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The neuropathology of brain metastases

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Presentation on theme: "The neuropathology of brain metastases"— Presentation transcript:

1 The neuropathology of brain metastases
Mark Fabian, Mark Walker  Diagnostic Histopathology  Volume 25, Issue 1, Pages 1-7 (January 2019) DOI: /j.mpdhp Copyright © Terms and Conditions

2 Figure 1 A case of metastatic melanoma showing a well-defined border with adjacent brain parenchyma and prominent pigment production (H&E, 2×). Diagnostic Histopathology  , 1-7DOI: ( /j.mpdhp ) Copyright © Terms and Conditions

3 Figure 2 A case of glioblastoma showing infiltrative spread into surrounding brain parenchyma (H&E, 2×). Diagnostic Histopathology  , 1-7DOI: ( /j.mpdhp ) Copyright © Terms and Conditions

4 Figure 3 Metastatic melanoma showing a diffuse pattern of infiltration with single cells and small clusters (H&E, 5×). Diagnostic Histopathology  , 1-7DOI: ( /j.mpdhp ) Copyright © Terms and Conditions

5 Figure 4 Growth of metastatic lung adenocarcinoma within the subarachnoid space of the cerebellum, with extension of tumour into the parenchyma via the perivascular space (H&E, 5×). Diagnostic Histopathology  , 1-7DOI: ( /j.mpdhp ) Copyright © Terms and Conditions

6 Figure 5 A case of olfactory neuroblastoma (Hyams grade 2) showing tumour impinging on the inferior frontal lobe through direct invasion of the cribriform plate (H&E, 10×). Diagnostic Histopathology  , 1-7DOI: ( /j.mpdhp ) Copyright © Terms and Conditions

7 Figure 6 CSF cytospin preparation showing leptomeningeal involvement by metastatic breast carcinoma. There is marked cytological atypia with occasional intracytoplasmic vacuoles and binucleate forms (Diff-Quik, 40×). Diagnostic Histopathology  , 1-7DOI: ( /j.mpdhp ) Copyright © Terms and Conditions

8 Figure 7 Immunocytochemical staining with MNF116 in the case of metastatic breast carcinoma shown in Figure 4 (MNF116, 40×). Diagnostic Histopathology  , 1-7DOI: ( /j.mpdhp ) Copyright © Terms and Conditions

9 Figure 8 Epithelioid glioblastoma showing a relatively well-defined border with adjacent brain parenchyma (H&E, 4×). Diagnostic Histopathology  , 1-7DOI: ( /j.mpdhp ) Copyright © Terms and Conditions

10 Figure 9 Higher magnification view of the case shown in Figure 7, showing the prominent epithelioid morphology with well-defined cell borders and relative lack of cytoplasmic processes. (H&E, 20×). Diagnostic Histopathology  , 1-7DOI: ( /j.mpdhp ) Copyright © Terms and Conditions

11 Figure 10 Anaplastic meningioma showing poor differentiation with cellular pleomorphism, prominent nucleoli and a high mitotic rate. Cellular whorl formation on the superficial aspect helps reveal this tumour's meningothelial origin (H&E, 10×). Diagnostic Histopathology  , 1-7DOI: ( /j.mpdhp ) Copyright © Terms and Conditions

12 Figure 11 A highly cellular CSF specimen showing florid reactive changes associated with chronic inflammation (Diff-Quik, 40×). Diagnostic Histopathology  , 1-7DOI: ( /j.mpdhp ) Copyright © Terms and Conditions


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