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fibrillary astrocytoma

Description

Fibrillary Astrocytoma: A Type of Brain Tumor

A fibrillary astrocytoma is a type of brain tumor that arises from neoplastic astrocytes, a type of glial cell found in the central nervous system. It is also known as a diffuse astrocytoma.

  • Origin: Fibrillary astrocytomas can occur anywhere in the brain or spinal cord, but are most commonly found in the cerebral hemispheres [1].
  • Composition: The tumor is predominantly composed of fibrillary neoplastic astrocytes, with nuclear atypia being a diagnostic criterion. However, mitotic activity, necrosis, and microvascular proliferation are absent [2][4][13].
  • Gemistocytic Cells: The occasional or regional occurrence of gemistocytic neoplastic cells is compatible with the diagnosis of fibrillary astrocytoma [2][4][13].
  • WHO Grade II: Fibrillary astrocytomas are classified as WHO Grade II tumors, indicating a low-grade malignant tumor [10].

Characteristics

  • Slow-Growing: Fibrillary astrocytomas are slow-growing brain tumors that usually affect adults aged 20 to 50 [6].
  • Most Common Histological Subtype: It is the most common histological subtype of diffuse or low-grade astrocytoma (WHO Grade II) [10].

References

[1] Context result 1 [2] Context result 2 [4] Context result 4 [13] Context result 13 [10] Context result 10

Signs and Symptoms

Fibrillary astrocytomas, also known as diffuse astrocytomas, are a type of brain tumor that can cause various symptoms depending on their location and size. Here are some common signs and symptoms associated with fibrillary astrocytoma:

  • Headaches: One of the most common symptoms is headaches, which can be severe or frequent [1].
  • Seizures: Seizures are a common presentation in at least 50% of cases [7].
  • Focal neurologic deficit: Weakness or numbness on one side of the body can occur due to the tumor's location and size [7].
  • Unexplained weight loss or gain: Changes in appetite or metabolism can lead to unexplained weight changes [8].
  • Changes in behavior or personality: As the tumor grows, it can affect brain function and cause changes in mood, personality, or cognitive abilities [8].
  • Increased head size (in children): In some cases, especially in children, the tumor can cause an increase in head size due to pressure on surrounding structures [9].

It's essential to note that symptoms can vary depending on the location of the tumor and its size. If you're experiencing any of these symptoms or have concerns about a possible fibrillary astrocytoma, consult a medical professional for proper evaluation and diagnosis.

References: [1] - Context result 12 [7] - Context result 7 [8] - Context result 8 [9] - Context result 9

Additional Symptoms

  • Seizures
  • Headaches
  • Focal neurologic deficit
  • Unexplained weight loss or gain
  • Changes in behavior or personality
  • Increased head size (in children)

Diagnostic Tests

Diagnostic Tests for Fibrillary Astrocytoma

Fibrillary astrocytoma, a type of brain tumor, can be diagnosed using various tests. Here are some of the diagnostic tests used to diagnose fibrillary astroctyoma:

  • MRI (Magnetic Resonance Imaging): MRI is the most important imaging study for astrocytomas, including fibrillary astrocytoma [3]. It uses large magnets, radio waves, and a computer to take detailed images of the brain.
  • Biopsy or tissue sample: A biopsy involves taking a small sample of tissue from the tumor, which is then examined under a microscope to confirm the diagnosis [4].
  • Electroencephalogram (EEG): An EEG measures electrical activity in the brain and can help diagnose fibrillary astrocytoma by detecting abnormal patterns of electrical activity [4].
  • Lumbar puncture: A lumbar puncture involves inserting a needle into the spinal canal to collect cerebrospinal fluid, which is then examined for signs of cancer [4].

Additional Tests

Other tests may also be used to diagnose fibrillary astrocytoma, including:

  • CT Scan: A CT scan uses X-rays and a computer to take images of the brain [5].
  • Blood tests: Blood tests can help detect abnormalities in blood chemistry that may indicate cancer [6].
  • Neurological exam: A neurological exam assesses brain function by measuring reflexes, balance, coordination, and muscle strength [7].

Genetic Tests

In some cases, genetic tests may be used to diagnose fibrillary astrocytoma. These tests can identify specific genetic mutations associated with the tumor [13].

It's worth noting that a diagnosis of fibrillary astrocytoma is typically made after a thorough clinical evaluation, including blood tests, neuroimaging techniques, and/or other diagnostic studies [7].

Treatment

Differential Diagnosis

Additional Information

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It is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with questions about your medical condition.