TABLE 2.
Vascular Immunohistochemical Features | ||||
---|---|---|---|---|
Tumor Type | Vascular & Glial Morphology | CD31 | GFAP | AQ4 |
metastasis | thin-walled vessels, no astrocytes w/in lesion | positive staining of thin-walled vessel | no staining w/in bulk of lesion, but reconstitution of astrocytic processes at metastasis-brain interface | no staining w/in bulk of lesion, but reconstitution of normal basement membrane at metastasis-brain interface |
low-grade glioma | normal-appearing vasculature (endothelial cells), astrocytes w/ normal elongated processes apposing each other & tightly associated w/ the vasculature w/in lesion | positive staining of normal-appearing vasculature w/in region of tumor | staining of astrocytic process tightly associated w/ vessels w/in scattered neoplastic cells w/ dysmorphic nuclei | intense staining surrounding vasculature throughout lesion |
malignant glioma* enhancing region | scattered glomeruloid & thick-walled vessels, absence of normal astrocyte architecture | positive staining of thick-walled vasculature, including capillaries | diffuse staining, associated w/ neoplastic cells, no discernible elongated astrocytic processes, gaps in staining surrounding vasculature | diffuse AQ4 staining associated w/ neoplastic cells, gaps of AQ4 staining surrounding vasculature |
nonenhancing region | normal-appearing cerebral vasculature, astrocytes w/ normal elongated processes apposing each other & tightly associated w/ vasculature w/in nonenhancing portions of lesion | positive staining of normal- appearing vasculature | staining of glial processes, tightly associated w/ vessels, together w/ scattered staining of neoplastic cells w/ dysmorphic nuclei | intense staining surrounding vasculature throughout lesion |
Enhancing region: contrast enhancement on MRI after intravenous contrast administration. Nonenhancing region: lack of contrast enhancement on MRI after intravenous contrast administration.