Pigmented Ependymoma of the Fourth Ventricle—A Curious Entity: Report of a Rare Case With Review of Literature

2020 ◽  
pp. 106689692092670
Author(s):  
Ankit Malhotra ◽  
Shilpa Rao ◽  
Rashmi Santhoshkumar ◽  
Nufina Muralidharan ◽  
Saikat Mitra ◽  
...  

A 16-year-old boy presented with a tumor located in fourth ventricle, which showed histological features of an ependymoma replete with perivascular pseudorosettes and true ependymal rosettes. Interestingly, many of the tumor cells exhibited abundant cytoplasm stuffed with a grayish brown pigment. Histochemical stains showed the pigment to be acid fast and periodic acid–Schiff positive and negative for Masson-Fontana melanin stain. Additionally, the pigment displayed brilliant autofluorescence under ultraviolet light of a fluorescent microscope. Ultrastructure examination of the pigment revealed a non–membrane-bound biphasic structure with an electron-dense core and electron-lucent periphery. Only few similar case reports mention such pigmented ependymomas to contain a mixture of neuromelanin and lipofuscin while others mention it to be melanin itself. Our workup suggests the pigment to represent lipofuscin or its derivative. Generally known to be a pigment of wear and tear, the significance of finding it in a tumor with such abundance remains to be understood and explored.

2021 ◽  
Vol 49 ◽  
Author(s):  
Yanca Góes Dos Santos Soares ◽  
Draenne Micarla dos Santos Silva ◽  
Maria Jussara Rodrigues do Nascimento ◽  
Millena de Oliveira Firmino ◽  
Rodrigo Cruz Alves ◽  
...  

Background: Melanosis is a blackened pigmentation resulting from the accumulation of melanocytes in tissues that are not normally pigmented. This change in the color of the organs occurs due to the agglomeration of melanocytes originating from abnormal migration during embryogenesis and does not cause dysfunction to the affected organ. Although melanosis frequently occurs in several species and affects several organs such as the brain and spinal cord leptomeninges, involvement in the thalamus region is unusual. The objective of this work was to report two cases of thalamic melanosis in goats, determining the pathological and histochemical aspects that assist in the diagnosis of this condition.Cases: Two cases of thalamic melanosis in goats were diagnosed. In both cases, the animals had no nervous history disease and clinical signs. The cause of death in cases 1 and 2 was established based on anatomopathological findings and clinical signs being diagnosed with mycoplasmosis and asphyxia, respectively. After fixing and making cross-sections of the brain, a focal lengthy blackened area was observed on the thalamus surface in both cases. Microscopically, lesions in the brain were similar in both cases and exclusively affected the thalamus. These cells had abundant cytoplasm, well delimited with brownish granular pigment. The nuclei were difficult to visualize and in some cells, it was rounded, well-defined, morphologically compatible with melanocytes. Melanocytes were mainly distributed around neurons and often distended the perivascular space of multiple blood vessels. In Fontana Masson staining, the granules in the cytoplasm of these cells stained strongly black. The Prussian Blue, Periodic Acid- Schiff's, Von Kossa, and Giemsa stains were negative, and the pigment remained brown. In the unstained slides, assembled after the deparaffinization and clarification process, it was observed the permanence of cells with blackish-brown pigment in the cytoplasm. In immunohistochemistry, strong immunostaining of pigmented cells with the Anti-MelanA antibodies was observed in both cases.Discussion: The diagnosis of thalamic melanosis in goats was carried out based on the characteristic pathological findings, in which melanin pigments were demonstrated and identified through HE, Fontana-Masson staining, and unstained slides and confirmed by the IHC. The use of complementary histochemical techniques was fundamental for the classification of the pigment as melanin, demonstrating to be an accessible and reliable tool for the diagnosis of pathological processes that lead to the accumulation of pigments and or material in the tissues. The occurrence of melanin in the thalamus may be associated with a failure in the migration of melanoblasts, which would go to the optical pathways or to the thalamus. This erratic migration of melanoblasts can be explained by the fact that the forebrain is the embryogenic origin of the optic and diencephalon pathways. Macroscopically, thalamic melanosis must be differentiated mainly from neoplastic processes such as melanoma and hemangiosarcoma, pigmented fungus infections, Phalaris angusta poisoning, listeriosis, neurocutaneous melanosis, and neuromelanin. It was concluded that thalamic melanosis is an uncommon alteration in goats and although it has been diagnosed as an incidental necropsy finding, should be included in the differential diagnosis of diseases that affect the central nervous system, especially those that have a color change associated with the deposition of pigments in the tissues. Keywords: melanin, necropsy findings, pigment, thalamus.Descritores: melanina, achados de necropsia, pigmento, tálamo.Título: Melanose talâmica em caprinos. 


1987 ◽  
Vol 24 (6) ◽  
pp. 500-503 ◽  
Author(s):  
W. Baumgärtner ◽  
P. V. Peixoto

Morphological features and immunoreactivity for cytokeratin (CK), glial fibrillary acidic protein (GFAP) and neuron-specific enolase (NSE) of three canine neuroepitheliomas and three canine ependymomas were investigated. Neuroepitheliomas were in three German shepherds as intradural-extramedullary solitary masses, with spinal cord displacement between T10 and L2. Histologically, they contained tubules and acini, lined by epithelial cells with focal squamous metaplasia, rosette-like structures, and polygonal to spindle-shaped cells between tubules. Acini were empty or filled with a homogeneous, eosinophilic periodic acid-Schiff (PAS)-positive material. Mitotic indices varied from low to moderate. Ependymomas occurred in the third (two cases) and fourth ventricle in adult boxers. Histologically, they were composed of cells with an ill-defined, scant amphophilic cytoplasm, with a central round euchromatic nucleus; cells formed pseudorosettes, with a central fibro-vascular stroma. Neuroepitheliomas stained for CK, but ependymomas did not. Both failed to stain for GFAP, NSE, or phosphotungstic acid hematoxylin (PTAH). Thus, antibodies to cytokeratin are useful to distinguish neuroepitheliomas from ependymomas.


2009 ◽  
Vol 46 (3) ◽  
pp. 439-443 ◽  
Author(s):  
R. R. Quigley ◽  
K. E. Knowles ◽  
G. C. Johnson

An adult dog with ataxia and a lingual mass, previously diagnosed as protothecosis, was euthanized. At the postmortem examination, the lingual mass, regions of the lungs and hilar lymph nodes, liver, mesenteric and sublumbar lymph nodes, and spinal meninges had pronounced green discoloration. Histologically, pyogranulomatous inflammation and algal organisms were found in the tongue, spinal meninges, hilar and mesenteric lymph nodes, liver, and lung. The algae had cell walls positive for periodic acid-Schiff and cytoplasmic granules. Ultrastructurally, the algae had a well-defined cell wall, stacks of grana and thylakoid membrane, and dense bodies, typical of starch granules. The organisms were identified as Chlorella, a green alga, based on the results of histochemistical and electron microscopic examination. To the author's knowledge this is the first report of disseminated Chlorella infection and the first report in a companion animal.


1976 ◽  
Vol 54 (6) ◽  
pp. 908-932 ◽  
Author(s):  
W. Gordon Fields ◽  
Kathleen A. Thompson

The mature spermatozoan of Rossia pacifica consists of acrosome, nucleus, mitochondrial spur, and tail. Anteriorly, the complex acrosome has a cup-shaped depression containing membrane-bound vacuoles. The acrosome is enclosed by a meshwork of longitudinal and circumferential filaments; its invaginated posterior end surrounds juxtanuclear periacrosomal material. The elongated nucleus, of condensed chromatin filaments, encloses lateroposteriorly the proximal and distal centrioles within a centriolar fossa. Mitochondria lie in a separate, spurlike appendage; proximally its lateral margins are continuous with a collarlike annulus. Nine coarse outer fibres surround the 9 + 2 axoneme. They originate from a centriolar ring and diminish in diameter distally. Staining with periodic acid – Schiff demonstrates some glycogen in the mitochondrial spur near its junction with the nucleus.Structural significance and possible functional roles of the various elements are discussed relevant to fertilization. Although this sperm appears intermediate between the more primitive invertebrate sperm type and highly specialized vertebrate sperm, its morphology seems more related to fertilization biology than to phylogenetic position. The singular separateness of areas of energy production and use in R. pacifica sperm and the lengthy energy-transport path may provide unique opportunities for analysis of metabolic processes common to but indecipherable in other sperm.


2002 ◽  
Vol 39 (2) ◽  
pp. 278-280 ◽  
Author(s):  
B. A. Valentine ◽  
R. J. Bildfell ◽  
B. J. Cooper ◽  
U. Giger ◽  
K. A. Fischer

Inclusions of periodic acid-Schiff-positive, amylase resistant material were found within skeletal muscle fibers adjacent to an osteosarcoma in the proximal femur of an 8-year-old intact female Cocker Spaniel dog (dog No. 1) and adjacent to a synovial cell sarcoma of the stifle joint in a 7-year-old spayed female Bouvier des Flandres dog (dog No. 2). Inclusions were pale blue-gray with hematoxylin and eosin stain and formed irregular inclusions, replacing up to approximately 80% of the fiber diameter. Inclusions from dog No. 2 were of non-membrane-bound granular to filamentous material that occasionally formed discrete, elongate electrondense masses. The features of these inclusions were similar to those of materials previously described as complex polysaccharide, polyglucosan bodies, amylopectin, and Lafora bodies. Evidence for a generalized metabolic disorder was not found in these two dogs, suggesting that storage of complex polysaccharide can occur as a relatively nonspecific response to metabolic alterations in skeletal muscle in a variety of conditions.


1981 ◽  
Vol 18 (6) ◽  
pp. 727-737 ◽  
Author(s):  
R. T. Bronson

Macrophages in the lamina propria at the tips of small intestinal villi in 41 of 51 macaque monkeys were filled with eosinophilic, autofluorescent, periodic acid-Schiff-positive globules, hematoxyphilic and Feulgen-positive granules, vacuoles, and iron and lipochrome pigments. The Feulgen-positive granules were seen ultrastructurally in macrophages of nine of 15 clinically normal macaques and baboons. Four of the 15 had similar granules in the intercellular spaces of the epithelium. Ultrastructurally, the eosinophilic globules were electrondense phagolysosomes; the Feulgen-positive granules resembled nuclei of lymphocytes in various stages of pyknosis. Cytoplasmic organelles enclosed in membrane-bound vacuoles were present in the intercellular spaces of the epithelium of one monkey. Similar organelles were phagocytized by macrophages in another monkey. Feulgen-positive granules have been reported in villi of normal rodents. In all other species, including man, degenerating nuclei called “karyolytic bodies” and other evidence of enterocyte or lymphocyte degeneration have been considered abnormal concomitants of irradiation and antimitotic therapy. The significance of the findings in monkeys is not known, but they may represent a subclinical disease process.


2019 ◽  
Vol 31 (3) ◽  
pp. 378-381 ◽  
Author(s):  
Dayna A. Goldsmith ◽  
Aslı Mete ◽  
Joseph B. Pesavento ◽  
John M. Adaska

Pulmonary alveolar proteinosis (PAP) is a disease of surfactant clearance in which functional abnormalities in alveolar macrophages lead to accumulation of surfactant within alveoli in mammals. Histologic examination of 6 avian autopsies, including 4 chickens, a turkey, and a cockatiel, revealed accumulation of hypereosinophilic densely arrayed lamellar material in the lungs that was magenta by periodic acid–Schiff stain and diastase resistant. Transmission electron microscopy of the proteinaceous material in 2 cases demonstrated alternating electron-dense and electron-lucent lamellae that formed whorls and had a regular periodicity of 6–14 nm, consistent with pulmonary surfactant. Given the anatomic differences between avian and mammalian lungs, we designated the presented condition “pulmonary proteinosis,” which can be observed as both an incidental finding or, when severe, may be a contributing factor to death through respiratory failure.


1984 ◽  
Vol 21 (1) ◽  
pp. 46-50 ◽  
Author(s):  
V. Jasty ◽  
R. L. Kowalski ◽  
E. H. Fonseca ◽  
M. C. Porter ◽  
G. R. Clemens ◽  
...  

Histologic, histochemical, and electron microscopic studies of generalized ceroid-lipofuscinosis in a cynomolgus monkey are presented. Histologically, a wide variety of tissue cells contained numerous bright eosinophilic intracytoplasmic granules that varied in size from 0.5 μm to 4.0 μm in diameter. Histochemically, the granules gave a weakly positive reaction with periodic acid-Schiff and for lipids. They were weakly acid fast and capable of emitting autofluorescence. Ultrastructurally, the granules were single unit membrane-bound, and contained dense osmiophilic material with frequent concentric or fingerprint-type lamellar formation. The granules were different than hemofuscin, iron, and bilirubin. Tinctorially the granules were unique—they were bright red with hematoxylin and eosin and, thus, differed from typical age-related lipofuscin pigment.


2019 ◽  
Vol 5 (4) ◽  
pp. 290-297 ◽  
Author(s):  
Martina C. Herwig-Carl ◽  
Karin U. Loeffler ◽  
Hans E. Grossniklaus

Background: Melanocytoma (magnocellular nevus) is a jet-black benign lesion histologically composed of polygonal tumor cells with small, inconspicuous nuclei and abundant cytoplasm. Melanocytomas in general are rare. Most cases occur in the optic nerve head. Conjunctival melanocytoma (magnocellular nevus) is extremely rare, and only 3 lesions of the ocular surface have been reported. Objectives: To describe the clinical and histological spectrum of conjunctival melanocytoma and discuss differential diagnoses of this rare lesion. Method: Four heavily pigmented conjunctival lesions were excised for slight tumor growth and histologically processed. The specimens were routinely stained with hematoxylin and eosin and periodic acid-Schiff. Sections were bleached and immunohistochemical stains were performed for CD68, HMB-45, S100, melanin, and Ki-67. Results: Histological examination revealed findings of a conjunctival melanocytoma in 3 cases. The fourth case was diagnosed histologically as a combined melanocytic lesion with a compound nevus and an inverted type A nevus. None of the lesions exhibited transition towards malignancy. The differential diagnoses included conjunctival melanoma, granular cell nevus, compound nevus with reactive changes, and blue nevus. Conclusions: Conjunctival melanocytic lesions suspicious for melanocytoma should be bleached to evaluate their cytologic features. CD68 can be helpful in identifying heavily pigmented melanomacrophages which may mimic a melanocytoma. As conjunctival melanocytomas are extremely rare, their pathogenesis may be different from that of other conjunctival nevi.


1967 ◽  
Vol 15 (12) ◽  
pp. 732-736 ◽  
Author(s):  
FERENC GYÖRKEY ◽  
TETSUO SHIMAMURA ◽  
ROBERT M. O'NEAL

Ceroid in human atherosclerotic aorta was identified with histochemical tests (acid-fast, oil red O and periodic acid-Schiff techniques) applied to Epon-Araldite- and methacrylate-embedded tissues from which immediately adjacent ultrathin sections were studied with the electron microscope. The fine structure of ceroid in the human atherosclerotic aorta appears to be heterogeneous, showing uniquely wavy, irregularly arranged lamellae lying within granular material of varying electron density. The lamellar structure shows regular and alternating parallel electron-dense and electron-lucent zones which we believe to be characteristic of ceroid.


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