1 |
Glial neoplasm with an astroblastoma‐like pattern |
Markedly desmoplastic stroma |
Less than 1/10 HPFs |
2% |
Not present |
Desmin: patchy strong positivity |
EMA: focal, CAM 5.2: negative Cytokeratin, MCK: negative |
Synaptophysin: focal, NeuN: patchy, Neurofilament: negative, CD56: positive |
2 |
Malignant tumor, not otherwise specified (NOS) |
Only focal desmoplasia |
10/10 HPFs |
– |
Foci of necrosis |
Desmin: diffusely positive |
EMA: negative, CAM 5.2: negative, AE1/AE3: negative |
Synaptophysin: negative |
3 |
Favor anaplastic medulloblastoma, WHO grade IV |
Not present |
12/10 HPFs |
80% |
Foci of necrosis |
Desmin: diffusely positive, SMA: negative |
EMA: extensively positive, CAM 5.2: patchy, CK7: focal, CK20: focal |
Synaptophysin: patchy, NeuN: patchy, Neurofilament: patchy |
4 |
Low‐grade glioneuronal tumor |
Markedly desmoplastic stroma |
Less than 1/10 HPFs |
8% |
Not present |
Desmin: diffusely positive, Myogenin: negative |
EMA: focal, CAM 5.2: negative, Pan‐cytokeratin: focal |
Synaptophysin: focal, NeuN: patchy, Neurofilament: negative, CD56: positive |
5 |
Small round blue cell tumor |
Only focal desmoplasia |
– |
– |
– |
Desmin: strongly positive, Myogenin: negative, SMA: focally positive |
EMA: negative, CAM 5.2: negative, Pan‐cytokeratin: negative |
Synaptophysin: focal, CD56: positive |