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Gemistocytic astrocytoma

MedGen UID:
87269
Concept ID:
C0334581
Neoplastic Process
Synonyms: Astrocytoma, Gemistocytic; Gemistocytic Astrocytoma; Gemistocytic Astrocytomas
SNOMED CT: Gemistocytic astrocytoma (73982001); Gemistocytoma (73982001)
 
Monarch Initiative: MONDO:0016689
Orphanet: ORPHA251604

Definition

A rare variant of diffuse astrocytoma. It is characterized by the presence of a conspicuous, though variable, fraction of gemistocytic neoplastic astrocytes. Gemistocytes are round to oval astrocytes with abundant, glassy, non-fibrillary cytoplasm which appears to displace the dark, angulated nucleus to the periphery of the cell. To make the diagnosis of gemistocytic astrocytoma, gemistocytes should amount to more than approximately 20% of all tumor cells. (Adapted from WHO) [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVGemistocytic astrocytoma
Follow this link to review classifications for Gemistocytic astrocytoma in Orphanet.

Professional guidelines

PubMed

Leibel SA, Sheline GE, Wara WM, Boldrey EB, Nielsen SL
Cancer 1975 Jun;35(6):1551-7. doi: 10.1002/1097-0142(197506)35:6<1551::aid-cncr2820350612>3.0.co;2-v. PMID: 1148989

Recent clinical studies

Etiology

Keshri V, Deshpande RP, Chandrasekhar YBVK, Panigrahi M, Rao IS, Babu PP
Neurol India 2020 Jul-Aug;68(4):803-812. doi: 10.4103/0028-3886.293441. PMID: 32859817
Heo YJ, Park JE, Kim HS, Lee JY, Nam SJ, Jung SC, Choi CG, Kim SJ
Eur Radiol 2017 Jul;27(7):3022-3032. Epub 2016 Nov 17 doi: 10.1007/s00330-016-4649-z. PMID: 27858213
Simkin PM, Yang N, Tsui A, Kalnins RM, Fitt G, Gaillard F
J Med Imaging Radiat Oncol 2016 Dec;60(6):733-740. Epub 2016 Oct 21 doi: 10.1111/1754-9485.12550. PMID: 27766769
Ohta T, Kim YH, Oh JE, Satomi K, Nonoguchi N, Keyvani K, Pierscianek D, Sure U, Mittelbronn M, Paulus W, Vital A, Yokoo H, McDonald K, Kleihues P, Nazaret N, Barbet F, Lachuer J, Ohgaki H
J Neuropathol Exp Neurol 2014 Oct;73(10):908-15. doi: 10.1097/NEN.0000000000000110. PMID: 25192052
Krouwer HG, Davis RL, Silver P, Prados M
J Neurosurg 1991 Mar;74(3):399-406. doi: 10.3171/jns.1991.74.3.0399. PMID: 1993905

Diagnosis

Rodrigues A, Zhang M, Toland A, Bhambhvani H, Hayden-Gephart M
World Neurosurg 2022 Feb;158:e903-e913. Epub 2021 Nov 27 doi: 10.1016/j.wneu.2021.11.089. PMID: 34844008
Heo YJ, Park JE, Kim HS, Lee JY, Nam SJ, Jung SC, Choi CG, Kim SJ
Eur Radiol 2017 Jul;27(7):3022-3032. Epub 2016 Nov 17 doi: 10.1007/s00330-016-4649-z. PMID: 27858213
Simkin PM, Yang N, Tsui A, Kalnins RM, Fitt G, Gaillard F
J Med Imaging Radiat Oncol 2016 Dec;60(6):733-740. Epub 2016 Oct 21 doi: 10.1111/1754-9485.12550. PMID: 27766769
Ohta T, Kim YH, Oh JE, Satomi K, Nonoguchi N, Keyvani K, Pierscianek D, Sure U, Mittelbronn M, Paulus W, Vital A, Yokoo H, McDonald K, Kleihues P, Nazaret N, Barbet F, Lachuer J, Ohgaki H
J Neuropathol Exp Neurol 2014 Oct;73(10):908-15. doi: 10.1097/NEN.0000000000000110. PMID: 25192052
Tihan T, Vohra P, Berger MS, Keles GE
J Neurooncol 2006 Jan;76(2):175-83. doi: 10.1007/s11060-005-4897-2. PMID: 16132490

Therapy

Jung TY, Jung S, Moon JH, Kim IY, Moon KS, Jang WY
Clin Neurol Neurosurg 2011 Nov;113(9):752-7. Epub 2011 Sep 1 doi: 10.1016/j.clineuro.2011.08.002. PMID: 21889256
Brada M, Sharpe G, Rajan B, Britton J, Wilkins PR, Guerrero D, Hines F, Traish D, Ashley S
Int J Radiat Oncol Biol Phys 1999 Jan 15;43(2):287-92. doi: 10.1016/s0360-3016(98)00390-3. PMID: 10030251
Levin VA, Crafts DC, Wilson CB, Schultz MJ, Boldrey EB, Enot KJ, Pischer TL, Seager M, Elashoff RM
Cancer Treat Rep 1976 Mar;60(3):243-9. PMID: 177210

Prognosis

Rodrigues A, Zhang M, Toland A, Bhambhvani H, Hayden-Gephart M
World Neurosurg 2022 Feb;158:e903-e913. Epub 2021 Nov 27 doi: 10.1016/j.wneu.2021.11.089. PMID: 34844008
Heo YJ, Park JE, Kim HS, Lee JY, Nam SJ, Jung SC, Choi CG, Kim SJ
Eur Radiol 2017 Jul;27(7):3022-3032. Epub 2016 Nov 17 doi: 10.1007/s00330-016-4649-z. PMID: 27858213
Simkin PM, Yang N, Tsui A, Kalnins RM, Fitt G, Gaillard F
J Med Imaging Radiat Oncol 2016 Dec;60(6):733-740. Epub 2016 Oct 21 doi: 10.1111/1754-9485.12550. PMID: 27766769
Ohta T, Kim YH, Oh JE, Satomi K, Nonoguchi N, Keyvani K, Pierscianek D, Sure U, Mittelbronn M, Paulus W, Vital A, Yokoo H, McDonald K, Kleihues P, Nazaret N, Barbet F, Lachuer J, Ohgaki H
J Neuropathol Exp Neurol 2014 Oct;73(10):908-15. doi: 10.1097/NEN.0000000000000110. PMID: 25192052
Tihan T, Vohra P, Berger MS, Keles GE
J Neurooncol 2006 Jan;76(2):175-83. doi: 10.1007/s11060-005-4897-2. PMID: 16132490

Clinical prediction guides

Rodrigues A, Zhang M, Toland A, Bhambhvani H, Hayden-Gephart M
World Neurosurg 2022 Feb;158:e903-e913. Epub 2021 Nov 27 doi: 10.1016/j.wneu.2021.11.089. PMID: 34844008
Keshri V, Deshpande RP, Chandrasekhar YBVK, Panigrahi M, Rao IS, Babu PP
Neurol India 2020 Jul-Aug;68(4):803-812. doi: 10.4103/0028-3886.293441. PMID: 32859817
Elmaci İ, Altinoz MA, Bolukbasi FH, Yapicier O, Sav A
Clin Neuropathol 2017 Nov/Dec;36(6):272-282. doi: 10.5414/NP301028. PMID: 28853695
Deininger MH, Weller M, Streffer J, Mittelbronn M, Meyermann R
Acta Neuropathol 1999 Sep;98(3):240-4. doi: 10.1007/s004010051075. PMID: 10483780
Krouwer HG, Davis RL, Silver P, Prados M
J Neurosurg 1991 Mar;74(3):399-406. doi: 10.3171/jns.1991.74.3.0399. PMID: 1993905

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