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Published on: October 24, 2010
Filamentous aggregates in a meningioma
1Department of Pathology, Hospital for Sick Children, University of Toronto, Canada.
Abstract:
The light microscopic and ultrastructural appearances of unusual filamentous aggregates in a right parietal meningioma in a 14-year-old boy are described. The tumor showed prominent meningothelial as well as fibroblastic components and was graded as an atypical meningioma. By light microscopy, eosinophilic, PAS-positive, granular, irregularly shaped Rosenthal fiber-like structures were widespread within the tumor, in both an intra- and an extracellular location. By immunohistochemical staining, similar location of positivity was obtained for vimentin, laminin, and collagen type IV. The inclusions were nonreactive for keratin, lysozyme, alpha-1-antitrypsin, and ubiquitin. Ultrastructurally, these aggregates were composed of an irregular tangle of filaments with electron dense condensations, sometimes with a lattice pattern. The intracellular aggregates were membrane-bound, and some were found within dilated rough endoplasmic reticulum, while extracellularly, they filled up spaces between adjacent tumor cells. Less prominently, flocculent osmiophilic nonfilamentous material was also seen within the inclusions. These observations suggest that these novel inclusions in a meningioma are composed of intermediate filaments (vimentin) and extracellular matrix proteins, with active synthesis in the rough endoplasmic reticulum and subsequent extrusion from the tumor cells into the extracellular spaces.
Insights
This study describes unique filamentous aggregates found in a young boy's atypical meningioma. These structures contain intermediate filaments and extracellular matrix proteins, suggesting active tumor cell synthesis and release.
Area of Science:
- Neuropathology
- Oncology
- Cell Biology
Background:
- Meningiomas are tumors arising from the meninges.
- Atypical meningiomas represent a subset with increased proliferative potential.
- Understanding tumor composition aids in diagnosis and treatment.
Observation:
- Unusual filamentous aggregates were observed in a pediatric atypical meningioma.
- Light microscopy revealed Rosenthal fiber-like structures, both intra- and extracellularly.
- Immunohistochemistry showed positivity for vimentin, laminin, and collagen type IV.
Findings:
- Ultrastructural analysis indicated aggregates of tangled filaments with electron-dense condensations.
- Intracellular aggregates were membrane-bound, some within the rough endoplasmic reticulum.
- Extracellular aggregates filled spaces between tumor cells, suggesting active synthesis and secretion.
Implications:
- These novel inclusions are composed of intermediate filaments (vimentin) and extracellular matrix proteins.
- The findings suggest active synthesis within tumor cells and subsequent release into the extracellular space.
- This characterization provides new insights into the pathogenesis of atypical meningiomas.
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