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Papillary Glioneuronal Tumour: A Case Report.
Saulius Rocka1, Laura Neverauskiene2, Ewell L Nelson3
1Neurosurgery, Vilnius University, Vilnius, LTU.
Cureus
|May 23, 2019
Summary
Papillary glioneuronal tumour (PGNT) is rare. This case study details its clinical, radiological, and histopathological features, showing successful nodule resection with no recurrence at three years.
Area of Science:
- Neuro-oncology
- Neurosurgery
- Pathology
Background:
- Papillary glioneuronal tumour (PGNT) is a rare central nervous system neoplasm.
- Few cases with focal symptomatology have been documented, necessitating further clinical characterization.
Observation:
- A case of PGNT presenting with focal symptoms is described.
- Intraoperative pathology confirmed the absence of tumor within the cyst walls.
- Surgical resection focused on the nodular component, preserving the cyst wall.
Findings:
- The patient underwent successful surgical resection of the papillary glioneuronal tumour nodule.
- Post-operative follow-up at three years showed no evidence of tumour recurrence.
- Histopathological analysis confirmed the diagnosis of PGNT.
Implications:
- This case highlights the importance of precise surgical techniques for PGNT, involving nodule resection while preserving the cyst.
- Successful outcomes suggest that focal resection may be an effective treatment strategy for select PGNT cases.
- Long-term surveillance is crucial to monitor for any potential late recurrence of this rare tumour.
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