Cytopathology of glioneuronal and neuronal tumours with histological correlations.

Glioneuronal and neuronal tumours constitute a diverse group of tumours that feature neuronal differentiation. In mixed glioneuronal tumours, a glial component is present in addition to the neuronal component. With a few exceptions (eg diffuse leptomeningeal glioneuronal tumour) they are well-circumscribed and slow-growing tumours, which is why their prognosis is intrinsically favourable after gross total resection. Rendering an intraoperative diagnosis of glioneuronal/neuronal tumour is therefore important-neurosurgeons should remove them to prevent the persistence of clinical symptoms and/or recurrence. In this context, cytopathological examination can be especially useful for assessing cellular details when frozen section artefacts render poor-quality preparations, as is the case for this group of tumours, which are frequently mistaken for infiltrating gliomas (eg diffuse astrocytoma infiltrating grey matter, oligodendroglioma) on frozen section slides. The aim of this article is to review the cytomorphological features of glioneuronal and neuronal tumours according to the 2021 World Health Organization classification of central nervous system tumours, 5th edition. Additionally, since interpretation in intraoperative cytology relies on intuiting tissue patterns from cytology preparations, representative histological figures of all discussed entities have been included. Clues for specific diagnoses and the primary diagnostic problems encountered during intraoperative procedures are also discussed.

Intraoperative consultation on pediatric central nervous system tumors by squash cytology.

Squash cytology (SC) is a very useful procedure during neurosurgical intraoperative consultation (IOC), and it is especially recommended for the evaluation of soft tumors or tumors that are highly cellular (just the characteristics of pediatric central nervous system [CNS] tumors). The aim of this review is to familiarize pathologists with the range of cytomorphologic appearances that can occur during IOC for pediatric CNS tumors and with the diagnostic dilemmas and pitfalls encountered in this setting. This article is based on the medical literature and the authors' experience with a large series of cases accrued over a 12-year period at 3 institutions. SC is a specially recommended procedure in IOC for pediatric CNS tumors; it reveals the fine cellular details and background features in a manner not seen in corresponding frozen sections. Indeed, a differential diagnosis between histologically look-alike processes can be achieved with more confidence if SC is employed.

Astroglial cell subtypes in the cerebella of normal adults, elderly adults, and patients with Alzheimer's disease: a histological and immunohistochemical comparison.

Objectives and experimental design Cerebella of young adults, elderly adults, and patients with Alzheimer's disease (AD) (with and without cerebellar amyloid deposits) were studied by Golgi staining and glial fibrillary acid protein (GFAP) immunocytochemical methods. Observations Three subtypes of Golgi epithelial cells and nine subtypes of stellate neuroglia (both normal and hypertrophic) were defined by their morphology, their GFAP-reactivity, their specific location in the cortical layers, and their responses in senility and AD. The GFAP immunoreaction was subtype specific. In aged and AD cerebella, different morphological and GFAP-immunoreactive subtype-specific changes were observed: in the white matter, the subtypes were always GFAP-immunopositive, but in the grey matter some astroglial subtypes showed a variable or no increase in GFAP staining. The astrocytes at the limits of the granule cell layer showed more and longer processes. Variations were seen in one or more folia, involving one or more subtypes and affecting different numbers of cells of each subtype. No clear differences were seen in glial reactivity between beta-amyloid positive and ß-amyloid (Aß) negative AD cerebella. No important relationships were found between Aß deposits. In aged and AD cerebella, different subtypes expressed new proteins (APP, calretinin). Conclusions The existence of different glial subtypes in different locations suggests they have different functions. General and local variations in these subtypes suggest that both general and local induction factors must also exist. The responses of glial cells to as-yet undefined stimuli might lead to general or local neuronal changes important in senility and the pathogenic course of AD.

Calretinin-immunopositive cells and fibers in the cerebellar cortex of normal sheep.

Calretinin (CR)-immunopositive cells and fibers in the cerebellar cortex (vermal archicerebellum--lobules X and IX--and neocerebellum--lobules VIIb and VIII) of two and 4-year-old Manchega and Rasa Aragonesa sheep were studied. CR-immunoreactivity was seen in subsets of all neurons and afferent fibers described in the cerebellar cortex. Generally, immunopositive cells were seen in very high densities in lobules X and IX, and in low density in lobule VIIb. Apparently, all unipolar brush cells were CR-immunopositive and showed a greater variety of shape than had been reported in other species. CR-immunoreactivity of Purkinje cells was either absent or varied from low to medium intensity. Few granule cell perikarya were immunostained (<5%) but a large number of their axons were CR-immunopositive. Subsets of stellate and basket cells were CR-immunoreactive--quite different to what is seen in most of mammalian species. Strongly CR-immunopositive mossy and climbing fibers, isolated or grouped, were observed in all lobules. Although we found neither a difference in CR-immunoreactivity between the two breds of sheep, nor between the two ages examined, we observed important differences in CR-immunoreactivity between sheep and other mammalian species. Our observation of neuronal clusters and groups of fibers with very high CR-immunopositivity supports the idea of a heterogeneous species-specific functional organization for the cerebellar cortex within an apparent homogeneous histological structure maintained throughout mammalian evolution. The results also suggest that the varied levels of CR expression may be related to the specific functions of these immunopositive neurons and fibers rather than to a general neuroprotective role played by calretinin in the cerebellar cortex.

HIV-1 infection of neurons might account for progressive HIV-1-associated encephalopathy in children.

Direct and productive infection of neurons in vivo is still a matter of debate, although in vitro experiments have demonstrated that immature neuronal cells can be productively infected by various human immunodeficiency virus (HIV) strains. To address this controversy we have analyzed, using light microscopy and in situ hybridization (ISH), HIV-1 infected cells in brain tissue from four pediatric cases of HIV-1-associated encephalopathy (EP). HIV-1 RNA-expressing cells--therefore, actively infected cells--were detected by ISH in different amounts in all brain specimens from the four children. They mainly correspond to glial cells. However, in two of the four children, who had severe progressive EP, but not in the other two, who had the static form, HIV-1-infected neurons were clearly observed in the cortical brain samples. These results provide initial evidence that HIV-1 can actively infect neurons in vivo in children and show a cortical involvement of HIV brain infection in clear correlation with the clinical EP symptoms.

Detección de papilomavirus humano (HPV) en carcinoma epidermoide de paladar en paciente HIV positivo / Human Papíllomavírus (HPV) Detectíon in Squamous Carcinoma of the Palate in a Patient wíth AIDS

Los virus del papiloma humano son virus DNA epitel¡otro picos implicados en carcinogénesis cervical , evaluándose en la actualidad su papel en carcinogénesis oral. El aumento de la incidencia de cáncer epidermoide de cérvix uterino en pacientes con SIDA plantea la posible inte-racción HPV - HIV en su desarrollo y, por extensión, en el de carcinoma epidermoide de otras localizaciones extragenitales. Presentamos un caso de carcinoma escamoso de paladar en paciente joven con síndrome de i'nmunodeficiencia adquirida, en el que se demuestra la pre-sencia de- HPV en las células neoplásicas mediante hibridación in situ -utilizando una sonda genérica. Posteriormente , con técnica de PCR, se detectó HPV 18 (de alto riesgo oncogénico). Pensamos que la posible interacción oncogénica HPV HIV puede darse en otras localizaciones aparte de -la- genital. (AU)