primary central nervous system glial tumor is very rare, but the incidence is ever-increasing. Oligodendroglial tumors are uncommon; however, after high-grade astrocytomas, they constitute an important group of tumors which are reported to cause extracranial metastases. In the majority of literature-reported cases, the likelihood of a second primary tumor is considered as the first approach; therefore metastases are overlooked. Fine-needle aspiration cytology (FNAC) is currently accepted as a reliable, accurate, cost-effective and rapid diagnostic method for possible metastatic lesions in a patient with known primary tumor. FNAC findings of metastatic oligodendroglioma and small-round-cell tumors (SRCT) are quite similar, therefore differential diagnosis requires combination of the clinical and radiological data. In addition, application of immunochemistry and detection of 1p/19q co-deletion on cytological material confirm the diagnosis.

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References

  • Anand M, Kumar R, Jain P, Gupta R, Ghosal N, Sharma A, Agarwal A, Sharma MC (2003) Metastatic anaplastic oligodendroglioma simulating acute leukemia. A case report. Acta Cytol 47:467–469

    Article  PubMed  Google Scholar 

  • Bruggers C, White K, Zhou H, Chen Z (2007) Extracranial relapse of an anaplastic oligodendroglioma in an adolescent: case report and review of the literature. J Pediatr Hematol Oncol 29:319–322

    Article  PubMed  Google Scholar 

  • Budka H (1986) Non-glial specificities of immunocytochemistry for the glial fibrillary acidic protein (GFAP). Triple expression of GFAP, vimentin and cytokeratins in papillary meningioma and metastasizing renal carcinoma. Acta Neuropathol 72:43–54

    Article  CAS  PubMed  Google Scholar 

  • Campbell BA, Horsman DE, Maguire J, Young S, Curman D, Ma R, Thiessen B (2008) Chromosomal alterations in oligodendroglial tumours over multiple surgeries: is tumour progression associated with change in 1p/19q status? J Neurooncol 89:37–45

    Article  CAS  PubMed  Google Scholar 

  • Can B, Akpolat I, Meydan D, Üner A, Kandemir B, Söylemezoğlu F (2012) Fine-needle aspiration cytology of metastatic oligodendroglioma: case report and literature review. Acta Cytol 56:97–103

    Article  PubMed  Google Scholar 

  • Choon A, Roepke JE (2004) Importance of immunohistochemical staining in metastatic anaplastic oligodendroglioma. Arch Pathol Lab Med 128:489–490

    PubMed  Google Scholar 

  • Cordiano V, Miserocchi F, Storti M (2011) Bone marrow metastases from anaplastic oligodendroglioma presenting with pancytopenia and hypogammaglobulinemia: a case report. Tumori 97:808–811

    PubMed  Google Scholar 

  • Dawson TP (1997) Pancytopaenia from a disseminated anaplastic oligodendroglioma. Neuropathol Appl Neurobiol 23:516–520

    Article  CAS  PubMed  Google Scholar 

  • Giordana MT, Ghimenti C, Leonardo E, Balteri I, Iudicello M, Duò D (2004) Molecular genetic study of a metastatic oligodendroglioma. J Neurooncol 66:265–271

    Article  CAS  PubMed  Google Scholar 

  • Hulbanni S, Goodman PA (1976) Glioblastoma multiforme with extraneural metastases in the absence of previous surgery. Cancer 37:1577–1583

    Article  CAS  PubMed  Google Scholar 

  • James TG, Pagel W (1951) Oligodendroglioma and extracranial metastases. Br J Surg 39:56–65

    Article  CAS  PubMed  Google Scholar 

  • Jellinger K (2009) Metastatic oligodendrogliomas: a review of the literature and case report. Acta Neurochir (Wien) 151:987

    Article  CAS  Google Scholar 

  • Jellinger K, Minauf M, Salzer-Kuntschik M (1969) Oligodendroglioma with extraneural metastases. J Neurol Neurosurg Psychiatry 32:249–253

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Kojima H, Mori K, Fukudome N, Iseki M, Shimizu S (2008) Cytologic characteristics of intracytoplasmic refractile eosinophilic granular bodies in anaplastic oligodendroglioma: a case report. Acta Cytol 52:467–470

    Article  PubMed  Google Scholar 

  • Krijnen JL, Fleischeur RE, van Berkel M, Westenend PJ (2010) Metastatic oligodendroglioma: a case report and incidence in The Netherlands. Clin Neuropathol 29:141–146

    Article  CAS  PubMed  Google Scholar 

  • Lee CC, Jiang JS, Chen ET, Yokoo H, Pan YH, Tsai MD (2006) Cytologic diagnosis of a metastatic oligodendroglioma in a pleural effusion. A case report. Acta Cytol 50:542–544

    Article  PubMed  Google Scholar 

  • Liwnicz BH, Rubinstein LJ (1979) The pathways of extraneural spread in metastasizing gliomas: a report of three cases and critical review of the literature. Hum Pathol 10:453–467

    Article  CAS  PubMed  Google Scholar 

  • Lopez-Rios F, Alberti N, Ballestin C, Pérez-Barrios A, de Agustín P (2000) Extracranial metastases of a glioma: diagnosis by fine needle aspiration and immunocytochemistry. Diagn Cytopathol 23:43–45

    Article  CAS  PubMed  Google Scholar 

  • Macdonald DR, O’Brien RA, Gilbert JJ, Cairncross JG (1989) Metastatic anaplastic oligodendroglioma. Neurology 39:1593–1596

    Article  CAS  PubMed  Google Scholar 

  • Merrell R, Nabors LB, Perry A, Palmer CA (2006) 1p/19q chromosome deletions in metastatic oligodendroglioma. J Neurooncol 80:203–207

    Article  CAS  PubMed  Google Scholar 

  • Mitsuhashi T, Shimizu Y, Ban S, Ogawa F, Matsutani M, Shimizu M, Hirose T (2007) Anaplastic oligodendroglioma: a case report with characteristic cytologic features, including minigemistocytes. Acta Cytol 51:657–660

    Article  PubMed  Google Scholar 

  • Morrison T, Bilbao JM, Yang G, Perry JR (2004) Bony metastases of anaplastic oligodendroglioma respond to temozolomide. Can J Neurol Sci 31:102–108

    PubMed  Google Scholar 

  • Ng WH, Lim TC, Tan KK (2006) Disseminated spread of recurrent oligodendroglioma (WHO grade II). J Clin Neurosci 13:602–607

    Article  PubMed  Google Scholar 

  • Noshita N, Mashiyama S, Fukawa O, Asano S, Watanabe M, Tominaga T (2010) Extracranial metastasis of anaplastic oligodendroglioma with 1p19q loss of heterozygosity – case report. Neurol Med Chir (Tokyo) 50:161–164

    Article  Google Scholar 

  • Ohgaki H, Kleihues P (2005) Population-based studies on incidence, survival rates, and genetic alterations in astrocytic and oligodendroglial gliomas. J Neuropathol Exp Neurol 64:479–489

    CAS  PubMed  Google Scholar 

  • Ordonez NG, Ayala AG, Leavens ME (1981) Extracranial metastases of oligodendroglioma: report of a case and review of the literature. Neurosurgery 8:391–396

    Article  CAS  PubMed  Google Scholar 

  • Perry A (2004) Metastatic oligodendroglioma: a mini-epidemic? Adv Anat Pathol 11:325

    Article  Google Scholar 

  • Reifenberger G, Kros JM, Louis DN, Collins VP (2007) Oligodendroglial tumours. In: Louis DN, Ohgaki H, Wiestler OD, Cavenee WK (eds) WHO classification of tumours of the central nervous system. International Agency for Research on Cancer Press, Lyon, pp 53–67

    Google Scholar 

  • Uzuka T, Kakita A, Inenaga C, Takahashi H, Tanaka R, Takahashi H (2007) Frontal anaplastic oligodendroglioma showing multi-organ metastases after a long clinical course. Case report. Neurol Med Chir (Tokyo) 47:174–177

    Article  Google Scholar 

  • Volavsek M, Lamovec J, Popović M (2009) Extraneural metastases of anaplastic oligodendroglial tumors. Pathol Res Pract 205:502–507

    Article  PubMed  Google Scholar 

  • Wang M, Murphy KM, Kulesza P, Hatanpaa KJ, Olivi A, Tufaro A, Erozan Y, Westra WH, Burger PC, Berg KD (2004) Molecular diagnosis of metastasizing oligodendroglioma: a case report. J Mol Diagn 6:52–57

    Article  PubMed Central  PubMed  Google Scholar 

  • Watson CW, Hajdu SI (1977) Cytology of primary neoplasms of the central nervous system. Acta Cytol 21:40–47

    CAS  PubMed  Google Scholar 

  • Wu Y, Liu B, Qu L, Tao H (2011) Extracranial skeletal metastasis in anaplastic oligodendroglioma: case report and review of the literature. J Int Med Res 39:960–967

    Article  CAS  PubMed  Google Scholar 

  • Zustovich F, Della Puppa A, Scienza R, Anselmi P, Furlan C, Cartei G (2008) Metastatic oligodendrogliomas: a review of the literature and case report. Acta Neurochir (Wien) 150:699–703

    Article  CAS  Google Scholar 

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Correspondence to Bilge Can Meydan .

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Meydan, B.C., Akpolat, İ. (2014). Metastatic Oligodendroglioma: Diagnosis with Fine-Needle Aspiration Cytology. In: Hayat, M. (eds) Tumors of the Central Nervous System, Volume 13. Tumors of the Central Nervous System, vol 13. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-7602-9_3

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  • DOI: https://doi.org/10.1007/978-94-007-7602-9_3

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  • Publisher Name: Springer, Dordrecht

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  • Online ISBN: 978-94-007-7602-9

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