Pineoblastoma cytology

  • How do you diagnose a pineoblastoma?

    Tests and procedures used to diagnose pineoblastoma include: Imaging tests.
    Imaging tests can find the location and size of the brain tumor.
    Magnetic resonance imaging (MRI) is often used to diagnose brain tumors..

  • How is pineal tumor diagnosed?

    If a doctor thinks you may have a pineal tumor, you may need tests, such as: MRI.
    MRIs use radio waves, magnets, and a computer to make detailed images of the brain and spinal cord.
    Biopsy..

  • How is pineoblastoma diagnosed?

    Tests and procedures used to diagnose pineoblastoma include: Imaging tests.
    Imaging tests can find the location and size of the brain tumor.
    Magnetic resonance imaging (MRI) is often used to diagnose brain tumors..

  • What is pineoblastoma?

    Pineoblastoma is a type of cancer that starts in the brain's pineal gland.
    The pineal gland is located in the center of the brain.
    The gland produces a hormone called melatonin.
    Melatonin plays a role in the body's natural sleep-wake cycle.
    Pineoblastoma begins as a growth of cells in the pineal gland..

  • What is the difference between a pineocytoma and a pineoblastoma?

    Typically, pineocytomas are slow-growing and well-circumscribed tumors (compared to pineoblastomas that tend to be larger, and less well-circumscribed).
    They tend to be solid, although focal areas of cystic change or hemorrhage do occur..

  • What is the histology of pineoblastoma?

    Pineoblastoma is a highly aggressive tumor seen usually in the first two decades of life.
    It makes up approximately 50% of all pineal parenchymal tumors.
    The image shows a soft, friable, fleshy tumor with areas of hemorrhage and necrosis..

  • A pineoblastoma is a high grade (cancerous – grade 4), fast growing tumour of the pineal region of the brain.
    This is the deep central area of the brain where the two halves of the brain meet.
    While pineoblastomas can affect anyone, they are mostly diagnosed in people under 20 years old.
  • Typically, pineocytomas are slow-growing and well-circumscribed tumors (compared to pineoblastomas that tend to be larger, and less well-circumscribed).
    They tend to be solid, although focal areas of cystic change or hemorrhage do occur.
Aug 9, 2023PineoblastomaGrade 4 of 4Second most common pineal gland tumor after germ cell tumorUsually age 20 years or lessFrequent CNS metastases  ImagesView allView all
Aug 9, 2023PineoblastomaLocated in pineal glandMay appear well demarcated from surrounding brain tissue but usually infiltrates into surrounding 
The cytologic feature of pineoblastomas resembles that of other undifferentiated medulloblastoma-like tumors (Fig. 4c). Nuclear molding is common, and pseudorosettes may be present [61].

Does pineoblastoma have a worse outcome than other primitive neuroectodermal tumors?

Pineoblastoma is a rare, embryonic tumor with sparse data in literature about the outcome and prognostic factors affecting the survival

Some studies support that patients with pineoblastomas have a worse outcome compared to other primitive neuroectodermal tumors (sPNETs) [ 13 ]

In this study, younger patients had significantly low EFS and OS

How many molecular subgroups are there in pineoblastoma?

Recent studies proved that there are four molecular subgroups in pineoblastoma (A, B, B-like, and FOXR2) exist

Group A occurs in infants, and B and B-like groups occur in older age with 50% and 0% incidence of metastases, respectively [ 8 ]

Which group is most likely to have metastases in pineoblastoma?

Group A occurs in infants, and B and B-like groups occur in older age with 50% and 0% incidence of metastases, respectively [ 8 ]

The COG ACNS0332 trial reported a 5-year EFS of 62

8% in pineoblastoma patients older than 3 years, which is better than our results [ 14 ]

Pineoblastoma however does not produce either. Additionally, the cerebrospinal fluid is sometime analyzed for cytology, meaning that it is analyzed for any tumor cells in the fluid. This can indicate spread of the tumor through the fluid to the spinal or other regions of the central nervous system.
Pineoblastoma cytology
Pineoblastoma cytology

Medical condition

Pineoblastoma is a malignant tumor of the pineal gland.
A pineoblastoma is a supratentorial midline primitive neuroectodermal tumor.
Pineoblastoma can present at any age, but is most common in young children.
They account for 0.001% of all primary CNS neoplasms.

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