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Sample records for pineal region tumors

  1. Diagnosis of pineal region tumors

    International Nuclear Information System (INIS)

    The aim of this paper is to explain the different radio-clinical presentations of pineal region tumors. Although MR images provide a important help to diagnosis, because of topographic analysis and evaluation of MR characteristics in the tumors, clinic, presentation tumors markers and the stereotaxic surgery are also of great importance. Radiological appearances, while not pathognomonic, are helpful in the differential diagnostic of pineal region tumours. (authors)

  2. Papillary tumor of the pineal region

    OpenAIRE

    Vandergriff, Clayton; Opatowsky, Michael; O'Rourke, Brian; Layton, Kennith

    2012-01-01

    Presented is a patient with papillary tumor of the pineal region (PTPR), an uncommon and recently recognized neoplasm. As its name implies, PTPR does not arise from the pineal gland itself. The cell of origin is thought to be the specialized ependymocytes of the subcommissural organ. Primary tumors of the pineal region include pineal parenchymal neoplasms, germ cell neoplasms, and tumors arising from adjacent structures, including meningiomas, astrocytomas, and ependymomas. Like other masses ...

  3. Fully Endoscopic Resection of Pineal Region Tumors

    OpenAIRE

    Shahinian, Hrayr; Ra, Yoon

    2013-01-01

    Background and Objective Surgical treatment for pineal tumors is technically challenging—weighing the risks and benefits of microsurgical resection for the patient with a pineal tumor versus settling for an endoscopic third ventriculostomy and biopsy is sometimes difficult. Traditional microsurgical resection for pineal region tumors has typically required large open craniotomies and involvement or retraction of neural tissue with significant mortality and morbidity. With the advancement of h...

  4. Papillary tumor of the pineal region

    Science.gov (United States)

    Opatowsky, Michael; O'Rourke, Brian; Layton, Kennith

    2012-01-01

    Presented is a patient with papillary tumor of the pineal region (PTPR), an uncommon and recently recognized neoplasm. As its name implies, PTPR does not arise from the pineal gland itself. The cell of origin is thought to be the specialized ependymocytes of the subcommissural organ. Primary tumors of the pineal region include pineal parenchymal neoplasms, germ cell neoplasms, and tumors arising from adjacent structures, including meningiomas, astrocytomas, and ependymomas. Like other masses in this location, PTPR often leads to obstructive hydrocephalus. Due to the relative paucity of reported cases of PTPR, its natural history is unknown. PMID:22275792

  5. The challenge of pineal region tumors

    International Nuclear Information System (INIS)

    These preceding case studies serve to emphasize various facets of pineal region tumors. The first case highlights the possible effect of such tumors on pineal physiology. A clear relationship between pineal function and diurnal rhythms is noted. While the pineal gland has been studied extensively in various mammals, basic investigation in man is somewhat lacking. However, with the development of an accurate, sensitive, and specific melatonin assay, more can be learned in the clinical setting. Application of this basic work is seen in the second case. Another aspect of clinical investigation focuses on the immunopathology of pineal tumors. Tumors of the pineal region can be ''benign'' and/or radio-insensitive. Some require surgical treatment, others do not. Lipomas may well be diagnosed radiographically and do not necessarily require surgical intervention, while meningiomas can often be surgically cured

  6. Diagnosis and treatment of pineal region tumors

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    Neuwelt, E.A.

    1984-01-01

    The aim of this volume is to review the pertinent literature dealing with pineal tumors and thus aid in the handling of these rather uncommon lesions. After the first, introductory, chapter, three chapters treat the pathology and diagnosis of pineal tumors. There is also one chapter on intracranial germ cell tumors (natural history and pathogenesis) and one on the normal function of the pineal gland. With the exception of the chapter on diagnostic radiology of pineal tumors, which seems somewhat superficial, these five chapters summarize current knowledge about the nature of these complex lesions and their symptomatology very well. The next nine chapters deal with biopsy and surgery of these tumors and how to manage the patient. The first of these gives a historical review of the development of surgical techniques - from the first attempt by Horsley in 1905 to the microsurgical techniques of today. It is followed by a very important and detailed description of the microsurgical anatomy of the pineal region.

  7. Diagnosis and treatment of pineal region tumors

    International Nuclear Information System (INIS)

    The aim of this volume is to review the pertinent literature dealing with pineal tumors and thus aid in the handling of these rather uncommon lesions. After the first, introductory, chapter, three chapters treat the pathology and diagnosis of pineal tumors. There is also one chapter on intracranial germ cell tumors (natural history and pathogenesis) and one on the normal function of the pineal gland. With the exception of the chapter on diagnostic radiology of pineal tumors, which seems somewhat superficial, these five chapters summarize current knowledge about the nature of these complex lesions and their symptomatology very well. The next nine chapters deal with biopsy and surgery of these tumors and how to manage the patient. The first of these gives a historical review of the development of surgical techniques - from the first attempt by Horsley in 1905 to the microsurgical techniques of today. It is followed by a very important and detailed description of the microsurgical anatomy of the pineal region

  8. Fully Endoscopic Resection of Pineal Region Tumors

    Science.gov (United States)

    Shahinian, Hrayr; Ra, Yoon

    2013-01-01

    Background and Objective Surgical treatment for pineal tumors is technically challenging—weighing the risks and benefits of microsurgical resection for the patient with a pineal tumor versus settling for an endoscopic third ventriculostomy and biopsy is sometimes difficult. Traditional microsurgical resection for pineal region tumors has typically required large open craniotomies and involvement or retraction of neural tissue with significant mortality and morbidity. With the advancement of high-resolution fiber optics, a fully endoscopic, supracerebellar, infratentorial approach, without any cerebellar retraction or manipulation of neural tissue, is introduced for the gross total resection of pineal region tumors. Conclusion As an endoscopic modification of the open craniotomy procedure, this technique combines the advantages and benefits of both open microsurgical resection and minimally invasive endoscopic surgeries. PMID:24436899

  9. Tumors of the pineal region: radiological findings

    International Nuclear Information System (INIS)

    To consider the different radiological findings that, together with age, sex, clinical picture and serum markers, indicate a presumed or even definitive diagnosis in tumors of the pineal region. We reviewed retrospectively 18 patients diagnosed as having pineal region tumors. The lesions in this series consisted of seven germinoma, three meningiomas, one pineoblastoma. two ependymomas, one teratoma, two glial cysts, and arachnoid cyst and a lipoma. All but the arachnoid cysts and the lipoma were confirmed histologically. We took into account mainly the epidemiological data, tumor markers and CT and MR features. The germinoma was the most common lesions, representing 38.8% of the tumors in our series. All developed in men (mean age: 21 years). Small non tumoral calcifications were present in pineal gland in six of these cases. This tumor usually invades adjacent structures and produces metastatic seeding in CSF. The pineoblastoma contained prominent tumor calcifications. Meningiomas were detected only in middle-aged women. In addition to the fact that the behavior of these lesions was typical of that meningiomas in other locations, meningeal enhancement in the vicinity of the extraaxial tumor aided in the diagnosis. The teratoma showed variable attenuation, ranging from a fatty substance to calcium, and elevated fetoprotein levels. The glial cyst is a cyst lesion that does not be-have exactly like the CSF, while the arachnoid cyst was isointense with respect to the CSFyst was isointense with respect to the CSF in all sequences. Enhancement was observed in the glial cysts, one peripheral and the other nodular. The assessment of age, sex, clinical picture and tumor markers, together with the features observed in CT an MR images are suggestive of the histological diagnosis of pineal region tumors. We recommend the use of CT because of its availability and its ability detect calcifications, thus indicating a specific histological type, and of MR because of its greater anatomical definition and its, ability to determine the degree of tumor extension or invasion. (Author) 19 refsTo consider the different radiological findings that, together with age, sex, clinical picture and serum markers, indicate a presumed or even definitive diagnosis in tumors of the pineal region. We reviewed retrospectively 18 patients diagnosed as having pineal region tumors. The lesions in this series consisted of seven germinoma, three meningiomas, one pineoblastoma. two ependymomas, one teratoma, two glial cysts, and arachnoid cyst and a lipoma. All but the arachnoid cysts and the lipoma were confirmed histologically. We took into account mainly the epidemiological data, tumor markers and CT and MR features. The germinoma was the most common lesions, representing 38.8% of the tumors in our series. All developed in men (mean age: 21 years). Small non tumoral calcifications were present in pineal gland in six of these cases. This tumor usually invades adjacent structures and produces metastatic seeding in CSF. The pineoblastoma contained prominent tumor calcifications. Meningiomas were detected only in middle-aged women. In addition to the fact that the behavior of these lesions was typical of that meningiomas in other locations, meningeal enhancement in the vicinity of the extraaxial tumor aided in the diagnosis. The teratoma showed variable attenuation, ranging from a fatty substance to calcium, and elevated fetoprotein levels. The glial cyst is a cyst lesion that does not be-have exactly like the CSF, while the arachnoid cyst was isointense with respect to the CS

  10. Transcallosal approach to pineal tumors and the hospital for sick children series of pineal region tumors

    International Nuclear Information System (INIS)

    Direct surgery on a pineal region mass can be carried out safely and is justified in that the pineal region harbors many benin tumors which would not benefit from radiotherapy. Furthermore, this region contains some highly malignant tumors that need more than just local radiotherapy. In order to discern between these various groups of tumors, histologic proof of the nature of the entire tumor is necessary. The author has found the posterior transcallosal approach to the pineal region a safe and satisfactory approach to tumors in this region and also found this approach particularly advantageous when the tumor extends upwards and forwards into the third ventricle. Direct surgery on pineal tumors can now be carried out confidently and safely and in many cases, radical if not total removal of the neoplasm can be achieved

  11. Pineal region tumors: analysis of treatment results

    International Nuclear Information System (INIS)

    This article represents a review of 32 patients with pineal region tumors seen and treated at the University of Michigan Medical Center from January 1950 to December 1980. All patients presented with manifestations of increased intracranial pressure: limitation of the upward gaze (Parinaud's syndrome), hydrocephalus and a mass in the posterior aspect of the third ventricle. The tumor was demonstrated by pneumoencephalography, ventriculography, angiography or CT scans. Ventricular decompression was performed in all patients. Twenty-seven patients received post-operative irradiation. The overall 10 year survival for evaluable patients was 16/24 (67%). Few complications were seen

  12. Pineal region tumors: analysis of treatment results

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    Amendola, B.E.; McClatchey, K.; Amendola, M.A.

    1984-07-01

    This article represents a review of 32 patients with pineal region tumors seen and treated at the University of Michigan Medical Center from January 1950 to December 1980. All patients presented with manifestations of increased intracranial pressure: limitation of the upward gaze (Parinaud's syndrome), hydrocephalus and a mass in the posterior aspect of the third ventricle. The tumor was demonstrated by pneumoencephalography, ventriculography, angiography or CT scans. Ventricular decompression was performed in all patients. Twenty-seven patients received post-operative irradiation. The overall 10 year survival for evaluable patients was 16/24 (67%). Few complications were seen.

  13. Diagnosis of pineal region tumors; Imagerie des tumeurs de la region pineale

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    Gauvrit, J.Y.; Soto Ares, G.; Hamon-Kerautret, M.; Pruvo, J.P.; Blond, S. [Centre Hospitalier Universitaire, 59 - Lille (France)

    1997-09-01

    The aim of this paper is to explain the different radio-clinical presentations of pineal region tumors. Although MR images provide a important help to diagnosis, because of topographic analysis and evaluation of MR characteristics in the tumors, clinic, presentation tumors markers and the stereotaxic surgery are also of great importance. Radiological appearances, while not pathognomonic, are helpful in the differential diagnostic of pineal region tumours. (authors). 44 refs.

  14. Pineal region tumors: computed tomographic-pathologic spectrum

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    Futrell, N.N.; Osborn, A.G.; Cheson. B.D.

    1981-11-01

    While several computed tomographic (CT) studies of posterior third ventricular neoplasms have included descriptions of pineal tumors, few reports have concentrated on these uncommon lesions. Some authors have asserted that the CT appearance of many pineal tumors is virtually pathognomonic. A series of nine biopsy-proved pineal gland and eight other presumed tumors is presented that illustrates their remarkable heterogeneity in both histopathologic and CT appearance. These tumors included germinomas, teratocarcinomas, hamartomas, and other varieties. They had variable margination, attentuation, calcification, and suprasellar extension. Germinomas have the best response to radiation therapy. Biopsy of pineal region tumors is now feasible and is recommended for treatment planning.

  15. Pineal region tumors: computed tomographic-pathologic spectrum

    International Nuclear Information System (INIS)

    While several computed tomographic (CT) studies of posterior third ventricular neoplasms have included descriptions of pineal tumors, few reports have concentrated on these uncommon lesions. Some authors have asserted that the CT appearance of many pineal tumors is virtually pathognomonic. A series of nine biopsy-proved pineal gland and eight other presumed tumors is presented that illustrates their remarkable heterogeneity in both histopathologic and CT appearance. These tumors included germinomas, teratocarcinomas, hamartomas, and other varieties. They had variable margination, attentuation, calcification, and suprasellar extension. Germinomas have the best response to radiation therapy. Biopsy of pineal region tumors is now feasible and is recommended for treatment planning

  16. Pineal region tumors: Clinical symptoms and syndromes.

    Science.gov (United States)

    Rousselle, C; des Portes, V; Berlier, P; Mottolese, C

    2015-01-01

    The present paper investigates the clinical picture and the different clinical signs that reveal pineal region tumors or appear during the course of the follow-up. Biological malignancy and tumor extension determine the semiology and its setting up mode. Typical endocrine signs, dominated by abnormal puberty development, are frequently a part of the clinical scene. Bifocal or ectopic localization in the hypothalamic-pituitary region is accompanied by other endocrine signs such as ante- or post-pituitary insufficiencies which occur several months or even years after the first neurological signs appear. Due to a mass syndrome and obstructive hydrocephalus, intracranial hypertension signs are frequent but unspecific. A careful ophthalmologic examination is essential to search upward gaze paralysis and other signs of the Parinaud's tetrad or pentad. Midbrain dysfunction, including extrinsic aqueduct stenosis, are also prevalent. Except for abnormal pubertal signs, hyper-melatoninemia (secretory tumors) or a-hypo-melatoninemia (tumors destructing pineal) generally remains dormant. Some patients present sleep problems such as narcolepsy or sleepiness during the daytime as well as behavioral problems. This suggests a hypothalamic extension rather than a true consequence of melatonin secretion anomalies. Similarly, some patients may present signs of a "pinealectomized" syndrome, including (cluster) headaches, tiredness, eventually responsive to melatonin. PMID:24439798

  17. Endoscopic approach for the treatment of pineal region tumors.

    Science.gov (United States)

    Herrada-Pineda, Tenoch; Revilla-Pacheco, Francisco; Manrique-Guzman, Salvador

    2015-01-01

    Tumors of the pineal region account for 3 to 8% of the tumors involving the central nervous system. The most common are germ cell tumors (39%). Less common examples include teratomas, primitive neuroectodermic tumors, astrocytomas, and choriocarcinomas. Clinical presentation in pediatric patients is in direct relation to the anatomical structures surrounding the pineal region and to the associated hydrocephalus that is present in almost 90% of cases. The diagnosis of a tumor in the pineal region is based on radiological findings and the presence of tumor markers such as ?-fetoprotein and human chorionic gonadotrophic hormone subfraction ?. Neuroendoscopy is considered to be one of the minimally invasive techniques useful for the management of such patients. This minimally invasive approach to pineal region tumors allows the treatment of hydrocephalus in a safe and effective way, avoiding the complications derived from other procedures such as external ventricular drainage or shunt surgery. PMID:23532609

  18. Radiotherapy of the pineal region tumors

    International Nuclear Information System (INIS)

    Thirty-three patients with pineal region tumors treated with radiation therapy between June 1971 and January 1986 were analyzed with respect to the treatment. The following results were obtained : 1) The five- and ten-year actuarial survival rates were 84.4 % and 69.0 % for all cases and 90.6 % and 80.5 % for 23 cases of germinoma. 2) In germinomas, intracranial relapse occurred in four patients whose treatment was limited to tumor-bearing areas and/or tumor dose was less than 40 Gy in 5 weeks. 3) Prophylactic irradiation to the spinal axis (20 Gy in 2.5 weeks) was carried out in patients exhibiting abnormal cerebrospinal fluid (CSF) findings : positive cytology for tumor cells or increased protein and cell count levels. However, no spinal metastasis was detected regardless of radiotherapy. 4) On the basis of our analysis, we recommend whole brain irradiation to 30 Gy in 4.5 weeks plus a boost of 20 Gy in 2.5 weeks to the tumor area and prophylactic spinal irradiation for the patient exhibiting the abnormal CSF findings. (author)

  19. Imagery of pineal tumors.

    Science.gov (United States)

    Deiana, G; Mottolese, C; Hermier, M; Louis-Tisserand, G; Berthezene, Y

    2015-01-01

    Pineal tumors are rare and include a large variety of entities. Germ cell tumors are relatively frequent and often secreting lesions. Pineal parenchymal tumors include pineocytomas, pineal parenchymal tumor of intermediate differentiation, pineoblastomas and papillary tumors of the pineal region. Other lesions including astrocytomas and meningiomas as well as congenital malformations i.e. benign cysts, lipomas, epidermoid and dermoid cysts, which can also arise from the pineal region. Imagery is often non-specific but detailed analysis of the images compared with the hormone profile can narrow the spectrum of possible diagnosis. PMID:25676911

  20. MR imaging in tumors of the pineal region

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    Mueller-Forell, W.; Schroth, G.; Egan, P.J.

    1988-06-01

    Ten patients with tumors of the pineal region underwent CT and MRI investigations. There were 3 germinomas, 3 teratomas and 1 of each of the following: Pineocytoma, PNET, ependymoma and meningioma. Not only were tumor size and growth compared to CT, but an attempt was made to obtain knowledge of the histology of the tumor by special T/sub 2/ calculations. The investigations did not lead to an improvement in type specific diagnosis.

  1. MR imaging in tumors of the pineal region

    International Nuclear Information System (INIS)

    Ten patients with tumors of the pineal region underwent CT and MRI investigations. There were 3 germinomas, 3 teratomas and 1 of each of the following: Pineocytoma, PNET, ependymoma and meningioma. Not only were tumor size and growth compared to CT, but an attempt was made to obtain knowledge of the histology of the tumor by special T2 calculations. The investigations did not lead to an improvement in type specific diagnosis. (orig.)

  2. History of the pineal region tumor.

    Science.gov (United States)

    Mottolese, C; Szathmari, A

    2015-01-01

    The pineal gland has interested humans from millenniums. In this paper we review back in the history and the evolution of the pineal gland surgery. Originally, this surgery used to carry a high rate of morbidity and mortality. Nowadays the development of the anesthetic, radiological, surgical and intensive care techniques have been responsible of an improvement of the surgical results and better quality of life. It is always interesting to know from where we come. PMID:25016433

  3. Tumoral markers in tumors of the pineal region.

    Science.gov (United States)

    Faure-Conter, C

    2015-01-01

    In cases of pineal tumors, a germ cell tumor should always be suspected. As some of them are secreting tumors, tumoral markers (AFP and/or hGC) are an important part of the diagnostic process. Their positivity either in the serum and/or in the cerebrospinal fluid may lead to an accurate diagnosis, avoiding a potentially dangerous surgical biopsy. Follow-up of tumoral markers is useful during and after treatment in order to monitor response to chemotherapy or a remission status. PMID:24856314

  4. Diagnostic radiation and its prognosis of pineal region tumor

    International Nuclear Information System (INIS)

    20 Gy of local irradiation was performed for the patients with pineal region tumor. We evaluated the tumor volume on X-CT in the pre-radiation and 20 Gy of post-radiation state. If tumor is sensitive enough to radiation therapy, we add 40 Gy of whole brain and 30 to 40 Gy of whole spine irradiation. If not, we transfer patients to neurosurgeons for the purpose of tumor ressection. We call this procedure ''Diagnostic Radiation.'' We proposed the concept of TRR (Tumor Regression Ratio) in order to evaluate our protocol more objctively. TRR is as follows: TRR (%) = [1-Total Tumor Volume (at each dose) / Total Tumor Volume (at o Gy)] x 100 (%) Total Tumor Volume(mm3) = slice thickness(mm) x siguma HDA (mm2) on each slice: where HDA is high density area on enhanced CT. Eleven patients were studied and TRR of each patients was calculated. The relations between TRR, tumor markers, CSF seeding and prognoiss was discussed. From our study, (1) TRR at 20Gy was important and might predict approximate prognosis of each cae case. A) TRR = 100 ? very good B) TRR < 20 ? poor C) 20 <= TRR < 100 ? high possibility (2) Majority of TRR < 100 cases have turned out to be histologically in teratoma category. (3) Good correlation between the level of tumor markers and prognosis was observed. Cases with elevated level of AFP and/or HCG were radio- resistant and had poor prognosis. (4) Distant metastasis must also be kept in mind in the treatment of pineal region tumor. (author)

  5. Diagnostic radiation and its prognosis of pineal region tumor

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    Momose, Toshimitsu; Aoki, Yukimasa; Akanuma, Atsuo; Machida, Tohru; Iio, Masahiro; Takakura, Kimitomo (Tokyo Univ. (Japan). Faculty of Medicine)

    1984-06-01

    20 Gy of local irradiation was performed for the patients with pineal region tumor. We evaluated the tumor volume on X-CT in the pre-radiation and 20 Gy of post-radiation state. If tumor is sensitive enough to radiation therapy, we add 40 Gy of whole brain and 30 to 40 Gy of whole spine irradiation. If not, we transfer patients to neurosurgeons for the purpose of tumor ressection. We call this procedure ''Diagnostic Radiation.'' We proposed the concept of TRR (Tumor Regression Ratio) in order to evaluate our protocol more objctively. TRR is as follows: TRR (%) = (1-Total Tumor Volume (at each dose) / Total Tumor Volume (at o Gy)) x 100 (%) Total Tumor Volume(mm/sup 3/) = slice thickness(mm) x siguma HDA (mm/sup 2/) on each slice: where HDA is high density area on enhanced CT. Eleven patients were studied and TRR of each patients was calculated. The relations between TRR, tumor markers, CSF seeding and prognoiss was discussed. From our study, (1) TRR at 20Gy was important and might predict approximate prognosis of each cae case. A) TRR = 100 ..-->.. very good B) TRR < 20 ..-->.. poor C) 20 <= TRR < 100 ..-->.. high possibility (2) Majority of TRR < 100 cases have turned out to be histologically in teratoma category. (3) Good correlation between the level of tumor markers and prognosis was observed. Cases with elevated level of AFP and/or HCG were radio- resistant and had poor prognosis. (4) Distant metastasis must also be kept in mind in the treatment of pineal region tumor.

  6. Clinicopathological characteristics of papillary tumor of the pineal region

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    Guang-yu JIANG

    2014-07-01

    Full Text Available Background Papillary tumor of the pineal region (PTPR is a newly recognized distinct entity in the 2007 WHO nomenclature. This tumor is characterized by epithelial-appearing areas with papillary features and more densely cellular areas that often display ependymal-like differentiation, which is likely to originate from the specialized ependymocytes of subcommissural organ near the Sylvian cerebral aqueduct. Due to its rarity and non-specific appearance in radiological exanimation, it is a diagnostic challenge for radiologists and histopathologists to differentiate PTPR from other primary or metastatic lesions located in the pineal region because of their similarities in radiological and histological findings. The aim of this study is to summarize the clinicopathological features of PTPR and discuss the differential diagnosis of histologically similar papillary tumors in pineal region.  Methods The clinical manifestations of a patient with PTPR occurring in supratentorial pineal region were presented retrospectively. Resected mass was routinely paraffin-embedded and stained with hematoxylin and eosin. Dako EnVision immunohistochemical staining system was used to detect the tumor antigen expressions, including vimentin (Vim, glial fibrillary acidic protein (GFAP, S-100 protein (S-100, pan cytokeratin (PCK, cytokeratin 7 (CK7, CK20, epithelial membrane antigen (EMA, neuronal nuclear antigen (NeuN, synaptophysin (Syn, neuron-specific enolase (NSE, and Ki-67 labeling index (MIB-1.  Results A 57-year-old male patient presented with 6-month history of mild headache, and became severe in last one month. MRI revealed a solid well-circumscribed lesion in supratentorial midline near the pineal region and the posterior third ventricle with mild heterogeneous enhancement. Craniotomy was performed and the tumor was removed totally. Histological examination revealed that the lesion contained papillary areas lined by columnar epithelioid tumor cells with eosinophilic cytoplasm and more cellular areas with cells exhibiting clear or eosinophilic cytoplasm. Perivascular pseudorosettes and ependymal rosettes may be identified. The tumor cells were observed to invade the surrounding brain parenchymal. Immunohistochemical staining showed that the tumor cells were diffusely positive to Vim, PCK and S-100, but negative to GFAP, EMA, CK7 and CK20. Syn and NSE were observed to be focally weak positivity. Ki-67 labeling index was approximately 5%. Based on clinical presentations and histological findings, a final histological diagnosis of PTPR, WHO grade ?-?, was made according to the criteria of WHO classification. The patient did not receive chemotherapy or radiotherapy, and was followed-up for 12 months, without any neurological deficit or signs of recurrence.  Conclusions PTPR is a rare tumor of central nervous system with aggressive clinical behaviors. Due to the relative paucity of reported cases of PTPR, its natural history is unknown. Histological grading criteria remain undefined, and the prognosis of tumor is uncertain. Due to similarities in histological findings, it may be difficult to differentiate PTPR from other primary or metastatic tumors with prominent papillary feature occurring in central nervous system. Thorough inspection under the microscopy and appropriate immunohistochemical profile are necessary for correct diagnosis. doi: 10.3969/j.issn.1672-6731.2014.07.010

  7. Radiotherapy of pineal tumors

    International Nuclear Information System (INIS)

    Radiotherapy has universally been used in the treatment of pineal tumors and suprasellar germinomas. Recently however, major technical advances related to the use of the operating microscope and development of microsurgical techniques have prompted a renewed interest in the direct surgical approach for biopsy and/or excision. This interest has resulted in a controversy regarding the role of surgery prior to radiotherapy. Because of the heterogeneity of tumors occurring in the pineal region (i.e., germ cell tumors, pineal parenchymal tumors, glial tumors, and cysts) and their differing biological behavior, controversy also surrounds aspects of radiotherapy such as: the optimal radiation dose, the volume to be irradiated, and indications for prophylactic spinal irradiation. A review of the available data is presented in an attempt to answer these questions

  8. Papillary tumor of the pineal region: report of a rapidly progressive tumor with possible multicentric origin

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    Sato, Takashi S. [University of Iowa, Carver College of Medicine, Iowa City, IA (United States); Kirby, Patricia A. [University of Iowa, Department of Pathology, Iowa City, IA (United States); Buatti, John M. [University of Iowa, Department of Radiation Oncology, Iowa City, IA (United States); Moritani, Toshio [University of Iowa Hospitals and Clinics, Department of Radiology, Iowa City, IA (United States)

    2009-02-15

    Papillary tumor of the pineal region (PTPR) is an uncommon tumor recently added to the WHO classification of CNS tumors. We report a case of PTPR in a young boy that was noteworthy for early CSF dissemination and relentless progression. In spite of intensive chemotherapy and comprehensive radiotherapy, the boy died. The neuroimaging appearance is unique with possible multicentric origin of the tumor and intense uptake of {sup 111}In-DTPA-pentetreotide. (orig.)

  9. Lung carcinoma metastasis presenting as a pineal region tumor / Metástasis del carcinoma de pulmón que se presenta como tumor de la región pineal

    Scientific Electronic Library Online (English)

    Y., Samanci; C., Iplikcioglu; E., Ozek; D., Ozcan; B., Marangozoglu.

    2011-12-01

    Full Text Available La región pineal es un sitio inusual para el depósito de metástasis y la mayoría de las metástasis pineales son asintomáticas. Un hombre de 53 años debutó con una cefalea intensa, limitación en la supraversión y diplopia. La exploración neurológica fue irrelevante. La resonancia magnética (RM) cereb [...] ral demostró una lesión solitaria de 1,5 x 2 cm bien delimitada, en la región pineal con hidrocefalia. Fue intervenido quirúrgicamente siendo el diagnóstico anatomopatológico de adenocarcinoma. Un estudio sistémico descubrió un adenocarcinoma de pulmón como tumor primario. Aunque muy raramente, las metástasis deben considerarse en el diagnóstico diferencial de tumores de la región pineal. Abstract in english The pineal region is an unusual site for brain metastasis and most metastatic pineal lesions are asymptomatic. A 53 year-old man presented with severe headache, limitation of upward gaze and diplopia. The patient's neurological examination was unremarkable. Magnetic resonance imaging (MRI) scans of [...] the brain demonstrated a 1,5 x 2 cm well demarcated solitary mass in the pineal region with hydrocephalus. Surgery was performed and adenocarcinoma was diagnosed. A systemic investigation revealed adenocarcinoma of the lung as primary lesion. Although rare, metastatic tumor should be considered in the differential diagnosis of pineal region tumors.

  10. Neuroimaging diagnosis of pineal region tumors - quest for pathognomonic finding of germinoma

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    Awa, Ryuji; Campos, Francia; Arita, Kazunori; Karki, Prasanna; Tokimura, Hiroshi; Hanaya, Ryosuke; Oyoshi, Tatsuki; Hirano, Hirofumi [Kagoshima University, Department of Neurosurgery, Graduate School of Medical and Dental Sciences, Kagoshima-shi, Kagoshima (Japan); Sugiyama, Kazuhiko [Hiroshima University, Department of Clinical Oncology and Neuro-oncology Program, Hiroshima (Japan); Tominaga, Atsushi; Kurisu, Kaoru; Yamasaki, Fumiyuki [Hiroshima University, Department of Neurosurgery, Graduate School of Biomedical and Health Sciences, Hiroshima (Japan); Fukukura, Yoshihiko [Kagoshima University, Department of Radiology, Graduate School of Medical and Dental Sciences, Kagoshima (Japan); Fujii, Yukihiko [Niigata University, Department of Neurosurgery, Brain Research Institute, Niigata (Japan)

    2014-07-15

    Our study aimed to elucidate the imaging features for the differentiation of pineal germinoma and other pineal region tumors. Image data sets of computed tomographic (CT) scan and magnetic resonance imaging (MRI) data of 93 pineal region tumors including 33 germinomas, 30 nongerminomatous germ cell tumors (NGGCTs), 20 pineal parenchymal tumors (PPTs), and 10 miscellaneous tumors of pineal region were reviewed. Imaging features on CT and MRI were qualitatively assessed by three readers. To know the reasons for morphological differences between germinomas and NGGCTs, histological investigation was done. Localized calcification was seen in more than 70 % of germ cells tumors (GCTs: germinomas and NGGCTs) while it was scattered in more than half of PPTs. Cystic components in tumors were most frequent in NGGCTs (62 %). Multiplicity of lesion was restricted to GCTs: 39.4 % in germinoma and 10.0 % in NGGCTs. Thick peritumoral edema was more frequent in germinoma than in NGGCT: 40.6 vs. 14.8 % (p = 0.0433, Fisher's test). Bithalamic extension of tumor was seen in 78.8 % of germinomas. It was significantly rare in other groups of tumors (p < 0.0001, Fisher's test). The relative collagen amount per unit area was significantly lower in germinoma than in NGGCTs. By paying attention to characteristic features as bithalamic extension, thick peritumoral edema, calcification pattern, multiplicity, and their combination, the preoperative differential diagnosis of pineal germinoma will become more accurate. (orig.)

  11. Neuroimaging diagnosis of pineal region tumors - quest for pathognomonic finding of germinoma

    International Nuclear Information System (INIS)

    Our study aimed to elucidate the imaging features for the differentiation of pineal germinoma and other pineal region tumors. Image data sets of computed tomographic (CT) scan and magnetic resonance imaging (MRI) data of 93 pineal region tumors including 33 germinomas, 30 nongerminomatous germ cell tumors (NGGCTs), 20 pineal parenchymal tumors (PPTs), and 10 miscellaneous tumors of pineal region were reviewed. Imaging features on CT and MRI were qualitatively assessed by three readers. To know the reasons for morphological differences between germinomas and NGGCTs, histological investigation was done. Localized calcification was seen in more than 70 % of germ cells tumors (GCTs: germinomas and NGGCTs) while it was scattered in more than half of PPTs. Cystic components in tumors were most frequent in NGGCTs (62 %). Multiplicity of lesion was restricted to GCTs: 39.4 % in germinoma and 10.0 % in NGGCTs. Thick peritumoral edema was more frequent in germinoma than in NGGCT: 40.6 vs. 14.8 % (p = 0.0433, Fisher's test). Bithalamic extension of tumor was seen in 78.8 % of germinomas. It was significantly rare in other groups of tumors (p < 0.0001, Fisher's test). The relative collagen amount per unit area was significantly lower in germinoma than in NGGCTs. By paying attention to characteristic features as bithalamic extension, thick peritumoral edema, calcification pattern, multiplicity, and their combination, the preoperative differential diagnosis of pineal germinoma will become more accurate. (orig.)

  12. Atypical teratoid rhabdoid tumor located in the pineal region following prophylactic irradiation for acute lymphoblastic leukemia

    International Nuclear Information System (INIS)

    Atypical teratoid rhabdoid tumor (AT/RT) is a rare entity. In the central nervous system, AT/RT generally arises from the posterior fossa of infants and behaves aggressively. AT/RT is reported to arise from the infratentorial region (63%) and other sites, such as the suprasellar region, cerebellopontine angle, and spinal cord. The pineal region is rare (6%) as a site of origin. Radiation-induced brain tumors are well known. In this report, we present a case of a pineal region tumor causing acute hydrocephalus that could be pathologically diagnosed as AT/RT following prophylactic cranial irradiation for acute lymphoblastic leukemia. (author)

  13. Papillary Tumor of the Pineal Region: MR Signal Intensity Correlated to Histopathology.

    Science.gov (United States)

    Rosa Junior, Marcos; da Rocha, Antonio Jose; Zanon da Silva, Adriano; Rosemberg, Sergio

    2015-01-01

    Tumors of the pineal region are rare and can be challenging to differentiate by imaging. Papillary tumor of the pineal region (PTPR) was recently recognized as a neoplasm in the World Health Organization (WHO) 2007 classification, arising from specialized ependymocytes in the subcommissural organ, which is located in the pineal region. It is a rare histological type of pineal tumor with only a few cases reported. Here, we describe a case of histologically confirmed PTPR in a 17-year-old man who presented with a headache. A literature review was performed to clarify the clinical, radiological, and pathological features of PTPR. Pineal neoplasms do not have pathognomonic imaging findings; however, we discuss T1 hyperintensity, which is a key for imaging diagnosis according to recent reports. In particular, if the hyperintensity in T1 is not due to fat, calcification, melanin, or hemorrhage in a mass of the posterior commissure or pineal region, the diagnosis of a PTPR may be suggested, as observed in this case. PMID:25688307

  14. Papillary tumor of the pineal region-report of three cases with literature review.

    Science.gov (United States)

    Chatterjee, Debajyoti; Gupta, Kirti; Kumar, Narendra; Chhabra, Rajesh; Radotra, Bishan Dass

    2015-01-01

    Papillary tumor of the pineal region (PTPR) is a rare tumor of the pineal region. Not much is known about the pathogenesis, prognosis, and treatment protocol of this uncommon entity. We present three cases of PTPR with follow-up from 8 months to 98 months. All patients presented with headache and visual disturbance. One patient also had amenorrhea. Radiology revealed an heterogeneously enhancing mass arising from the pineal region with associated hydrocephalus. Histopathologically, all cases showed the papillary architecture, strong pan cytokeratin and cytokeratin 18 positivity, and faint positivity for synaptophysin and neuron-specific enolase. All cases received postoperative radiotherapy. One case showed tumor recurrence after 7 years. Other two cases did not show any recurrence till the last follow-up. PMID:26238893

  15. Tumores da região pineal: considerações sobre 12 casos Tumours of the pineal region: comments on 12 cases

    Directory of Open Access Journals (Sweden)

    Rolando Tenuto

    1969-06-01

    Full Text Available Foram revistos 12 casos de tumores da região pineal, sob os aspectos clínico, laboratorial e neurorradiológico. Em 6 doentes o diagnóstico baseou-se apenas nos dados clínicos e neurorradiológicos (particularmente ventriculográficos e, nos restantes 6 casos, foi confirmado por exame histopatológico. A sobrevida de 3 a 9 anos, verificada em 4 casos submetidos a tratamento conservador mediante operações de derivação seguidas de irradiação pela bomba de cobalto, constitui índice em favor da conduta adotada.Twelve cases of tumours of the pineal region were analysed under the clinical, laboratorial and radiological viewpoints. In 6 cases the diagnosis was based only on the clinical and radiological (particularly ventriculogramortem examination. The survival from 3 to 9 years, in 4 cases submitted to the conservative treatment including intra or extracranial shunts follow by cobalto-therapy, supports the indication of the procedure adopted.

  16. Tumores da região pineal: considerações sobre 12 casos / Tumours of the pineal region: comments on 12 cases

    Scientific Electronic Library Online (English)

    Rolando, Tenuto; Horacio M., Canelas; José, Zaclis; Julinho, Aisen; Waldir A., Tognola.

    1969-06-01

    Full Text Available Foram revistos 12 casos de tumores da região pineal, sob os aspectos clínico, laboratorial e neurorradiológico. Em 6 doentes o diagnóstico baseou-se apenas nos dados clínicos e neurorradiológicos (particularmente ventriculográficos) e, nos restantes 6 casos, foi confirmado por exame histopatológico. [...] A sobrevida de 3 a 9 anos, verificada em 4 casos submetidos a tratamento conservador mediante operações de derivação seguidas de irradiação pela bomba de cobalto, constitui índice em favor da conduta adotada. Abstract in english Twelve cases of tumours of the pineal region were analysed under the clinical, laboratorial and radiological viewpoints. In 6 cases the diagnosis was based only on the clinical and radiological (particularly ventriculogramortem examination. The survival from 3 to 9 years, in 4 cases submitted to the [...] conservative treatment including intra or extracranial shunts follow by cobalto-therapy, supports the indication of the procedure adopted.

  17. Radiotherapy of Pineal and Ectopic Pineal Tumors

    Energy Technology Data Exchange (ETDEWEB)

    Cho, Heung Lae; Sohn, Seung Chang [Pusan Paik Hospital Inje University College of Medicine, Pusan (Korea, Republic of)

    1991-12-15

    From December 1984 to February 1990, 16 patients with tumors of pineal and suprasellar location were treated with radiation therapy. Tissue diagnoses were obtained before radiation therapy in 5 patients and 11 were irradiated without histologic confirmation. Initial treatments for these patients were craniospinal plus boost primary irradiation(six), whole brain plus boost primary irradiation(nine), primary tumor site irradiation(one). The 5 year actuarial survival rate is 71%. Three cases with elevated beta-human chorionic gonadotropin (HCG) responded favorably to radiation, but pineal tumors with elevated alpha-fetoprotein(AFP) did not respond well. Spinal metastasis developed in 2 cases (2/15) with elevated AFP : one received prophylactic spinal irradiation, another did not. Our studies suggest that more aggressive treatment would be necessary in patient with elevated AFP and in this patient, radiation therapy may be initiate without pathologic confirmation. From the result of our study, routine use of prophylactic spinal irradiation for all patients with pineal region tumor is not indicated and use of prophylactic spinal irradiation is considered for the patients with positive craniospinal fluid cytology, meningeal seeding, disease extension along the ventricular wall and biopsy proven germinoma.

  18. Radiotherapy of Pineal and Ectopic Pineal Tumors

    International Nuclear Information System (INIS)

    From December 1984 to February 1990, 16 patients with tumors of pineal and suprasellar location were treated with radiation therapy. Tissue diagnoses were obtained before radiation therapy in 5 patients and 11 were irradiated without histologic confirmation. Initial treatments for these patients were craniospinal plus boost primary irradiation(six), whole brain plus boost primary irradiation(nine), primary tumor site irradiation(one). The 5 year actuarial survival rate is 71%. Three cases with elevated beta-human chorionic gonadotropin (HCG) responded favorably to radiation, but pineal tumors with elevated alpha-fetoprotein(AFP) did not respond well. Spinal metastasis developed in 2 cases (2/15) with elevated AFP : one received prophylactic spinal irradiation, another did not. Our studies suggest that more aggressive treatment would be necessary in patient with elevated AFP and in this patient, radiation therapy may be initiate without pathologic confirmation. From the result of our study, routine use of prophylactic spinal irradiation for all patients with pineal region tumor is not indicated and use of prophylactic spinal irradiation is considered for the patients with positive craniospinal fluid cytology, meningeal seeding, disease extension along the ventricular wall and biopsy proven germinoma

  19. Surgical treatment of the tumors of posterior part of third ventricle and pineal region

    International Nuclear Information System (INIS)

    Objective: To summarize the experiences of the surgical treatment of tumors in the posterior part of the third ventricle and pineal region. Methods: Twenty-seven patients with tumors in this region treated micro-surgically from 1990 to 2000 were analyzed. The surgical indications, approaches, and operative key points were discussed. The prognostic factors were also analyzed. Results: Tumors were removed totally in 11 patients, removed sub-totally in 7 and removed partially in 5. Biopsy and ventriculo-peritoneal shunt was performed in 4 patients. Of 17 patients in follow-up, 13 patients survived longer than 5 years. Conclusions: Most tumors in the posterior part of the third ventricle and pineal region can be surgically removed. Sufficient specimen obtained in the operation can confirm pathologic property of the tumor, guiding next chemotherapy and radiotherapy

  20. Pineal region tumors: results of radiation therapy and indications for elective spinal irradiation

    International Nuclear Information System (INIS)

    Eighteen patients with pineal region tumors seen from November 1960 to November 1978 were reviewed. Thirteen patients treated with radiation therapy received tumor doses in the 4000 to 5500 rad range. The five year survival and five year disease-free survival were 73 and 63% respectively. Spinal cord metastasis occurred in 2 of 13 (15%) patients. Attempts at salvage radiotherapy for these patients were unsuccessful. Computerized tomography (CT) scan provides an excellent method of evaluating the response of pineal region tumors to radiation. Rapid regression of the tumor mass on CT scan reflects the highly radioresponsive nature of germinomas, the tumor type most likely to disseminate throughout the neuraxis. This principle can be exploited to select unbiopsied patients with a high risk of spinal cord metastasis for prophylactic spinal radiation at an early stage of treatment

  1. Papillary tumor of the pineal region in a 15-month-old boy

    Science.gov (United States)

    Li, Jessica; Recinos, Pablo F.; Orr, Brent A.; Burger, Peter C.; Jallo, George I.; Recinos, Violette Renard

    2015-01-01

    The papillary tumor of the pineal region (PTPR) is a distinct entity that is particularly rare in the pediatric population. The authors document the youngest reported patient with this clinicopathological entity to date. A case of PTPR in a 15-month-old boy is described. Initially thought to be a tectal glioma, the tumor was later identified as a pineal region tumor after demonstrating growth on routine imaging. Diagnosis of PTPR was established by histopathological evaluation of biopsy samples, which revealed papillary, cystic, and solid tumor components. The patient’s postoperative course was complicated by tumor growth despite several debulking procedures and chemotherapy, as well as persistent hydrocephalus requiring 2 endoscopic third ventriculostomies and eventual ventriculoperitoneal shunt placement. After a 15-month follow-up period, the patient has received proton-beam therapy and has a stable tumor size. The PTPR is a recently described tumor of the CNS that must be included in the differential diagnosis of pineal region masses. The biological behavior, prognosis, and appropriate treatment of PTPR have yet to be fully defined. PMID:21529195

  2. Bevacizumab is Effective for Recurrent Papillary Tumor of the Pineal Region: First Report

    Science.gov (United States)

    Cohen, Adam L.; Salzman, Karen; Palmer, Cheryl; Jensen, Randy; Colman, Howard

    2013-01-01

    Papillary tumor of the pineal region (PTPR) is a rare brain tumor that probably arises from ependymal cells. There are no known systemic treatments for PTPR once it is refractory to surgery and radiation. We present the first case of a durable radiographic and clinical response of a PTPR to bevacizumab, an antibody against vascular endothelial growth factor, despite multiple prior treatments. Bevacizumab may be an effective treatment for PTPR. PMID:24019784

  3. Papillary tumor of the pineal region presenting with Foster Kennedy sign.

    Science.gov (United States)

    Mbekeani, Joyce N; Ahmed, Manzoor; Hassounah, Maher I; Abdulshafi, Khaled; Al Hazzaa, Selwa A; Al Hindi, Hindi

    2015-09-01

    Foster Kennedy syndrome is defined as unilateral optic nerve atrophy, contralateral disc edema and anosmia. It was originally thought to be pathognomonic of space occupying lesions in the anterior fossa causing direct compression of the optic and olfactory nerves and later intracranial hypertension and contralateral disc edema. Subsequent reports of non-tumor and non-anterior fossa causes, most commonly bilateral sequential anterior ischemic optic neuropathy, have been described. We report a 29year old man who presented with unsteady gait and diminution of vision over 2months. He displayed findings typical of Parinaud's syndrome, right disc edema and left optic atrophy. MRI revealed a large pineal tumor associated with hydrocephalus and evidence of increased intracranial pressure. Papillary tumor of the pineal region (PTPR) was diagnosed on histopathology. To our knowledge, this is the first report of this very rare tumor, occurring in association with the Foster Kennedy sign. PMID:26183673

  4. Stereotactic techniques in the diagnosis and treatment of pineal region tumors

    International Nuclear Information System (INIS)

    The marked diversity of pathological lesions arising in the pineal region supports the increasing need to obtain a definitive tissue diagnosis. In the pre-CT era, radiographic studies rarely allowed for anything more than the outlining of a mass lesion. Contrast ventriculography could not distinguish between a non-neoplastic cyst and an astrocytoma. This limitation illustrates the difficulty of interpreting the results of previous retrospective series in which the majority of patients treated had neither a tissue diagnosis nor a CT scan to confirm the clinical impression of a pineal region tumor. Computerized tomography now offers a much improved definition of the pathological process. The utilization of computerized tomography, angiography, biochemical markers, and the clinical presentation all contribute to the establishment of the correct diagnosis. Prior to the widespread application of microsurgical techniques, exploration of the pineal region had proved hazardous even in the best of hands. More recently, several experienced neurosurgeons have reported satisfactory results in the microsurgical exploration of the pineal region. Stereotactic needle biopsy has been used predominantly in European centers as an alternative to either open surgical exploration or blind radiation therapy. Their published series have demonstrated both a high degree of efficacy in establishing the diagnosis while avoiding some of the risk associated with direct surgical visualization of the pineal region. In this chapter the author describe the technique of CT/stereotactic biopsy at the M.D. Anderson Hospital and Tumor Institute and review the results obtained at several major centers. The use of, and indications for, stereotactic radiosurgery and interstitial brachytherapy is discussed

  5. The clinicopathological features of intermediate trophoblastic tumor in the pineal region

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    ZHANG Yun-xiang

    2012-08-01

    Full Text Available Objective To evaluate the clinicopathological features of intermediate trophoblastic tumor (ITT in the pineal region. Methods A retrospective study was performed to analyse the diagnostic and therapeutic process of 1 case with ITT in the pineal region. The specimen obtained from the surgery was dealt with common tissue processing mode and cut into slices. HE staining was performed to observe histophathological features. Immunohistochemical staining (SP two-step method was performed to analyse the expression of tumor markers. Related literatures were reviewed. Results A 6-year old boy with clinical manifestations of penis enlargement and rapid growth for more than one year, presented a mass in his pineal region through MRI. The tumor was surgically excised after it is refractory to 10 times experimental radiotherapy as germinoma. The level of ?-human chorionic gonadotropin ( ?-hCG in his postoperative blood was decreased to normal, but gradually increased, once again followed to normal after three times chemotherapy. Patient was normal almost postoperative 6 months later by follow -up. Pathological examination showed sheets necrosis with multiple calcification and scattered fresh blood cells, epithelioid tumor cells with solid growth pattern. The tumor cells were atypical mononuclear cells with relative uniform (between heterotypic cells and partially surrounding and invasing the vascular walls. The cytoplasm of tumor cells was eosinophilic or clear, the nucleus was round or irregular in shape and some with intranuclear pseudoinclusions, and its mitotic figures were rarely seen under light microscopy. The tumor cells showed strong positive for AE1/AE3, cell adhesion molecules 5.2 (CAM5.2, human placental lactogen (hPL, octamer-binding transcription factor 3/4 (Oct3/4, epidermal growth factor receptor (EGFR and E-cadherin. P53 was also expressed. The positive rate of Ki-67 was about 10%, and ?-hCG was expressed in the extremely tumor cells. The tumor cells were negative for placental alkaline phosphatase (PLAP, alpha-feto protein (AFP, CD30 (Ki-1 and P63. Conclusion ITT in pineal region is very rare, and has partial morphological characteristics of placental site trophoblastic tumors (PSTT and epithelioid trophoblastic tumors (ETT. This case got a good control through radiotherapy, operation excision combined with chemotherapy.

  6. Papillary tumor of the pineal region with synchronous suprasellar focus and novel cytogenetic features.

    Science.gov (United States)

    Mobley, Bret C; Kumar, Manoj; Sanger, Warren G; Nelson, Marilu; Nickols, Hilary H; Chambless, Lola B; Gokden, Murat

    2015-08-01

    Papillary tumor of the pineal region (PTPR) is an uncommon neoplasm with variable biologic behavior. Cytogenetic and molecular diagnostic studies are rare, yielding no definitive genetic signature. We report a case of PTPR with a multicentric presentation and unusual cytogenetic features. A 25-year-old man presented with headache, disconjugate gaze, and confusion. Mass lesions in the pineal and suprasellar regions, with identical imaging characteristics, were identified. The former extended partially into the fourth ventricle. It showed typical PTPR histology and losses of chromosomes 3, 7, 10, 14, 18, and Y with gains of chromosomes 3, 8, and 9. Seventeen months postsurgery, the patient is stable without disease progression after radiation therapy. Synchronous mass lesions at presentation and losses of chromosomes 3, 7, 14, 18, and Y are unusual features, adding to the available data and underscoring the biologic and genetic variability associated with these neoplasms. PMID:26068071

  7. Pre- and postoperative management of pineal region tumors and the occipital transtentorial approach

    International Nuclear Information System (INIS)

    With the use of the operating microscope, a variety of malignant as well as benign lesions of the pineal region can be excised safely. In cases in which complete excision is impossible, obtaining tissue for a histological diagnosis has been extremely helpful in planning appropriate postoperative radiotherapy and chemotherapy. Reducing tumor bulk may also be beneficial, as has been shown to be the case in medulloblastoma. As adjunctive modes of therapy for malignant pineal tumors become available, such as chemotherapy and possibly immunotherapy, the authors believe that the burden will be on the neurosurgeon to provide a tissue diagnosis. Complete myelography should be considered preoperatively or postoperatively to detect asymptomatic meningeal implants. The presence of such metastases makes postoperative craniospinal irradiation essential. The authors advocate liberal dosages of corticosteroids (i.e. 10-20 mg dexamethasone/day) for 24-48 hr prior to surgery. The authors recommend postoperative radiotherapy in all patients with malignant pineal region lesions regardless of whether or not complete excision was possible. The lowest incidence of recurrence in the literature seems to occur following 5,000-5,500 rads. In the face of negative myelography and CSF cytology, there is controversy regarding prophylactic spinal axis irradiation. The use of chemotherapy and/or radiotherapy is probably the initial therapy of choice in such a patient. Following this, if a small, localized tumor burden remains, it can be removed surgically, as is done with localized residual tumor in testicular cancer. Failure to adequately assess the presence of meningeal seeding by cytology and melography may make certain patients vulnerable to spinal recurrence of disease in the face of complete local remission

  8. An unusual variant of anlage tumor of pineal region in an infant.

    Science.gov (United States)

    Ramdasi, Raghvendra; Kothari, Kanchan; Goel, Naina; Mahore, Amit

    2015-04-01

    A 9-month-old male child was brought with complaints of increasing head size for 2 months, increasing lethargy and vomiting for the last 2 days. Radiology revealed a heterogeneously enhancing, globular lesion in the pineal region with hydrocephalus. Near total excision of the tumor was carried out. The histopathological examination of the lesion showed heterogenous elements in the form of mature neuroepithelial and ectomesenchymal tissue. The pathology and radiology of this unusual lesion is discussed with relevant review of literature. PMID:25977909

  9. Management of pineal region tumours in children

    OpenAIRE

    Alexiou, George A

    2012-01-01

    Pineal region tumors in children are rare. A wide diversity of lesion arises from the pineal gland or the surrounding tissues. Among them, germinomas, nongerminomatous germ cell tumors and pineoblastoma are the most common. These tumor do not have pathognomonic imaging findings. However, tumor markers evaluation may narrow the differential diagnosis. Symptoms are usually related to tumor size and location. Treatment depends on tumor type but still the standard m...

  10. Germinomas and other pineal tumors: Chemotherapeutic responses

    International Nuclear Information System (INIS)

    The results and potential future role of chemotherapy in the treatment of pineal region tumors are reviewed in this paper. To date only a small number of patients with pineal region tumors have been treated with chemotherapy and this has commonly been done in association with radiation therapy. Very few patients have had a chemotherapy-induced tumor response that can clearly be attributed to only that therapy. In this paper the authors review 5 patients from our series in whom a therapeutic response was observed that was clearly attributable to drug administration and nor surgery, radiotherapy, or adrenal corticosteroids. Four of these patients had tumors of germ cell origin. These observations added to a limited number of other case reports suggest a promising therapeutic role for chemotherapeutic agents in the management of pineal region tumors. In particular, germ cell tumors of the pinear region appear to be especially responsive to chemotherapeutic agents. The pattern and responses of the pineal region tumors suggest that an important factor in therapeutic effectiveness is the absence of the blood-brain barrier in this area, thereby permitting appropriate drug delivery. An exciting prospect is that the Japanese are currently conducting a national cooperative study on the use of chemotherapy in the treatment of pineal tumors. Because of the high incidence of these tumors in Japan, these studies will undoubtedly be of great value

  11. Spontaneous pineal apoplexy in a pineal parenchymal tumor of intermediate differentiation

    Science.gov (United States)

    Wang, Ching-Chun; Turner, Jennifer; Steel, Timothy

    2013-01-01

    Pineal apoplexy is a rare clinical presentation of pineal parenchymal tumors. We report the curative treatment of a case of pineal parenchymal tumor of intermediate differentiation with spontaneous apoplectic hemorrhage. This case is shown through computed tomography and magnetic resonance imaging of the brain, and is confirmed via histopathological studies. Recurrent upward gaze paresis was observed after the stereotactic biopsy. The paresis required an expeditious tumor resection. The mechanism of the pineal apoplectic hemorrhage remains unclear although it has been observed in different pineal region lesions. Clinical and radiological evidence of the cure 5 years post-surgery is available. PMID:23691444

  12. Spontaneous pineal apoplexy in a pineal parenchymal tumor of intermediate differentiation

    Directory of Open Access Journals (Sweden)

    Timothy Steel

    2013-03-01

    Full Text Available Pineal apoplexy is a rare clinical presentation of pineal parenchymal tumors. We report the curative treatment of a case of pineal parenchymal tumor of intermediate differentiation with spontaneous apoplectic hemorrhage. This case is shown through computed tomography and magnetic resonance imaging of the brain, and is confirmed via histopathological studies. Recurrent upward gaze paresis was observed after the stereotactic biopsy. The paresis required an expeditious tumor resection. The mechanism of the pineal apoplectic hemorrhage remains unclear although it has been observed in different pineal region lesions. Clinical and radiological evidence of the cure 5 years post-surgery is available.

  13. Differentiation of germinomas from other tumors in the pineal region with CT and MR imaging, with special reference to extension patterns to the thalami

    International Nuclear Information System (INIS)

    To determine the computed tomography (CT) and magnetic resonance (MR) characteristics of pineal region germinomas, the author reviewed images from 40 patients with pineal region tumors. These tumors were divided into two groups: those with germinomas (n=17), and those with other tumors in the pineal region (5 with a germ cell tumor other than germinoma; 8, mixed germ cell tumor; 8, pineal parenchymal tumor; and 2, miscellaneous tumors; n=23). All cases were investigated with CT; 31 of the cases were also investigated with MR imaging. The following parameters comprised statistically significant differences between the two groups: maximum size of the tumor, tumor density of the precontrast CT, signal intensity of precontrast T1-weighted spin-echo images, and homogeneity of the tumor on both precontrast and postcontrast studies. This study found that extension patterns of pineal region tumors into the thalamus have significant implications in differentiating germinomas from other tumors of this region. Germinomas are characterized by thalamic extension without lateral displacement of the third ventricle walls due to direct compression by tumors (p=0.0034). The analysis of tumor extension patterns, combined with the parameters mentioned above, may provide a more accurate differential diagnosis in pineal region tumors, leading to prompt and appropriate treatment. (author)

  14. Differentiation of germinomas from other tumors in the pineal region with CT and MR imaging, with special reference to extension patterns to the thalami

    Energy Technology Data Exchange (ETDEWEB)

    Furusawa, Tetsuya [Niigata Univ. (Japan). School of Medicine

    1998-03-01

    To determine the computed tomography (CT) and magnetic resonance (MR) characteristics of pineal region germinomas, the author reviewed images from 40 patients with pineal region tumors. These tumors were divided into two groups: those with germinomas (n=17), and those with other tumors in the pineal region (5 with a germ cell tumor other than germinoma; 8, mixed germ cell tumor; 8, pineal parenchymal tumor; and 2, miscellaneous tumors; n=23). All cases were investigated with CT; 31 of the cases were also investigated with MR imaging. The following parameters comprised statistically significant differences between the two groups: maximum size of the tumor, tumor density of the precontrast CT, signal intensity of precontrast T1-weighted spin-echo images, and homogeneity of the tumor on both precontrast and postcontrast studies. This study found that extension patterns of pineal region tumors into the thalamus have significant implications in differentiating germinomas from other tumors of this region. Germinomas are characterized by thalamic extension without lateral displacement of the third ventricle walls due to direct compression by tumors (p=0.0034). The analysis of tumor extension patterns, combined with the parameters mentioned above, may provide a more accurate differential diagnosis in pineal region tumors, leading to prompt and appropriate treatment. (author)

  15. A role of trial radiation therapy in the pineal region tumors

    International Nuclear Information System (INIS)

    The aim of this retrospective study was to assess the treatment results of 30 patients with pineal region tumors who were underwent radiation therapy under the diagnosis by either CT or MRI. There was no histological verification. We analyzed the prognostic factors that have a significant effect on the overall survival (OS) and disease free survival (DFS) rates. A total 30 patients with pineal region tumors were treated between March 1983 and August 1995. After a trial radiation therapy of 20 ? 30 Gy/2 ? 3 weeks, the patients were evaluated for their clinical response and radiological response by either CT or MRI and the final treatment direction was then decided. According to their response to the trial radiation therapy and the involved site, radiation treatment was given in various field i.e., local, ventricle, whole brain and craniospinal field. The radiation dose ranged from 40.8 to 59.4 Gy (Median 50.4 Gy). The median follow up was 36.5 months (4 ? 172 months). An improvement or stability in the clinical symptoms was observed in 28 patients (93.3%) after the trial RT. Nineteen patients (63.3%) showed a partial or complete response by CT or MRI. The two-year and five-year survival rates of the patients were 66.7% and 55.1%, respectively. No significant difference in the survival rates according to the degree of the radiological response was observed after the trial RT. The results of univariate analysis showed that age, the primary site, the performance status(KPS ? 70), the degree of response after completing RT and the RT field were significant prognostic factors affecting the survival and disease free survival rates (? < 0.05). The clinical and histological characteristics of pineal region tumors are quite complex and diverse. Therefore, it is difficult to predict the histological diagnosis and the possibility of radiocurability only with the initial response to RT. We think that the development of less invasive histological diagnostic techniques and tailored treatment to the histological type of each tumor are needed

  16. A role of trial radiation therapy in the pineal region tumors

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Yeon Shil; Ryu, Mi Ryung; Chung, Su Mi; Kim, Moon Chan; Yoon, Sei Chul [The Catholic University of Korea, Seoul (Korea, Republic of)

    2002-06-15

    The aim of this retrospective study was to assess the treatment results of 30 patients with pineal region tumors who were underwent radiation therapy under the diagnosis by either CT or MRI. There was no histological verification. We analyzed the prognostic factors that have a significant effect on the overall survival (OS) and disease free survival (DFS) rates. A total 30 patients with pineal region tumors were treated between March 1983 and August 1995. After a trial radiation therapy of 20 {approx} 30 Gy/2 {approx} 3 weeks, the patients were evaluated for their clinical response and radiological response by either CT or MRI and the final treatment direction was then decided. According to their response to the trial radiation therapy and the involved site, radiation treatment was given in various field i.e., local, ventricle, whole brain and craniospinal field. The radiation dose ranged from 40.8 to 59.4 Gy (Median 50.4 Gy). The median follow up was 36.5 months (4 {approx} 172 months). An improvement or stability in the clinical symptoms was observed in 28 patients (93.3%) after the trial RT. Nineteen patients (63.3%) showed a partial or complete response by CT or MRI. The two-year and five-year survival rates of the patients were 66.7% and 55.1%, respectively. No significant difference in the survival rates according to the degree of the radiological response was observed after the trial RT. The results of univariate analysis showed that age, the primary site, the performance status(KPS {>=} 70), the degree of response after completing RT and the RT field were significant prognostic factors affecting the survival and disease free survival rates ({rho} < 0.05). The clinical and histological characteristics of pineal region tumors are quite complex and diverse. Therefore, it is difficult to predict the histological diagnosis and the possibility of radiocurability only with the initial response to RT. We think that the development of less invasive histological diagnostic techniques and tailored treatment to the histological type of each tumor are needed.

  17. Serial computed tomographic studies of pineal region tumor treated by irradiation

    International Nuclear Information System (INIS)

    During the one year period from 1976 to 1977, we observed five cases of pineal region tumor diagnosed by means of characteristic clinical symptoms and CT scan findings. Of that number, one was diagnosed as suprasellar germinoma. On four of the cases, we did V-P shunts and we gave irradiation to all five. During the period of treatment, we studied the relationship among the course of treatment, the clinical symptoms and the CT scan findings. 1. Very early in the course of treatment, we can discern the radiation sensitivity of the tumor by means of the decrease in tumor size and the degree of contrast enhancement of the tumor on the CT scan. 2. We believe the decrease in the size of the tumor occurs before any improvements of clinical symptoms. Even though the tumor image has disappeared on the CT scan, there are some cases where the clinical symptoms still remain. 3. After the V-P shunt operation, the ventricular system becomes markedly small in three of four cases and showed a tendency to enlarge slightly during the course of irradiation therapy. These findings appear to be independent of clinical status. (author)

  18. Pineal region tumors: results of radiation therapy and indications for elective spinal irradiation. [/sup 60/Co; x ray

    Energy Technology Data Exchange (ETDEWEB)

    Griffin, B.R.; Griffin, T.W.; Tong, D.Y.K.; Russell, A.H.; Kurtz, J.; Laramore, G.E.; Groudine, M.

    1981-05-01

    Eighteen patients with pineal region tumors seen from November 1960 to November 1978 were reviewed. Thirteen patients treated with radiation therapy received tumor doses in the 4000 to 5500 rad range. The five year survival and five year disease-free survival were 73 and 63% respectively. Spinal cord metastasis occurred in 2 of 13 (15%) patients. Attempts at salvage radiotherapy for these patients were unsuccessful. Computerized tomography (CT) scan provides an excellent method of evaluating the response of pineal region tumors to radiation. Rapid regression of the tumor mass on CT scan reflects the highly radioresponsive nature of germinomas, the tumor type most likely to disseminate throughout the neuraxis. This principle can be exploited to select unbiopsied patients with a high risk of spinal cord metastasis for prophylactic spinal radiation at an early stage of treatment.

  19. Radiotherapy Results of pineal Tumors

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Kyu Young; Park, Woo Yoon; Choi, Doo Ho; Chung, Woong Ki; Kim, Il Han; Ha, Sung Whan [Seoul National University College of Medicine, Seoul (Korea, Republic of)

    1988-12-15

    A retrospective analysis was performed on 23 patients with pineal region tumors treated with radiation from 1979 through 1985 at the Department of Therapeutic Radiology, Seoul National University Hospital, Histologic confirmation was done in only one case by surgical removal, and in the remaining 22 patients, the diagnosis was based on clinical and radiological findings. The radiation volume was the primary tumor site in 1 case, whole brain in 14 cases, and the whole craniospinal axis in 8 cases. The overall 5 year survival was 71.5%. The 5 year survival was 69. 3% for whole brain treated group and 73.3% for craniospinal axis treated group. The survival for the two groups did not differ significantly. In two cases sites of recurrence were detected. One in supratentorial area, and the other in the lung. The results from this retrospective analysis and the review of other reports indicate that routine use of prophlatic spinal irradiation is not warranted in pineal region tumor, and the craniospinal irradiation is recommended in cases with high risk for subarachnoid seeding such as positive CSF cytology, surgical removal or biopsy.

  20. Radiotherapy Results of pineal Tumors

    International Nuclear Information System (INIS)

    A retrospective analysis was performed on 23 patients with pineal region tumors treated with radiation from 1979 through 1985 at the Department of Therapeutic Radiology, Seoul National University Hospital, Histologic confirmation was done in only one case by surgical removal, and in the remaining 22 patients, the diagnosis was based on clinical and radiological findings. The radiation volume was the primary tumor site in 1 case, whole brain in 14 cases, and the whole craniospinal axis in 8 cases. The overall 5 year survival was 71.5%. The 5 year survival was 69. 3% for whole brain treated group and 73.3% for craniospinal axis treated group. The survival for the two groups did not differ significantly. In two cases sites of recurrence were detected. One in supratentorial area, and the other in the lung. The results from this retrospective analysis and the review of other reports indicate that routine use of prophlatic spinal irradiation is not warranted in pineal region tumor, and the craniospinal irradiation is recommended in cases with high risk for subarachnoid seeding such as positive CSF cytology, surgical removal or biopsy

  1. Radiotherapy of the pineal region tumors. Analysis of the treatment technique

    Energy Technology Data Exchange (ETDEWEB)

    Nishino, Shigeo; Kikuchi, Yuzo; Takahashi, Koji; Yoshikawa, Hiroyuki; Asano, Akira; Uekita, Yoichi.

    1988-04-01

    Thirty-three patients with pineal region tumors treated with radiation therapy between June 1971 and January 1986 were analyzed with respect to the treatment. The following results were obtained : 1) The five- and ten-year actuarial survival rates were 84.4 % and 69.0 % for all cases and 90.6 % and 80.5 % for 23 cases of germinoma. 2) In germinomas, intracranial relapse occurred in four patients whose treatment was limited to tumor-bearing areas and/or tumor dose was less than 40 Gy in 5 weeks. 3) Prophylactic irradiation to the spinal axis (20 Gy in 2.5 weeks) was carried out in patients exhibiting abnormal cerebrospinal fluid (CSF) findings : positive cytology for tumor cells or increased protein and cell count levels. However, no spinal metastasis was detected regardless of radiotherapy. 4) On the basis of our analysis, we recommend whole brain irradiation to 30 Gy in 4.5 weeks plus a boost of 20 Gy in 2.5 weeks to the tumor area and prophylactic spinal irradiation for the patient exhibiting the abnormal CSF findings.

  2. Gamma knife surgery for pineal region tumors: an alternative strategy for negative pathology

    International Nuclear Information System (INIS)

    Objective: pineal region tumors (PRTs) are uncommon, and treatments vary among neoplasm types. The authors report their experience with gamma knife surgery (GKS) as an initial treatment in a series of PRT patients with unclear pathological diagnoses. Method: seventeen PRT patients with negative pathology who underwent GKS were retrospectively studied. Nine patients had further whole-brain and spinal cord radiotherapy and chemotherapy 6-9 months after GKS. Results: Sixteen of 17 cases were followed up over a mean of 33.3 months. The total response rate was 75%, and the control rate was 81.3%. No obvious neurological deficits or complications were attributable to GKS. Conclusion: the findings indicate that GKS may be an alternative strategy in selected PRT patients who have negative pathological diagnoses, and that good outcomes and quality of life can be obtained with few complications. (author)

  3. Gamma knife surgery for pineal region tumors: an alternative strategy for negative pathology

    Directory of Open Access Journals (Sweden)

    Peng Wang

    2014-02-01

    Full Text Available Objective : Pineal region tumors (PRTs are uncommon, and treatments vary among neoplasm types. The authors report their experience with gamma knife surgery (GKS as an initial treatment in a series of PRT patients with unclear pathological diagnoses. Method : Seventeen PRT patients with negative pathology who underwent GKS were retrospectively studied. Nine patients had further whole-brain and spinal cord radiotherapy and chemotherapy 6–9 months after GKS. Results : Sixteen of 17 cases were followed up over a mean of 33.3 months. The total response rate was 75%, and the control rate was 81.3%. No obvious neurological deficits or complications were attributable to GKS. Conclusion : The findings indicate that GKS may be an alternative strategy in selected PRT patients who have negative pathological diagnoses, and that good outcomes and quality of life can be obtained with few complications.

  4. Gamma knife surgery for pineal region tumors: an alternative strategy for negative pathology

    Energy Technology Data Exchange (ETDEWEB)

    Wang, Peng [Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu (China); Department of Neurosurgery, The Fifth People' s Hospital of Chengdu, Chengdu (China); Mao, Qing; Wang, Wei; Zhou, Liang-Xue; Liu, Yan-Hui, E-mail: liuyanhui9@gmail.com [Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu (China)

    2014-03-01

    Objective: pineal region tumors (PRTs) are uncommon, and treatments vary among neoplasm types. The authors report their experience with gamma knife surgery (GKS) as an initial treatment in a series of PRT patients with unclear pathological diagnoses. Method: seventeen PRT patients with negative pathology who underwent GKS were retrospectively studied. Nine patients had further whole-brain and spinal cord radiotherapy and chemotherapy 6-9 months after GKS. Results: Sixteen of 17 cases were followed up over a mean of 33.3 months. The total response rate was 75%, and the control rate was 81.3%. No obvious neurological deficits or complications were attributable to GKS. Conclusion: the findings indicate that GKS may be an alternative strategy in selected PRT patients who have negative pathological diagnoses, and that good outcomes and quality of life can be obtained with few complications. (author)

  5. Meningiomas of pineal region in children Meningiomas da região da pineal em crianças

    OpenAIRE

    Hamilton Matushita; Fernando Campos Pinto; José Píndaro Pereira Plese

    2007-01-01

    Meningiomas are uncommon tumors in children and either more rarely encountered in the pineal region. We report two cases of meningioma of the pineal region in children. One of these cases was a five years-old girl and the other a one year-old boy. No specific clinical presentation or tomographic examinations findings was identified before treatment, suggestive of a diagnosis of menigioma. The clinical and laboratory features were very similar to the most common tumors of the pineal region. Pr...

  6. Papillary tumor of pineal region: Prolonged control rate after gamma knife radiosurgery - A case report and review of literature

    Directory of Open Access Journals (Sweden)

    Cardenas Raul

    2010-01-01

    Full Text Available Papillary tumors of the pineal region (PTPR are very rare. We describe the first report of a PTPR empirically managed with gamma knife radiosurgery. The patient was initially shunted and referred for empirical gamma knife radiosurgery. After initially showing some improvement, he had recurrence of tumor after 7 years. For recurrence he underwent a gross total resection and the biopsy established the diagnosis of PTPR. Further research needs to be done as to the efficacy of gamma knife surgery for PTPR. In addition, the role of stereotactic biopsy for eligible patients should be considered as the initial step to direct the treatment of choice.

  7. Histopathology of pineal germ cell tumors.

    Science.gov (United States)

    Vasiljevic, A; Szathmari, A; Champier, J; Fèvre-Montange, M; Jouvet, A

    2015-01-01

    Germ cell tumors (GCTs) classically occur in gonads. However, they are the most frequent neoplasms in the pineal region. The pineal location of GCTs may be caused by the neoplastic transformation of a primordial germ cell that has mismigrated. The World Health Organization (WHO) recognizes 5 histological types of intracranial GCTs: germinoma and non-germinomatous tumors including embryonal carcinoma, yolk sac tumor, choriocarcinoma and mature or immature teratoma. Germinomas and teratomas are frequently encountered as pure tumors whereas the other types are mostly part of mixed GCTs. In this situation, the neuropathologist has to be able to identify each component of a GCT. When diagnosis is difficult, use of recent immunohistochemical markers such as OCT(octamer-binding transcription factor)3/4, Glypican 3, SALL(sal-like protein)4 may be required. OCT3/4 is helpful in the diagnosis of germinomas, Glypican 3 in the diagnosis of yolk sac tumors and SALL4 in the diagnosis of the germ cell nature of an intracranial tumor. When the germ cell nature of a pineal tumor is doubtful, the finding of an isochromosome 12p suggests the diagnosis of GCT. The final pathological report should always be confronted with the clinical data, especially the serum or cerebrospinal fluid levels of ?-human chorionic gonadotropin (HCG) and alpha-fetoprotein. PMID:24726316

  8. Low-Grade Oligodendroglioma of the Pineal Region: Case Report.

    Science.gov (United States)

    Lamis, Fabricio Correa; de Paiva Neto, Manoel Antonio; Stavale, João Norberto; Cavalheiro, Sergio

    2015-07-01

    Background?Although germ cell tumors and pineal cell tumors account for most of the histologic tumor subtypes,?>?17 different tumors can arise in this location. We report a rare case of a low-grade oligodendroglioma that arose in the pineal region. Clinical Presentation?A young woman complaining of a headache underwent magnetic resonance imaging that showed a mass in the pineal region and mild hydrocephalus. A ventriculoperitoneal shunt was performed followed by a near-total tumor removal, due to tumor invasion of the tectal plate and thalamus. The histologic examination confirmed the diagnosis of a low-grade oligodendroglioma. The patient then underwent chemotherapy and radiotherapy as adjuvant therapies. Conclusion?Although the pineal region is a common place for a large number of tumoral lesions, low-grade oligodendrogliomas are extremely rare in this location. This case is only the second account of a benign oligodendroglioma of the pineal region reported in the literature. PMID:26251811

  9. Diagnostic radiology of pineal tumors

    International Nuclear Information System (INIS)

    Contrast enhanced CT scan of the head and full column myelography using a water-soluble agent (after controlling increased intracranial pressure) are the screening methods of choice in evaluating patients with tumors of the pineal region. Angiography retains an important role in these patients: to document the degree of vascularity of the mass seen on CT scan; to rule out the possibility that the enhancing mass is a benign vascular lesion such as vein of Galen aneurysm, arteriovenous malformation, etc.; to provide the surgeon with a clear image of displaced normal arteries and veins prior to biopsy, and to show the position of cortical veins at the site of the planned surgical approach. Data now being accumulated regarding the use of CT-guided stereotaxic biopsy methods may demonstrate that needle biopsy of lesions of this area can be performed with much less risk to the patient than was the case with open biopsy methods. This new technique, along with microscopic surgical resection methods, may produce better treatment results than have been possible in the past

  10. Neuroendoscopy and pineal tumors: A review of the literature and our considerations regarding its utility.

    Science.gov (United States)

    Mottolese, C; Szathamari, A; Beuriat, P A; Grassiot, B; Simon, E

    2015-01-01

    Endoscopy has entered into the armamentarium of pineal and pineal region tumor treatment. The technique permits not only to control hydrocephalus but also to obtain tissue samples for histological diagnosis. In this paper, we explain the utility of endoscopy for the treatment of pineal tumors and as well as report some personal considerations regarding this topic. PMID:24880764

  11. Glioblastoma multiforme of the pineal region: case report Glioblastoma multiforme de região pineal: relato de caso

    OpenAIRE

    Emerson Leandro Gasparetto; Danny Warszawiak; Guilherme Pradi Adam; Luiz Fernando Bleggi-Torres; Arnolfo de Carvalho Neto

    2003-01-01

    PURPOSE: pineal region tumors are uncommon, and comprise more frequently three categories: germ cell, parenchymal cell and glial tumors. Most pineal gliomas are low-grade astrocytomas. Glioblastoma multiforme, the most aggressive and common brain tumor, is extremely rare at this location with only few cases reported. CASE DESCRIPTION: a 29-year-old woman with a two month history of headache, nuchal pain, fever, nausea and seizures and physical examination showing nuchal rigidity, generalized ...

  12. Surgical therapy of benign pineal tumors

    International Nuclear Information System (INIS)

    Currently, there is no way that the author knows to satisfactorily distinguish the benign lesions from their malignant cousins without a shadow of doubt. This includes preoperative evaluation of the clinical history, biological markers in serum and CSF, CT scans with and without contrast in various projections including the horizontal, coronal and sagittal cuts, and arteriography. Because the author has personally encountered difficulty in precisely diagnosing these tumors at routine light microscopy, especially when fragments are small, he has a personal aversion to the technique of diagnosis which enlists the use of a stereotactically placed biopsy needle. The author feels that virtually all of the pineal tumors require surgical exposure and sufficient tissue removal to ensure an accurate histological diagnosis. With experience, the author believes the surgeon can tell as he exposes the posterior and lateral aspects of these tumors whether or not they are encapsulated and therefore potentially resectable. This anatomical variation may be identified prior to operative intervention by an arteriogram especially with injection of large quantities of dye into the carotid system. With the advent of the CUSA (Cavitron Lasersonics, Cooper Medical Device Corporation, Stamford, CT), the author has used this instrument with increased facility and benefit in the removal of benign relatively avascular tumors of the pineal region. This instrument is ideal in coring out the interior of the tumor while creating little displacement of the tumor capsule. Some of the benign tumors, especially the meningiomas may be partially or heavily calcified and this instrument exhibits particular usefulness in these cases

  13. Primary Malignant Melanoma in the Pineal Region

    OpenAIRE

    Park, Jae-Hyun; Hong, Yong-Kil

    2014-01-01

    A 59-year-old male patient had 5-month history of gait disturbance and memory impairment. His initial brain computed tomography scan showed 3.5×2.8 cm sized mass with high density in the pineal region. The tumor was hypointense on T2 weighted magnetic resonance images and hyperintense on T1 weighted magnetic resonance images with heterogenous enhancement of central portion. The tumor was totally removed via the occipital transtentorial approach. Black mass was observed in the operation field,...

  14. Radiation therapy in pediatric pineal tumors.

    Science.gov (United States)

    Claude, L; Faure-Conter, C; Frappaz, D; Mottolèse, C; Carrie, C

    2015-01-01

    Pineal tumor management in pediatric patients must be based on close co-operation between oncologists, surgeons, radiation oncologists, neurologists, ophthalmologists, and endocrinologists. Radiation therapy (RT) remains critical in most situations and should be assessed as soon as the diagnosis is made, in order to optimize the radiation technique. This paper will focus on RT modalities, indications, as well as modalities in main pediatric pineal tumors (germ cell tumors and pineal parenchyma tumors). RT modalities are presently being debated and new RT techniques (intensity-modulated RT, proton therapy etc.) that are now available for pineal lesions need to be evaluated. Radiation strategies are also controversial for germ cell tumors: cranio-spinal radiation versus chemotherapy followed by focal radiation, which also requires discussion. PMID:25612810

  15. PINEAL GLAND TUMORS: EXPERIENCE FROM THE SEER DATABASE

    OpenAIRE

    Maysa AL-HUSSAINI4; SULTAN, IYAD; Gajjar, Amar J.; Abuirmileh, Najyah; Qaddoumi, Ibrahim

    2009-01-01

    Pineal gland tumors are rare and account for less than 1% of all primary brain tumor diagnoses. Also, they are more commonly seen in pediatric patients than in adults. We analyzed the available SEER data on pineal gland tumors that were diagnosed during the period 1973–2005. The cohort was subdivided into groups on the basis of tumor histology: germ cell tumors, pineal parenchymal tumors, gliomas, and other pineal tumors. Analyses of incidence, survival, factors influencing survival, and trea...

  16. Advanced magnetic resonance imaging with histopathological correlation in papillary tumor of pineal region: Report of a case and review of literature

    Directory of Open Access Journals (Sweden)

    Vaghela V

    2010-01-01

    Full Text Available Papillary tumors of the pineal region are recently described as rare mass lesions with limited literature available on their natural history and imaging features. Magnetic resonance imaging (MRI including perfusion, diffusion, and spectroscopic features were described in an 18-year-old girl with papillary tumor of pineal region. A well-defined, T1 hyperintense and contrast-enhancing mass lesion was noted in pineal region with few cystic spaces within. Solid portion of lesion showed minimal diffusion restriction with average apparent diffusion coefficient of 0.812 ? 10 -3 mm 2 /s; on MR spectroscopy elevated myo-inositol peak with reduced N-acetylaspartate and elevated choline in the tumor. On perfusion study there was significantly high relative cerebral blood volume (rCBV (6-9 times and relative cerebral blood flow (rCBF. Our findings agree with previous descriptions of cystic areas with T1 hyperintense appearance of this tumor but very high level of tumor perfusion, diffusion restriction, and presence of myo-inositol peak are important imaging findings and may correlate with the recent reports of high tumor recurrence in these cases.

  17. Glioblastoma multiforme of the pineal region: case report

    OpenAIRE

    Gasparetto Emerson Leandro; Warszawiak Danny; Adam Guilherme Pradi; Bleggi-Torres Luiz Fernando; Carvalho Neto Arnolfo

    2003-01-01

    PURPOSE: pineal region tumors are uncommon, and comprise more frequently three categories: germ cell, parenchymal cell and glial tumors. Most pineal gliomas are low-grade astrocytomas. Glioblastoma multiforme, the most aggressive and common brain tumor, is extremely rare at this location with only few cases reported. CASE DESCRIPTION: a 29-year-old woman with a two month history of headache, nuchal pain, fever, nausea and seizures and physical examination showing nuchal rigidity, generalized ...

  18. Massa expansiva da região posterior do terceiro ventrículo (tumores da região da pineal) / Expansive mass lesion in the posterior region of the third ventricle (tumours of the pineal reffion)

    Scientific Electronic Library Online (English)

    Antonio Ronaldo, Spotti; Eduardo Carlos da, Silva.

    1989-12-01

    Full Text Available Tumores da região da pineal não são comuns. São descritos aspectos clínicos, tomográficos e dos resultados terapêuticos em 12 casos observados num período de 5 anos (1979-1984). Os autores consideram que a via de acesso supracerebelar infratentorial, descrita por Krause em 1926 e reintroduzida por S [...] tein em 1971, é a melhor para a abordagem cirúrgica desse tipo de tumor. Abstract in english Tumours of the pineal region are rare. Clinical and CT aspects, and results of the treatment of 12 cases observed in a 5 years period (1979-1984) are described. The authors consider the supracerebellar infratentorial approach, formerly described by Krause in 1926 and reintroduced by Stein in 1971, t [...] he best for the surgical management of these tumours.

  19. Primary Malignant Melanoma in the Pineal Region

    Science.gov (United States)

    Hong, Yong-Kil

    2014-01-01

    A 59-year-old male patient had 5-month history of gait disturbance and memory impairment. His initial brain computed tomography scan showed 3.5×2.8 cm sized mass with high density in the pineal region. The tumor was hypointense on T2 weighted magnetic resonance images and hyperintense on T1 weighted magnetic resonance images with heterogenous enhancement of central portion. The tumor was totally removed via the occipital transtentorial approach. Black mass was observed in the operation field, and after surgery, histopathological examination confirmed the diagnosis of malignant melanoma. Whole spine magnetic resonance images and whole body 18-fluoro-deoxyglucose positron emission tomography could not demonstrate the primary site of this melanoma. Scrupulous physical examination of his skin and mucosa was done and dark pigmented lesion on his left leg was found, but additional studies including magnetic resonance images and skin biopsy showed negative finding. As a result, final diagnosis of primary pineal malignant melanoma was made. He underwent treatment with the whole brain radiotherapy and extended local boost irradiation without chemotherapy. His preoperative symptoms were disappeared, and no other specific neurological deficits were founded. His follow-up image studies showed no recurrence or distant metastasis until 26 weeks after surgery. Primary pineal malignant melanomas are extremely rare intracranial tumors, and only 17 cases have been reported since 1899. The most recent case report showed favorable outcome by subtotal tumor resection followed by whole brain and extended local irradiation without chemotherapy. Our case is another result to prove that total tumor resection with radiotherapy can be the current optimal treatment for primary malignant melanoma in the pineal region. PMID:25628812

  20. Glioblastoma multiforme of the pineal region: case report / Glioblastoma multiforme de região pineal: relato de caso

    Scientific Electronic Library Online (English)

    Emerson Leandro, Gasparetto; Danny, Warszawiak; Guilherme Pradi, Adam; Luiz Fernando, Bleggi-Torres; Arnolfo de, Carvalho Neto.

    2003-06-01

    Full Text Available OBJETIVO: Os tumores da região pineal são incomuns e podem ser divididos em três categorias de acordo com a sua origem: células germinativas, células do parênquima e células gliais. Em sua maioria, os gliomas de pineal são astrocitomas de baixo grau, sendo que o seu correspondente maligno, glioblast [...] oma multiforme, é o mais comum e agressivo tumor encefálico e é extremamente raro nesta localização, com apenas alguns casos relatados na literatura. CASO: Mulher com 29 anos apresentando há 2 meses cefaléia, nucalgia, febre, náuseas e crises convulsivas. O exame físico mostrou rigidez de nuca, hipotonia, hipotrofia e hiperreflexia generalizadas, sinal de Babinski e paralisia do VI nervo craniano. A tomografia computadorizada revelou lesão hipodensa mal delimitada na topografia de pineal, com captação heterogênea de contraste. A ressonância magnética demonstrou lesão na região pineal com infiltração de tálamo à direita. A paciente foi submetida a craniotomia direita com ressecção parcial do tumor. O exame histológico definiu o diagnóstico de glioblastoma multiforme. No pós-operatório foi indicada radioterapia, mas a paciente recusou o tratamento e morreu dois meses depois. CONCLUSÃO: Apesar de raro nesta topografia, os glioblastomas multiformes devem ser considerados no diagnóstico diferencial de lesões agressivas localizadas na glândula pineal. Abstract in english PURPOSE: pineal region tumors are uncommon, and comprise more frequently three categories: germ cell, parenchymal cell and glial tumors. Most pineal gliomas are low-grade astrocytomas. Glioblastoma multiforme, the most aggressive and common brain tumor, is extremely rare at this location with only f [...] ew cases reported. CASE DESCRIPTION: a 29-year-old woman with a two month history of headache, nuchal pain, fever, nausea and seizures and physical examination showing nuchal rigidity, generalized hypotony, hypotrophy and hyper-reflexia, Babinski sign and left VI cranial par palsy. CT scan examination revealed a ill-defined hypodense lesion at the pineal region with heterogeneous contrast enhancement. MRI showed a lesion at the pineal region infiltrating the right thalamic region. The patient underwent a right craniotomy with partial resection of the mass. The histological examination of paraffin-embedded material defined the diagnosis of glioblastoma multiforme. Post-operative radiotherapy was indicated but the patient refused the treatment and died two months afterwards. CONCLUSION: in spite of its rarity at this location, glioblastoma multiforme should be considered in the differential diagnosis of aggressive lesions at the pineal region.

  1. Gamma knife surgery for pineal region tumors: an alternative strategy for negative pathology / Cirurgia com gamma knife como tratamento experimental para tumores da região da pineal: uma estratégia alternativa quando os dados anatomopatológicos são negativos

    Scientific Electronic Library Online (English)

    Peng, Wang; Qing, Mao; Wei, Wang; Liang-Xue, Zhou; Yan-Hui, Liu.

    2014-02-01

    Full Text Available Tumores da região da pineal (TRP) são pouco frequentes e as propostas de tratamento são bastante variadas. Os autores relatam sua experiência em cirurgias com uso gamma knife (CGK) como tratamento experimental inicial em séries de TRP que não têm diagnóstico anatomopatológico ou nos quais o diagnóst [...] ico não ficou claro. Foram estudados retrospectivamente 17 pacientes com TRP nestas condições e que foram submetidos a CGK. Destes, 9 pacientes foram submetidos posteriormente a radioterapia de todo o encéfalo e medula espinhal entre 6 e 9 meses depois da CGK. Dezesseis dos 17 pacientes foram acompanhados por um período médio de 33,3 meses. A taxa total de resposta nos pacientes foi de 75% e a taxa dos controles, 81,3%. Não houve nenhum déficit neurológico evidente que pudesse ser atribuído à CGK. A CGK como tratamento experimental pode ser uma estratégia alternativa no grupo específico de pacientes com TRP em que não há diagnóstico anatomopatológico, podendo ser obtida uma boa qualidade de vida com poucas complicações para esse grupo de pacientes. Abstract in english Objective : Pineal region tumors (PRTs) are uncommon, and treatments vary among neoplasm types. The authors report their experience with gamma knife surgery (GKS) as an initial treatment in a series of PRT patients with unclear pathological diagnoses. Method : Seventeen PRT patients with negative [...] pathology who underwent GKS were retrospectively studied. Nine patients had further whole-brain and spinal cord radiotherapy and chemotherapy 6–9 months after GKS. Results : Sixteen of 17 cases were followed up over a mean of 33.3 months. The total response rate was 75%, and the control rate was 81.3%. No obvious neurological deficits or complications were attributable to GKS. Conclusion : The findings indicate that GKS may be an alternative strategy in selected PRT patients who have negative pathological diagnoses, and that good outcomes and quality of life can be obtained with few complications.

  2. Meningiomas of pineal region in children Meningiomas da região da pineal em crianças

    Directory of Open Access Journals (Sweden)

    Hamilton Matushita

    2007-12-01

    Full Text Available Meningiomas are uncommon tumors in children and either more rarely encountered in the pineal region. We report two cases of meningioma of the pineal region in children. One of these cases was a five years-old girl and the other a one year-old boy. No specific clinical presentation or tomographic examinations findings was identified before treatment, suggestive of a diagnosis of menigioma. The clinical and laboratory features were very similar to the most common tumors of the pineal region. Prior to the surgery, the histology of these tumors was not suspected. Both patients underwent direct surgery and complete removal was achieved by a suboccipital transtentorial approach. The tumors originated from velum interpositum in both cases. At the follow up, one case presented with recurrence six years later, and she underwent a reoperation with total resection without morbidity. Long-term follow up presented no other recurrences.Meningiomas são tumores poucos frequentes em crianças, e mais raramente encontrados na região da pineal. Relatamos dois casos de meningioma da região da pineal em crianças, uma menina de cinco anos e um menino de um ano de idade. Não foi identificada nenhuma forma de apresentação clinica ou caracteristica tomográfica, antes do tratamento, que sugerisse o diagnóstico de meningioma. As características clinicas e laboratoriais encontradas foram similares às de tumores mais frequentes da região da pineal. Ambos os pacientes foram submetidos ao tratamento cirúrgico e a remoção completa foi obtida por abordagem suboccipital transtentorial. Durante o seguimento, um dos pacientes foi reoperado por recorrencia do tumor seis anos após o tratamento inicial. Atualmente, os pacientes encontram-se livres de recorrência tumoral.

  3. Meningiomas of pineal region in children / Meningiomas da região da pineal em crianças

    Scientific Electronic Library Online (English)

    Hamilton, Matushita; Fernando Campos, Pinto; José Píndaro Pereira, Plese.

    2007-12-01

    Full Text Available Meningiomas são tumores poucos frequentes em crianças, e mais raramente encontrados na região da pineal. Relatamos dois casos de meningioma da região da pineal em crianças, uma menina de cinco anos e um menino de um ano de idade. Não foi identificada nenhuma forma de apresentação clinica ou caracter [...] istica tomográfica, antes do tratamento, que sugerisse o diagnóstico de meningioma. As características clinicas e laboratoriais encontradas foram similares às de tumores mais frequentes da região da pineal. Ambos os pacientes foram submetidos ao tratamento cirúrgico e a remoção completa foi obtida por abordagem suboccipital transtentorial. Durante o seguimento, um dos pacientes foi reoperado por recorrencia do tumor seis anos após o tratamento inicial. Atualmente, os pacientes encontram-se livres de recorrência tumoral. Abstract in english Meningiomas are uncommon tumors in children and either more rarely encountered in the pineal region. We report two cases of meningioma of the pineal region in children. One of these cases was a five years-old girl and the other a one year-old boy. No specific clinical presentation or tomographic exa [...] minations findings was identified before treatment, suggestive of a diagnosis of menigioma. The clinical and laboratory features were very similar to the most common tumors of the pineal region. Prior to the surgery, the histology of these tumors was not suspected. Both patients underwent direct surgery and complete removal was achieved by a suboccipital transtentorial approach. The tumors originated from velum interpositum in both cases. At the follow up, one case presented with recurrence six years later, and she underwent a reoperation with total resection without morbidity. Long-term follow up presented no other recurrences.

  4. Spontaneous pineal apoplexy in a pineal parenchymal tumor of intermediate differentiation

    OpenAIRE

    Timothy Steel; Jennifer Turner; Ching-Chun Wang

    2013-01-01

    Pineal apoplexy is a rare clinical presentation of pineal parenchymal tumors. We report the curative treatment of a case of pineal parenchymal tumor of intermediate differentiation with spontaneous apoplectic hemorrhage. This case is shown through computed tomography and magnetic resonance imaging of the brain, and is confirmed via histopathological studies. Recurrent upward gaze paresis was observed after the stereotactic biopsy. The paresis required an expeditious tumor resection. The mecha...

  5. Glioblastoma multiforme of the pineal region: case report

    Directory of Open Access Journals (Sweden)

    Gasparetto Emerson Leandro

    2003-01-01

    Full Text Available PURPOSE: pineal region tumors are uncommon, and comprise more frequently three categories: germ cell, parenchymal cell and glial tumors. Most pineal gliomas are low-grade astrocytomas. Glioblastoma multiforme, the most aggressive and common brain tumor, is extremely rare at this location with only few cases reported. CASE DESCRIPTION: a 29-year-old woman with a two month history of headache, nuchal pain, fever, nausea and seizures and physical examination showing nuchal rigidity, generalized hypotony, hypotrophy and hyper-reflexia, Babinski sign and left VI cranial par palsy. CT scan examination revealed a ill-defined hypodense lesion at the pineal region with heterogeneous contrast enhancement. MRI showed a lesion at the pineal region infiltrating the right thalamic region. The patient underwent a right craniotomy with partial resection of the mass. The histological examination of paraffin-embedded material defined the diagnosis of glioblastoma multiforme. Post-operative radiotherapy was indicated but the patient refused the treatment and died two months afterwards. CONCLUSION: in spite of its rarity at this location, glioblastoma multiforme should be considered in the differential diagnosis of aggressive lesions at the pineal region.

  6. Multiple remote epidural hematomas following pineal gland tumor resection

    OpenAIRE

    Lim Jeong-Wook; Yang Seung-Hwan; Lee Jong-Soo; Song Shi-Hun

    2010-01-01

    In cases of pineal tumor combined with obstructive hydrocephalus, preoperative ventriculostomy or ventriculoperitoneal shunting is typically required prior to tumor resection. The objectives of preoperative ventriculostomy are gradual reduction of intracranial pressure and consequent preoperative brain protection. Here we report a case of pineal tumor resection with preoperative ventriculostomy that was complicated by multiple epidural hematomas. While postoperative intracranial hemorrhage ma...

  7. Ganglioglioma da região da pineal: relato de caso / Ganglioglioma of the pineal region: case report

    Scientific Electronic Library Online (English)

    Walter José, Fagundes-Pereyra; Larissa de, Sousa; Gervásio Teles de Cardoso, Carvalho; Atos Alves de, Sousa.

    2001-09-01

    Full Text Available Os gangliogliomas são neoplasias mistas, compostas de elementos gliais e neuronais, extremamente raros na região da glândula pineal. Na presente revisão da literatura foram encontrados oito casos publicados. Apresentamos o caso de paciente de 14 anos, masculino, com ganglioglioma da região da pineal [...] , tratado cirurgicamente, com exérese total da lesão por via suboccipital transtentorial. O estudo histológico mostrou tratar-se de ganglioglioma grau I, confirmado por imuno-histoquímica. Conclui-se que tais tumores são raros e que se deve optar pela cirurgia, objetivando a exérese total. Quando isso não for possível, ou no caso de recorrência, o paciente deve ser acompanhado clínica e radiograficamente, considerando-se a radioterapia como tratamento complementar. Abstract in english Ganglioglioma are tumors presenting neoplastic glial cells and nerve cells, very rarely found in the pineal region. Only eight cases have been previously published in the literature. We present the case of a 14 years-old male patient with a ganglioglioma of the pineal region. The patient was treated [...] surgically by a suboccipital transtentorial approach with complete removal. Histopathologic specimens with immunostainning revealed a ganglioglioma grade I. We conclude that these tumors are rare and should be treated surgically aiming total remove. If it is not possible or in case of recorrence the patient should be followed and radiotheraphy could be considered.

  8. Ganglioglioma da região da pineal: relato de caso Ganglioglioma of the pineal region: case report

    Directory of Open Access Journals (Sweden)

    Walter José Fagundes-Pereyra

    2001-09-01

    Full Text Available Os gangliogliomas são neoplasias mistas, compostas de elementos gliais e neuronais, extremamente raros na região da glândula pineal. Na presente revisão da literatura foram encontrados oito casos publicados. Apresentamos o caso de paciente de 14 anos, masculino, com ganglioglioma da região da pineal, tratado cirurgicamente, com exérese total da lesão por via suboccipital transtentorial. O estudo histológico mostrou tratar-se de ganglioglioma grau I, confirmado por imuno-histoquímica. Conclui-se que tais tumores são raros e que se deve optar pela cirurgia, objetivando a exérese total. Quando isso não for possível, ou no caso de recorrência, o paciente deve ser acompanhado clínica e radiograficamente, considerando-se a radioterapia como tratamento complementar.Ganglioglioma are tumors presenting neoplastic glial cells and nerve cells, very rarely found in the pineal region. Only eight cases have been previously published in the literature. We present the case of a 14 years-old male patient with a ganglioglioma of the pineal region. The patient was treated surgically by a suboccipital transtentorial approach with complete removal. Histopathologic specimens with immunostainning revealed a ganglioglioma grade I. We conclude that these tumors are rare and should be treated surgically aiming total remove. If it is not possible or in case of recorrence the patient should be followed and radiotheraphy could be considered.

  9. Conservative management of pineal tumors - Mayo clinic experience

    International Nuclear Information System (INIS)

    The typical pineal tumor occurs in an adolescent boy with subacute increased intracranial pressure and Parinaud's syndrome. Diagnosis is confirmed by CT scanning, and long-term survival usually following shunting and radiation therapy. Direct surgical methods for successful treatment of suitable pineal tumors have evolved and may be utilized with relatively low risk in appropriate cases

  10. Pineal epidermoid

    Science.gov (United States)

    Senapati, Satya B.; Mishra, Sudhansu S.; Patnaik, Ashis; Patra, Sunil K.

    2012-01-01

    Background: Tumors of pineal region are uncommon, accounting for ?1% of intracranial tumors in adults and 3–8% of pediatric brain tumors. Epidermoid cysts account for 0.2–1% of all intracranial tumors. The majority occur in and around the cerebellopontine angle and suprasellar area. Getting an epidermoid in pineal region is very rare. Case Description: We report a case of pineal epidermoid, which was diagnosed correctly as epidermoid depending on computed tomography (CT) and magnetic resonance imaging (MRI) findings. Knowing its benign nature, we accordingly planned for its near-total removal. Conclusion: Most cases of pineal tumors present as obstructive hydrocephalus. They either require pre- or postoperative ventriculoperitoneal (VP) shunt. If properly planned, many benign pineal tumors may be successfully excised and, most importantly, postoperative VP shunt could be avoided. PMID:23226611

  11. Pineal region masses--imaging findings and surgical approaches.

    Science.gov (United States)

    Lensing, Forrester D; Abele, Travis A; Sivakumar, Walavan; Taussky, Philipp; Shah, Lubdha M; Salzman, Karen L

    2015-01-01

    The anatomy of the pineal region is complex. Despite advances in surgical techniques since the first reported successful pineal region surgery in the early 20th century, pineal region surgery remains challenging owing to the proximity of deep cerebral veins and dorsal midbrain structures critical for vision. In this article, we review the relevant surgical anatomy of the pineal region and discuss historically important and current surgical approaches. We describe specific imaging features of pineal region masses that may affect surgical planning and review neoplastic and nonneoplastic masses that occur in the pineal region. PMID:25027864

  12. Occurrence of Pineal Gland Tumors in Combined Chronic Toxicity/Carcinogenicity Studies in Wistar Rats.

    Science.gov (United States)

    Treumann, Silke; Buesen, Roland; Gröters, Sibylle; Eichler, Jens-Olaf; van Ravenzwaay, Bennard

    2015-08-01

    Pineal gland tumors are very rare brain lesions in rats as well as in other species including humans. A total of 8 (out of 1,360 examined) Wistar rats from 3 different combined chronic toxicity/carcinogenicity or mere carcinogenicity studies revealed pineal gland tumors. The tumors were regarded to be spontaneous and unrelated to treatment. The morphology and immunohistochemical evaluation led to the diagnosis malignant pinealoma. The main characteristics that were variably developed within the tumors were the following: cellular atypia, high mitotic index, giant cells, necrosis, Homer Wright rosettes, Flexner-Wintersteiner rosettes and pseudorosettes, positive immunohistochemical reaction for synaptophysin, and neuron-specific enolase. The pineal gland is not a protocol organ for histopathological examination in carcinogenicity studies. Nevertheless, the pineal gland can occasionally be encountered on the routine brain section or if it is the origin of a tumor protruding into the brain, the finding will be recorded. Therefore, although known to be a rare tumor in rats, pineal neoplasms should be included in the list of possible differential diagnoses for brain tumors, especially when the tumor is located in the region of the pineal body. PMID:25755100

  13. Multiple remote epidural hematomas following pineal gland tumor resection

    Science.gov (United States)

    Lim, Jeong-Wook; Yang, Seung-Hwan; Lee, Jong-Soo; Song, Shi-Hun

    2010-01-01

    In cases of pineal tumor combined with obstructive hydrocephalus, preoperative ventriculostomy or ventriculoperitoneal shunting is typically required prior to tumor resection. The objectives of preoperative ventriculostomy are gradual reduction of intracranial pressure and consequent preoperative brain protection. Here we report a case of pineal tumor resection with preoperative ventriculostomy that was complicated by multiple epidural hematomas. While postoperative intracranial hemorrhage may occur at any site, it is rare in those areas remote from the operative field. In the present case, multiple remote sequential epidural hematomas developed following resection of a pineal gland tumor. We also discuss the pathophysiologic mechanisms and provide a literature review. PMID:21042518

  14. Multiple remote epidural hematomas following pineal gland tumor resection

    Directory of Open Access Journals (Sweden)

    Lim Jeong-Wook

    2010-01-01

    Full Text Available In cases of pineal tumor combined with obstructive hydrocephalus, preoperative ventriculostomy or ventriculoperitoneal shunting is typically required prior to tumor resection. The objectives of preoperative ventriculostomy are gradual reduction of intracranial pressure and consequent preoperative brain protection. Here we report a case of pineal tumor resection with preoperative ventriculostomy that was complicated by multiple epidural hematomas. While postoperative intracranial hemorrhage may occur at any site, it is rare in those areas remote from the operative field. In the present case, multiple remote sequential epidural hematomas developed following resection of a pineal gland tumor. We also discuss the pathophysiologic mechanisms and provide a literature review.

  15. A case of teratoma which developed 5 years after radiotherapy for pineal tumor

    International Nuclear Information System (INIS)

    A case of pineal teratoma which developed 5 years after radiotherapy for a pineal tumor at 9 years of age was presented. The patient had been admitted with increased intracranial pressure at 9 years of age. Computerized tomography (CT) scans at that time showed pineal and suprasellar tumors with ventricular dissemination. From the CT scan findings, germinoma was diagnosed and a ventriculoperitoneal shunt followed by radiotherapy was performed. 5550 rads for the brain and 1300 rads for the spinal axis were given. The tumors seemed to have almost disappeared after this therapy, and the patient continued to do well until he complained of severe headache and general fatigue in September 1984. CT scans after infusion of contrast media showed a ringed enhanced tumor at the pineal region with extension to the left thalamus. With a preoperative diagnosis of teratoma, he was operated for the subtotal removal of the tumor and was discharged with slight mental dullness two months post-operatively. Histological diagnosis of the specimen was a mature teratoma. From the response of the tumor to radiotherapy in the first admission and from the histological findings, the tumor was thought to be a mixed germ cell tumor. The authors summarized the characteristic findings of mixed germ cell tumor on CT scan and discussed the treatment for pineal tumor. (author)

  16. Failure pattern of pineal and ectopic pineal germ cell tumor after gamma knife radiosurgery

    International Nuclear Information System (INIS)

    This study was performed to determine the optimal treatment volume of patients treating with radiation therapy for intracranial germ cell tumor. From 1993 to 1998, 19 patients with intracranial germ cell tumors treated by gamma knife radiosurgery were analyzed. The location of tumor was as follows; 9 cases on pineal region, 1 case on suprasellar region, and 9 cases of multiple lesion. 7 patients were pathologically verified; 5 cases of germ cell tumor and 2 cases of non germinomatous germ cell tumor. Tumor volume was ranged from 2.4 cm3 to 74 cm3. Irradiation dose was 10 Gy to 20 Gy with 50% isodose curve. Follow up period was 10 months to 54 months. Recurrences were observed in 14 cases among 19 (74%) patients. Complete remission and partial remission were achieved in 2 (11%) and 10 (53%) respectively. No response was observed in 7 (36%). 2 cases were recurred within original tumor bed. 6 cases were recurred beyond but contiguous with tumor bed. Bentricular relapses separated from pretreatment tumor bed were 3. Spinal recurrences were 4. Among 8 recurred cases of which tumor volume is smaller than 20 cm3, 2 were recurred within original tumor bed, 4 were recurred beyond but contiguous with tumor bed, and 1 spinal recurrence. Meanwhile, 6 cases of which tumor volume larger than 20 cm3, 1 case was recurred beyond but contiguous with tumor bed, 2 ventricular recurrences separated with original tumor bed, and 3 spinal recurrences. 5 cases which did not show any recurrence sign show any recurrence sign showed characteristics of single lesion, tumor volume smaller than 20 cm3 and normal tumor marker. All of 4 cases of spinal recurrences happened in the case having ventricular invasion or lesion. Among 9 cases having multiple lesion, only 3 cases recurred within original tumor bed or around tumor bed, the other 6 cases recurred separated from pretreatment tumor bed. Gamma knife radiosurgery is not recommended for the treatment of intracranial germ cell tumor. It is because of small treatment volume and inadequate radiation dose that are characteristics of gamma knife radiosurgery. Tumor volume, ventricular lesion or invasion, and normal tumor marker are ideal indications for small involved field radiation therapy. Prophylactic spinal irradiation seems to be necessary when there is ventricular lesion, ventricular invasion, and multiple lesions. When the tumor volume is larger than 20 cm3, multiple lesions, abnormal tumor marker, and whole ventricular irradiation or partial brain irradiation would be possible and neoadjuvant chemotherapy would be most beneficial in these group

  17. Failure pattern of pineal and ectopic pineal germ cell tumor after gamma knife radiosurgery

    Energy Technology Data Exchange (ETDEWEB)

    Cho, Heung Lae; Sohn, Seung Chang [College of Medicine, Inje Univ., Pusan (Korea, Republic of)

    2000-06-01

    This study was performed to determine the optimal treatment volume of patients treating with radiation therapy for intracranial germ cell tumor. From 1993 to 1998, 19 patients with intracranial germ cell tumors treated by gamma knife radiosurgery were analyzed. The location of tumor was as follows; 9 cases on pineal region, 1 case on suprasellar region, and 9 cases of multiple lesion. 7 patients were pathologically verified; 5 cases of germ cell tumor and 2 cases of non germinomatous germ cell tumor. Tumor volume was ranged from 2.4 cm{sup 3} to 74 cm{sup 3}. Irradiation dose was 10 Gy to 20 Gy with 50% isodose curve. Follow up period was 10 months to 54 months. Recurrences were observed in 14 cases among 19 (74%) patients. Complete remission and partial remission were achieved in 2 (11%) and 10 (53%) respectively. No response was observed in 7 (36%). 2 cases were recurred within original tumor bed. 6 cases were recurred beyond but contiguous with tumor bed. Bentricular relapses separated from pretreatment tumor bed were 3. Spinal recurrences were 4. Among 8 recurred cases of which tumor volume is smaller than 20 cm{sup 3}, 2 were recurred within original tumor bed, 4 were recurred beyond but contiguous with tumor bed, and 1 spinal recurrence. Meanwhile, 6 cases of which tumor volume larger than 20 cm{sup 3}, 1 case was recurred beyond but contiguous with tumor bed, 2 ventricular recurrences separated with original tumor bed, and 3 spinal recurrences. 5 cases which did not show any recurrence sign show any recurrence sign showed characteristics of single lesion, tumor volume smaller than 20 cm{sup 3} and normal tumor marker. All of 4 cases of spinal recurrences happened in the case having ventricular invasion or lesion. Among 9 cases having multiple lesion, only 3 cases recurred within original tumor bed or around tumor bed, the other 6 cases recurred separated from pretreatment tumor bed. Gamma knife radiosurgery is not recommended for the treatment of intracranial germ cell tumor. It is because of small treatment volume and inadequate radiation dose that are characteristics of gamma knife radiosurgery. Tumor volume, ventricular lesion or invasion, and normal tumor marker are ideal indications for small involved field radiation therapy. Prophylactic spinal irradiation seems to be necessary when there is ventricular lesion, ventricular invasion, and multiple lesions. When the tumor volume is larger than 20 cm{sup 3}, multiple lesions, abnormal tumor marker, and whole ventricular irradiation or partial brain irradiation would be possible and neoadjuvant chemotherapy would be most beneficial in these group.

  18. CRX Is a Diagnostic Marker of Retinal and Pineal Lineage Tumors

    Science.gov (United States)

    Santagata, Sandro; Maire, Cecile L.; Idbaih, Ahmed; Geffers, Lars; Correll, Mick; Holton, Kristina; Quackenbush, John; Ligon, Keith L.

    2009-01-01

    Background CRX is a homeobox transcription factor whose expression and function is critical to maintain retinal and pineal lineage cells and their progenitors. To determine the biologic and diagnostic potential of CRX in human tumors of the retina and pineal, we examined its expression in multiple settings. Methodology/Principal Findings Using situ hybridization and immunohistochemistry we show that Crx RNA and protein expression are exquisitely lineage restricted to retinal and pineal cells during normal mouse and human development. Gene expression profiling analysis of a wide range of human cancers and cancer cell lines also supports that CRX RNA is highly lineage restricted in cancer. Immunohistochemical analysis of 22 retinoblastomas and 13 pineal parenchymal tumors demonstrated strong expression of CRX in over 95% of these tumors. Importantly, CRX was not detected in the majority of tumors considered in the differential diagnosis of pineal region tumors (n?=?78). The notable exception was medulloblastoma, 40% of which exhibited CRX expression in a heterogeneous pattern readily distinguished from that seen in retino-pineal tumors. Conclusions/Significance These findings describe new potential roles for CRX in human cancers and highlight the general utility of lineage restricted transcription factors in cancer biology. They also identify CRX as a sensitive and specific clinical marker and a potential lineage dependent therapeutic target in retinoblastoma and pineoblastoma. PMID:19936203

  19. Radiotherapy of pineal tumors and ectopic pinealomas

    Energy Technology Data Exchange (ETDEWEB)

    Shirato, Hiroki; Matsuoka, Yoshisuke; Miyamoto, Miyako; Kamada, Tadashi; Arimoto, Takuro; Mizoe, Junetsu; Tsujii, Hirohiko; Irie, Goro

    1985-02-01

    The results of radiation treatment of 63 patients with pineal tumors and ectopic pinealomas are analysed. The histopathological diagnosis has been verified in 17 cases, and they consist of 9 germinoma, 3 teratoma and 5 embryonal carcinoma. The overall 5 year survival rate was 79.5%. Survival rate was different according to histology and site of tumor involvement. Local control was achieved more frequently with doses of over 45 Gy in five to six weeks. Marginal relapse (4 cases) and spinal metastasis (7 cases) were occured with ports under 10 x 10cm/sup 2/, but not over 10 x 10 cm/sup 2/. Prophylactic spinal irradiation were undertaken in 7 patients, and there were no spinal metastases in these patients. Tumor response detected by CT scan at 10-20 Gy was well related to relapse pattern and histopathological classification. There were no in-field relapse in patients with tumors which responded well at 10-20 Gy and disappeared at more than 40 Gy. Teratomas were demonstrated as radioresistant tumors at 10-20 Gy. Therapuetic diagnosis by CT scan seems to be a reliable procedure to determine indication of tumorectomy. (author).

  20. Radiotherapy of pineal tumors and ectopic pinealomas

    International Nuclear Information System (INIS)

    The results of radiation treatment of 63 patients with pineal tumors and ectopic pinealomas are analysed. The histopathological diagnosis has been verified in 17 cases, and they consist of 9 germinoma, 3 teratoma and 5 embryonal carcinoma. The overall 5 year survival rate was 79.5%. Survival rate was different according to histology and site of tumor involvement. Local control was achieved more frequently with doses of over 45 Gy in five to six weeks. Marginal relapse (4 cases) and spinal metastasis (7 cases) were occured with ports under 10 x 10cm2, but not over 10 x 10 cm2. Prophylactic spinal irradiation were undertaken in 7 patients, and there were no spinal metastases in these patients. Tumor response detected by CT scan at 10-20 Gy was well related to relapse pattern and histopathological classification. There were no in-field relapse in patients with tumors which responded well at 10-20 Gy and disappeared at more than 40 Gy. Teratomas were demonstrated as radioresistant tumors at 10-20 Gy. Therapuetic diagnosis by CT scan seems to be a reliable procedure to determine indication of tumorectomy. (author)

  1. Follow-up study with computerized tomography during and after irradiation in patients with pineal tumors

    International Nuclear Information System (INIS)

    Twelve cases of pineal tumors were studied by means of computerized tomography during and after radiation therapy. The patients were 9 cases of pineal germinoma, 2 cases of pineal teratoma with a component of embryonal carcinoma, and 1 case of ependymoma. In the follow-up CT studies, all the cases of pineal germinoma showed a remarkable response to irradiation with megavoltage x-ray (Linac). In 4 cases, the tumor size was shown to have decreased at the early stages (700-1000 rads) of the irradiation. At the termination of irradiation (4000-5000 rads), the enhancing tumor mass became unrecognizable, or only a dot-like calcification remained in the pineal region. In the 2 cases with pineal teratoma, the size of the tumor in the pineal region remained unchanged on CT scan, even with extensive irradiation schedules, while the simultaneous embryonal carcinoma within the teratoma grew rapidly in the other half of the brain. These metastatic lesions were highly enhanced and circumscribed, and were treated by means of operations and by chemotherapy, which were temporarily effective. The prognosis in both cases was poor. Regarding the case of ependymoma, the radiation therapies were not effective, and the tumor was found in follow-up CT scans to have increased continuously in size. The prognosis was poor in spite of surgical operations and chemotherapy. From these observations, it is concluded that a differential diagnosis between various kinds of pineal tumors might be difficult on the basis of a single CT scan alone; however, it becomes possible when one takes into account the different responses to irradiation in the follow-up CT studies. (author)

  2. Isolated pineal region metastasis from lung adenocarcinoma with obstructive hydrocephalus: a case report

    Science.gov (United States)

    2013-01-01

    Introduction Although the brain is a common site of metastasis from lung cancer, pineal region metastasis from lung adenocarcinoma is rare. Most cases of pineal metastases are asymptomatic, and are diagnosed by autopsy. Therefore, the management of pineal region tumors remains controversial. Here, we present a rare case of lung carcinoma presenting with pineal region metastasis and obstructive hydrocephalus as the first manifestation of the lung adenocarcinoma. Case presentation A 63-year-old Japanese woman was referred to our hospital for treatment of a tumor of the pineal region associated with hydrocephalus. On admission, she was found to have a mass in her right lung on a chest radiograph. During the preoperative investigation, the patient began to show a progressively worsening level of altered consciousness. Therefore, neuroendoscopic surgery was performed as an emergency procedure, which resulted in improvement of the hydrocephalus and diagnosis of adenocarcinoma. A systematic investigation revealed adenocarcinoma of her right lung as the primary lesion. She was treated by a platinum-based chemotherapy regime. Stereotactic radiation to the pineal region was undertaken concurrently. After completion of the chemotherapy, the primary lesion and pineal region metastasis showed good partial response. Conclusion The prognosis of pineal region metastasis is extremely poor, and only three patients with metastatic pineal region metastasis from lung cancer who were treated by chemotherapy have been reported. We performed neuroendoscopic surgery to obtain resolution of the obstructive hydrocephalus and the definite histological diagnosis. This resulted in improvement of the general condition of the patient, and the patient could be treated by chemotherapy and radiotherapy. We strongly believe that neuroendoscopic surgery was a good option in this case. This case report suggests that in the presence of an isolated pineal region tumor, metastasis should be considered a possible diagnosis, and careful examination for systemic malignant disease will be needed. PMID:23497480

  3. Tumours of the pineal region in childhood

    International Nuclear Information System (INIS)

    36 patients with tumours in the pineal region were treated between 1980 and 1986, 19 of whom were under 20 years of age. Diagnosis was based on cranial CT, supplemented to by MRI as from 1986. Preoperative angiography was peformed on all patients to demonstrate tumour vascularization and type of vascular supply. Stereotactic biopsies were complemented by intraoperative ventriculography. Stereotactic biopsy only was performed in 13 patients out of the total group to verify tumour histology. 23 patients were directly operated on primarily. 3 of these died postoperative. In cases of germ-cell tumours and pineal blastomas the total brain and the vertebral canal were irradiated. (orig./MG)

  4. Afferent pupillary defect in pineal region tumour.

    OpenAIRE

    Ellis, C J

    1984-01-01

    A patient is described in whom an afferent pupillary defect was an early sign of a tumour in the pineal region. It is suggested that this was due to involvement of the pupillary afferent fibres between the optic tract and pretectal nucleus contralateral to the affected pupil.

  5. Primary malignant melanoma in the pineal region treated without chemotherapy

    Science.gov (United States)

    Shinsato, Yoshinari; Hanada, Tomoko; Kisanuki, Takao; Yonezawa, Hajime; Yunoue, Shunji; Yoshioka, Takako; Hanaya, Ryosuke; Tokimura, Hiroshi; Hirano, Hirofumi; Arita, Kazunori

    2012-01-01

    Background: Primary pineal malignant melanomas are uncommon intracranial tumor. Here we discuss and review a case of primary pineal malignant melanoma over its feature of imaging studies, pathological findings, and management. Case Description: A 49-year-old woman receiving renal dialysis underwent computed tomography due to a 4-month history of tinnitus and hearing disturbance. A high-density 35-mm diameter tumor was detected in the pineal region; there was obstructive hydrocephalus. The tumor was heterogeneously hyperintense on T1-weighted magnetic resonance images, iso- and low-mixed intense on T2-weighted images with hemorrhagic components, and very low-intense on T2* images. A tumor was subtotally removed via the occipital transtentorial approach. Histologically, it consisted of densely proliferated spindle-shaped or polygonal cells with rich cytoplasmic melanin. The neoplastic cells manifested cellular pleomorphism, nuclear atypia, and mitosis (3/10 high-power fields) and were immunopositive for HMB45, Melan-A, and S100 protein. The MIB-1 index was 17.4%. Whole-body 18-fluoro-deoxyglucose positron emission tomography did not demonstrate any sites with hyper uptake. Examination of the skin and mucosa identified no lesions suggestive of melanoma. She underwent treatment with the whole brain and extended local boost irradiation. Chemotherapy was not delivered due to renal failure. Follow-up imaging studies showed no recurrence or distant lesions 56 weeks after surgery. Conclusion: We report a rare case of primary pineal malignant melanoma with prolonged survival of more than 56 weeks after subtotal tumor resection followed by whole-brain and extended local irradiation without chemotherapy. Radiotherapy without chemotherapy might be sufficient for the treatment of this tumor. PMID:23226609

  6. Radiotherapy for tumours of the pineal region and suprasellar germinomas (by Glanzmann and Seelentag)

    International Nuclear Information System (INIS)

    In this letter to the editor the authors agree with Glanzmann and Seelentag that, for tumors of the pineal region and suprasellar germinomas, empirical radiotherapy after ventriculoperitoneal shunting can give gratifying results, particularly in patients under the age of 30. On the other hand they strongly recommend an aggressive surgical approach as the initial therapeutic manoever for pineal tumors. The authors further clearly indicate in which cases radiotherapy or chemotherapy is recommended as the next therapeutic option. (author). 4 refs

  7. Pineal yolk sac tumor: correlation between neuroimaging and pathological findings Tumor do seio endodérmico da pineal: correlação entre os achados patológicos e de neuroimagem

    Directory of Open Access Journals (Sweden)

    Taísa Davaus

    2007-06-01

    Full Text Available A 17-year-old boy presented with somnolence and mental confusion. Physical examination demonstrated motor disturbances. Laboratorial investigation showed elevated levels of alpha-fetoprotein in serum and cerebrospinal fluid. The CT scan revealed a heterogeneous mass at the pineal region. At the MRI, this lesion was hypointense on T1 and hyperintense on T2-weighted images, enhancing after contrast administration. The patient underwent a surgical biopsy, which defined the diagnosis of yolk sac tumor. We emphasize the correlation of neuroimaging and pathological findings of this rare pineal region tumor.Um menino de 17 anos de idade apresentou-se com sonolência e confusão mental. O exame físico demonstrou distúrbios motores. A investigação laboratorial revelou aumento dos níveis de alfafetoproteína no soro e no líquor. A TC de crânio revelou massa heterogênea na região pineal. À RM, a lesão era hipointensa em T1 e hiperintensa em T2, com realce após a administração de contraste. O paciente foi submetido a biópsia cirúrgica, a qual definiu o diagnóstico de tumor do seio endodérmico. Enfatizamos a correlação entre os achados patológicos e de neuroimagem deste raro tumor da região pineal.

  8. Pineal yolk sac tumor: correlation between neuroimaging and pathological findings / Tumor do seio endodérmico da pineal: correlação entre os achados patológicos e de neuroimagem

    Scientific Electronic Library Online (English)

    Taísa, Davaus; Emerson L., Gasparetto; Arnolfo de, Carvalho Neto; Juliana Elizabeth, Jung; Luiz Fernando, Bleggi-Torres.

    2007-06-01

    Full Text Available Um menino de 17 anos de idade apresentou-se com sonolência e confusão mental. O exame físico demonstrou distúrbios motores. A investigação laboratorial revelou aumento dos níveis de alfafetoproteína no soro e no líquor. A TC de crânio revelou massa heterogênea na região pineal. À RM, a lesão era hip [...] ointensa em T1 e hiperintensa em T2, com realce após a administração de contraste. O paciente foi submetido a biópsia cirúrgica, a qual definiu o diagnóstico de tumor do seio endodérmico. Enfatizamos a correlação entre os achados patológicos e de neuroimagem deste raro tumor da região pineal. Abstract in english A 17-year-old boy presented with somnolence and mental confusion. Physical examination demonstrated motor disturbances. Laboratorial investigation showed elevated levels of alpha-fetoprotein in serum and cerebrospinal fluid. The CT scan revealed a heterogeneous mass at the pineal region. At the MRI, [...] this lesion was hypointense on T1 and hyperintense on T2-weighted images, enhancing after contrast administration. The patient underwent a surgical biopsy, which defined the diagnosis of yolk sac tumor. We emphasize the correlation of neuroimaging and pathological findings of this rare pineal region tumor.

  9. Brain CT of non-pineal intracranial germ cell tumors

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Hang Young; Chung, Eun Cheul; Lee, Dong Ho; Choo, In Wook; Chang, Kee Hyun [Seoul National University College of Medicine, Seoul (Korea, Republic of)

    1986-02-15

    19 cases of non-pineal intracranial germ cell tumors were reviewed retrospectively with both radiologic and clinical features. The results were as follows: 1. The age distribution was 8 to 32 year old (16 year old of mean age) and the sex distribution shows male predominance (15:4). 2. The histopathologic diagnosis includes 11 cases of germinoma, 2 case of mixed germ cell tumor, 1 case of embryonal cell carcinoma and 5 cases of unknown. 3. The location of tumors was the sarsaparilla region in 8 cases, the left basal ganglia and thalamus in 5 cases, and the right frontal lobe in 1 case. Among 11 cases of germinoma, 6 cases involve the sarsaparilla region and 3 cases the left basal ganglia and thalamus. 4. In clinical features, there were visual disturbance, diabetes indispose, increased ICP signs, motor weakness, hormonal disorders, and personal changes in order. 5. In tumor marker study of 6 cases of germinoma, 5 cases show increase in HCG titer, but all 6 cases were normal in AFP titer. 6. In brain CT, most of all revealed well-defined homogeneous high density with or without small central low density and homogeneous enhancement at solid portion, and there was calcification in only case with mixed germ cell tumor.

  10. Estudo por ressonância magnética da região da pineal: pineal normal e cistos simples Magnetic resonance study of the pineal region: normal pineal gland, simple cysts

    Directory of Open Access Journals (Sweden)

    JOSÉ GUILHERME CALDAS

    1998-06-01

    Full Text Available Realiza-se um estudo por ressonância magnética da pineal normal e dos cistos simples da pineal e estabelece-se um protocolo para estudo da região pineal analisando-se 762 exames. A utilização da técnica com cortes finos (3 milímetros no máximo identifica a pineal normal na maioria das vezes (84,4% e demonstra que a pineal normal, sem cistos, apresenta sinal isointenso em Tl e T2 com realce após a injeção de gadolínio, medindo em média 6,1 milímetros no seu maior diâmetro. Os cistos simples da pineal aparecem com frequência de 2,6% em relação a toda a série (762 casos elevando-se essa frequência para 6,1% se forem consideradas somente as pineais visiblizadas (329 casos. Os cistos simples não se correlacionam nem com a idade nem com o sexo e os cistos sintomáticos são raros. Os critérios para diagnóstico diferencial dos cistos simples versus tumores da região da pineal são: dimensões menores ou iguais a 20 milímetros; espessura da parede abaixo de 2 milímetros; ausência de efeito expansivo; sinal igual ao líquido cefalorraquidiano e ausência de crescimento dos cistos.A magnetic resonance imaging (MRI study of the normal pineal gland and pineal simple cysts was performed in 762 cases. A fine section technique (maximum 3 millimeters enabled most of the times the identifying of a normal pineal in addition to demonstrating that a pineal without any cyst shows an isointense signal in Tl and T2 which, in turn, is enhanced following gadolinium. The measure of the normal pineal was of about 6.1 millimeters in its diameter length. Pineal simple cysts were observed in a 2.6% frequency in relation to the whole series (762 cases; however reaches 6.1% when only the visualized pineals were considered (329 cases. Also, it was found out that simple cysts were not correlated to age or gender. Simple cysts characteristics are: dimension less or equal to 20 millimeters; absence of expansive effect; similar signal to that of the cerebrospinal fluid; absence of cyst growth.

  11. Estudo por ressonância magnética da região da pineal: pineal normal e cistos simples / Magnetic resonance study of the pineal region: normal pineal gland, simple cysts

    Scientific Electronic Library Online (English)

    JOSÉ GUILHERME, CALDAS; DOMINIQUE, DOYON; HENRIQUE, LEDERMAN; ROBERT, CARLIER.

    1998-06-01

    Full Text Available Realiza-se um estudo por ressonância magnética da pineal normal e dos cistos simples da pineal e estabelece-se um protocolo para estudo da região pineal analisando-se 762 exames. A utilização da técnica com cortes finos (3 milímetros no máximo) identifica a pineal normal na maioria das vezes (84,4%) [...] e demonstra que a pineal normal, sem cistos, apresenta sinal isointenso em Tl e T2 com realce após a injeção de gadolínio, medindo em média 6,1 milímetros no seu maior diâmetro. Os cistos simples da pineal aparecem com frequência de 2,6% em relação a toda a série (762 casos) elevando-se essa frequência para 6,1% se forem consideradas somente as pineais visiblizadas (329 casos). Os cistos simples não se correlacionam nem com a idade nem com o sexo e os cistos sintomáticos são raros. Os critérios para diagnóstico diferencial dos cistos simples versus tumores da região da pineal são: dimensões menores ou iguais a 20 milímetros; espessura da parede abaixo de 2 milímetros; ausência de efeito expansivo; sinal igual ao líquido cefalorraquidiano e ausência de crescimento dos cistos. Abstract in english A magnetic resonance imaging (MRI) study of the normal pineal gland and pineal simple cysts was performed in 762 cases. A fine section technique (maximum 3 millimeters) enabled most of the times the identifying of a normal pineal in addition to demonstrating that a pineal without any cyst shows an i [...] sointense signal in Tl and T2 which, in turn, is enhanced following gadolinium. The measure of the normal pineal was of about 6.1 millimeters in its diameter length. Pineal simple cysts were observed in a 2.6% frequency in relation to the whole series (762 cases); however reaches 6.1% when only the visualized pineals were considered (329 cases). Also, it was found out that simple cysts were not correlated to age or gender. Simple cysts characteristics are: dimension less or equal to 20 millimeters; absence of expansive effect; similar signal to that of the cerebrospinal fluid; absence of cyst growth.

  12. Neuroendoscopic management of pineal region tumours.

    Science.gov (United States)

    Ferrer, E; Santamarta, D; Garcia-Fructuoso, G; Caral, L; Rumià, J

    1997-01-01

    The management of pineal tumours remains controversial. During 1994 we treated four consecutive adults (16-44 yrs) harbouring a pineal tumour with a neuroendoscopic procedure. All of them presented with hydrocephalus. Pre-operative workup included cranial computerized tomography (CT), craniospinal magnetic resonance imaging (MRI) and serum levels of biological tumour markers. The endoscopic procedure consisted of a third ventriculostomy followed by biopsy with a flexible, steerable neuroendoscope. Histological diagnosis was achieved in three patients who no longer required a shunt device. Recorded complications were: bleeding during ventriculostomy that prevented us from obtaining a good sample for biopsy, short-term memory loss that cleared over a two-week period, and transient increase of pre-operative hemiparesis. Complications and morbidity are emphasized so as to be avoided with further technical experience. Neuroendoscopy affords a minimally invasive way of reaching three objectives by one-step surgery in the management of pineal region lesions: 1) CSF sample for analysis of tumour markers. 2) Treatment of hydrocephalus by third ventriculostomy. 3) Several biopsy specimens can be obtained identifying tumours which will require further open surgery or adjuvant radiation and/or chemotherapy. PMID:9059706

  13. Alternatives approaches to the sub-occipital transtentorial route for pineal tumors: How and when I do it?

    Science.gov (United States)

    MBaye, M; Jouanneau, E; Mottolese, C; Simon, E

    2015-01-01

    Deeply located beneath the corpus callosum and surrounding by crucial veins, the pineal and tectal structures still challenge the surgeon. Either anterior or posterior, many surgical approaches have been developed to reach the pineal region. Most popular are likely the posterior sub-occipital or occipito-parietal transtentorial routes. Others, primarily transcallosal or supracerebellar, may be indicated depending of the extension of the tumors while the transcortical routes (frontal, parietal or atrial) have been almost given up. Our purpose in this article is give a practical overview of how to do and what are the respective indications of all these alternatives approaches developed for pineal tumors. PMID:24629622

  14. Radiation therapy for pineal tumors: 30-year experience at Thomas Jefferson University Hospital

    International Nuclear Information System (INIS)

    Eighteen tumors of the pineal region were treated at Thomas Jefferson University Hospital since 1957. Preoperative evaluation included CT scan in 11 patients and cerebrospinal fluid cytology in four. Histologic diagnosis was obtained in nine patients. Diagnosis in two other patients was based on CT scan response at 2,000 cGY. Fifteen patients received whole-brain irradiation with a boost, one each with limited-field and whole-brain irradiation only. One patient with melanoma received craniospinal irradiation. Median pineal dose was 55 Gy; range, 50-60 Gy. Five treatment failures occurred, four local and one distant. Actuarial survival was 80%, 70%, and 65% at 5, 10, and 20 years. Median follow-up was 8.8 years. Cranial radiotherapy alone appears to control the majority of pineal tumors

  15. Diagnosis and management challenge of a granular cell astrocytoma of the pineal region: case report.

    Science.gov (United States)

    El Asri, Abad Cherif; Baallal, Hassan; Zoubeir, Youssef; Sinaa, Mohamed; Albouzidi, Abderrahman; Gazzaz, Miloudi; Akhaddar, Ali; Boucetta, Mohamed; El Mostarchid, Brahim

    2015-05-01

    Granular cell astrocytoma (GCA) is a rare type of infiltrative brain tumor with most reported cases occurring in the suprasellar region. A pineal localization is extremely rare, with only 4 previously reported cases in the literature. The authors describe the case of a 16-year-old boy who developed signs of increased intracranial pressure and Parinaud syndrome. Cranial CT and MRI revealed a well-demarcated and enhanced mass in the pineal region accompanied by obstructive hydrocephalus. Subtotal resection was performed via a subtemporal approach. A histological diagnosis of GCA was made. Three years after surgery, the patient was alive and well without adjuvant therapy, and serial MRI showed no signs of progression of a small residual tumor. After a thorough review of the different epidemiological, clinical, and imaging features; treatments; and prognoses of GCAs in other intracranial localizations, the authors analyzed features of this tumor in the pineal region. PMID:25700123

  16. Radiation Therapy of Midline Pineal Tumors and Suprasellar Germinoma

    Energy Technology Data Exchange (ETDEWEB)

    Suh, Chang Ok; Kim, Gwi Eon; Suh, Jung Ho; Park, Chang Yun; Chu, Sung Sil [Yonsei University College of Medicine, Seoul (Korea, Republic of)

    1983-06-15

    20 cases of midline pineal tumors and 3 suprasellar germinomas received radiation therapy at Yonsei University Medical College, Severance hospital from 1971 to 1982 were reviewed. 12 cases were pathologically proved; 10 germinomas, 1 pineoblastoma, and 1 pineocytoma. 11 cases received radiotherapy without biopsy confirmation. Although treatment fields varied from small field to whole brain irradiation, but not to the spinal cord, most patients received 4000-5000 rads irradiation to the primary tumor site. 17 patients are alive without evidence of disease and 5 year actuarial NED survival is 73.2%. 9 of 10 biopsy proved germinomas and all 6 presumed germinomas are alive and well. Optimum radiation dose, adequate irradiation field, tumor response to radiation observed in serial CT scan and role of radiation therapy in the management of pineal tumors are also discussed.

  17. Radiation Therapy of Midline Pineal Tumors and Suprasellar Germinoma

    International Nuclear Information System (INIS)

    20 cases of midline pineal tumors and 3 suprasellar germinomas received radiation therapy at Yonsei University Medical College, Severance hospital from 1971 to 1982 were reviewed. 12 cases were pathologically proved; 10 germinomas, 1 pineoblastoma, and 1 pineocytoma. 11 cases received radiotherapy without biopsy confirmation. Although treatment fields varied from small field to whole brain irradiation, but not to the spinal cord, most patients received 4000-5000 rads irradiation to the primary tumor site. 17 patients are alive without evidence of disease and 5 year actuarial NED survival is 73.2%. 9 of 10 biopsy proved germinomas and all 6 presumed germinomas are alive and well. Optimum radiation dose, adequate irradiation field, tumor response to radiation observed in serial CT scan and role of radiation therapy in the management of pineal tumors are also discussed

  18. Patofysiologiske mekanismer bag øjensymptomer ved primaere tumorer i corpus pineale.

    DEFF Research Database (Denmark)

    Illum, N O; MØller, M

    1993-01-01

    Primary tumors of the pineal body can produce dyscoordinative movements of the eye, pupillary dilatation, paralysis of adduction during convergence and nystagmus. Obstruction of the aqueduct can cause hydrocephalus, increased intracranial pressure and papilledema. Diabetes insipidus may be a presenting symptom. Pinealocytes and the photoreceptors of the eye contain several autoantigens. In man, the best known is the S-antigen. This antigen can be detected in the cerebrospinal fluid of patients with primary tumors of the pineal body. The S-antigen, and possibly other related autoantigens, can elicit an autoimmune mediated reaction causing inflammatory eye symptoms. This recently described paraneoplastic neurologic syndrome shares properties in common with other known cancer-associated ophthalmologic syndromes characterised by rapid development of eye symptoms, rapid loss of sight and by eye manifestations prior to evident appearance of symptoms related to primary tumor growth. A primary tumor of the pineal body should be considered in patients where a monosymptomatic uveoretinitis presents without associated provoking factors. Furthermore, analyses of S-antigen in the spinal fluid can be useful in the clinical diagnosis of the same primary tumors.

  19. RAdiotherapy for tumours of the pineal region and suprasellar germinomas

    International Nuclear Information System (INIS)

    Between 1960 and 1985, 42 patinets with pineal region tumors and two patients with suprasellar germinomas were treated by irradiation after shuntin gwith biopsy in five cases and subtotal resection in three cases. Ten year survival rates are: 79% in patients less than 31 years old and unbiopsied tumours, 25% in patients older than 30 years and unbiopsied tumours, 3/4 in patients with germinomas. Target volumes varied, but only three cases had craniospinal irradiation. Cumulative risk of spinal seeding in patients with germinomas and unbiolsied tumors is about 6% after cranal radiotherapy. The low risk of spinal seeding in patients with pineal tumours of unknown histology or germinomas without signs of dissemination in the CT/MR, myelography, examination of the CSF (cytology and markers) do not justify prophylactic spinal irradiation. Our data do not show a clear association between cranial target volume (whole brain or local fields) and recurrence rate 41 of 44 cases had target doses higher than 4400 cGy. There is a small but definite risk of major complications after a dose of about 5500 cGy with conventional fractionation. (author). 27 refs.; 5 figs

  20. RAdiotherapy for tumours of the pineal region and suprasellar germinomas

    Energy Technology Data Exchange (ETDEWEB)

    Glanzmann, C. (Universitaetsspital Zuerich (Switzerland). Department Medizinische Radiologie, Klinik fuer Radio-Onkologie); Seelentag, W. (Kantonspital Sakt Gallen (Switzerland). Klinik fuer Radio-Onkologie)

    1989-09-01

    Between 1960 and 1985, 42 patinets with pineal region tumors and two patients with suprasellar germinomas were treated by irradiation after shuntin gwith biopsy in five cases and subtotal resection in three cases. Ten year survival rates are: 79% in patients less than 31 years old and unbiopsied tumours, 25% in patients older than 30 years and unbiopsied tumours, 3/4 in patients with germinomas. Target volumes varied, but only three cases had craniospinal irradiation. Cumulative risk of spinal seeding in patients with germinomas and unbiolsied tumors is about 6% after cranal radiotherapy. The low risk of spinal seeding in patients with pineal tumours of unknown histology or germinomas without signs of dissemination in the CT/MR, myelography, examination of the CSF (cytology and markers) do not justify prophylactic spinal irradiation. Our data do not show a clear association between cranial target volume (whole brain or local fields) and recurrence rate 41 of 44 cases had target doses higher than 4400 cGy. There is a small but definite risk of major complications after a dose of about 5500 cGy with conventional fractionation. (author). 27 refs.; 5 figs.

  1. Radiotherapy for tumours of the pineal region and suprasellar germinomas (by Glanzmann and Seelentag); Letter to the editor

    Energy Technology Data Exchange (ETDEWEB)

    Neuwelt, E.A. (Oregon Univ., Portland, OR (USA). Div. of Neurosurgery)

    1989-09-01

    In this letter to the editor the authors agree with Glanzmann and Seelentag that, for tumors of the pineal region and suprasellar germinomas, empirical radiotherapy after ventriculoperitoneal shunting can give gratifying results, particularly in patients under the age of 30. On the other hand they strongly recommend an aggressive surgical approach as the initial therapeutic manoever for pineal tumors. The authors further clearly indicate in which cases radiotherapy or chemotherapy is recommended as the next therapeutic option. (author). 4 refs.

  2. Moyamoya Syndrome: Post Cranial Irradiation of Pineal Gland Tumor

    OpenAIRE

    Chiewvit, P.; Janyavanich, V.; Soonthonpong, N.; Churoj, A.; Chawalparit, O.; Suthipongchai, S.

    2001-01-01

    A right-handed eight-year-old boy, with headache, vomiting and positive parinaud (s sign was diagnosed as having a pineal gland tumor which histopathological section from surgical biopsy revealed to be a germinoma. The patient underwent ventriculoperitoneal shunt for obstructive hydrocephalus. Thereafter; he received cranial irradiation as definitive treatment. He was well and went back to school until five years later he developed a transient ischemic attack. Cranial magnetic resonance imagi...

  3. Tumores da região pineal: considerações sobre 12 casos

    Directory of Open Access Journals (Sweden)

    Rolando Tenuto

    1969-06-01

    Full Text Available Foram revistos 12 casos de tumores da região pineal, sob os aspectos clínico, laboratorial e neurorradiológico. Em 6 doentes o diagnóstico baseou-se apenas nos dados clínicos e neurorradiológicos (particularmente ventriculográficos e, nos restantes 6 casos, foi confirmado por exame histopatológico. A sobrevida de 3 a 9 anos, verificada em 4 casos submetidos a tratamento conservador mediante operações de derivação seguidas de irradiação pela bomba de cobalto, constitui índice em favor da conduta adotada.

  4. Patofysiologiske mekanismer bag øjensymptomer ved primaere tumorer i corpus pineale

    DEFF Research Database (Denmark)

    Illum, N O; Møller, M; Garde, E

    1993-01-01

    Primary tumors of the pineal body can produce dyscoordinative movements of the eye, pupillary dilatation, paralysis of adduction during convergence and nystagmus. Obstruction of the aqueduct can cause hydrocephalus, increased intracranial pressure and papilledema. Diabetes insipidus may be a presenting symptom. Pinealocytes and the photoreceptors of the eye contain several autoantigens. In man, the best known is the S-antigen. This antigen can be detected in the cerebrospinal fluid of patients w...

  5. Melanotic neuroectodermal tumour of the pineal region

    Energy Technology Data Exchange (ETDEWEB)

    Gorhan, C.; Soto-Ares, G.; Pruvo, J.P. [Dept. of Neuroradiology, Hopital Roger Salengro, CHRU Lille, Lille (France); Ruchoux, M.M. [Dept. of Neuropathology, Hopital Roger Salengro, CHRU Lille (France); Blond, S. [Dept. of Neurosurgery, Hopital Roger Salengro, CHRU Lille (France)

    2001-11-01

    We describe CT and MR findings in a 23-month-old infant with a melanotic neuroectodermal tumour of the pineal gland. The tumour has been stereotactically biopsied and surgically resected. The pathological diagnosis was made on the resected piece. Embryology of the pineal gland and the histology of melanotic neuroectodermal tumour of infancy are discussed. (orig.)

  6. Interest and limits of endoscopic approaches for pineal region tumours.

    Science.gov (United States)

    Chaussemy, D; Cebulla, H; Coca, A; Chibarro, S; Proust, F; Kehrli, P

    2015-01-01

    Endoscopy of pineal region tumours has been developed since the year 2000 either via a transventricular or extracerebral approach. The initial purpose of applying neuroendoscopy in the management of pineal region tumours was to resolve the obstructive hydrocephalus, and identify the pathological characteristics of the tumour. Based on this approach, a piecemeal resection of the tumour can be performed. The approaches, derived from the microsurgical pathway using an endoscope to expose the operative field, have been proposed either via an infratentorial supracerebellar approach or posterior transtentorial interhemispheric approach. Neuroendoscopic procedures can be considered as a therapeutic alternative to the microsurgical approach when CSF markers are negative. This procedure is considered mini-invasive for the approach along the surgical corridor access but extensive and in depth at the interface between the tumour and the surrounding neurological parenchyma. The limitations and complications are related to the type of procedure (mono- or bimanual) as well as the tumoral characteristics. Different approaches are presented in detail in order to avoid the occurrence of any surgical complications. PMID:25911532

  7. Stereotactic gamma radiosurgery of pineal and related tumors

    International Nuclear Information System (INIS)

    The role of gamma radiosurgery as an additional therapy after conventional treatments for pineal and related tumors was studied in 30 out of 33 cases with a mean follow-up of 23.3 months. Overall results showed that complete response (CR) was obtained in 8 cases (26.7%) and response rate was 73.3%. However, enlargement of the tumors was noted in 8 cases, of which 7 (23.3%) died of tumor progression (PG). Germinomas and pineocytomas showed higher response and control rates of 100%, and no tumor enlargement or death occurred after gamma knife treatment. In germinoma with STGC (syncytiotrophoblastic giant cell) which has been thought to have intermediate prognosis, two cases showed partial response (PR), but another died from progression of the disease. Malignant germ cell tumors and pineoblastomas showed unfavorable response and prognosis; the response and progression rates were 50%. However, complete response was obtained in 3 cases (25%) after gamma radiosurgery. Gamma knife was the initial treatment in three cases without pathological diagnosis in which one obtained CR and two showed partial response (PR). Stereotactic gamma radiosurgery is expected to be an effective and novel treatment for pineal and related tumors not only as an adjuvant, but also as an initial therapy. (author)

  8. Stereotactic gamma radiosurgery of pineal and related tumors

    Energy Technology Data Exchange (ETDEWEB)

    Kobayashi, Tatsuya; Mori, Yoshimasa; Yamada, Yasushi; Kida, Yoshihisa [Komaki City Hospital, Aichi (Japan). Gamma Knife Center

    2001-06-01

    The role of gamma radiosurgery as an additional therapy after conventional treatments for pineal and related tumors was studied in 30 out of 33 cases with a mean follow-up of 23.3 months. Overall results showed that complete response (CR) was obtained in 8 cases (26.7%) and response rate was 73.3%. However, enlargement of the tumors was noted in 8 cases, of which 7 (23.3%) died of tumor progression (PG). Germinomas and pineocytomas showed higher response and control rates of 100%, and no tumor enlargement or death occurred after gamma knife treatment. In germinoma with STGC (syncytiotrophoblastic giant cell) which has been thought to have intermediate prognosis, two cases showed partial response (PR), but another died from progression of the disease. Malignant germ cell tumors and pineoblastomas showed unfavorable response and prognosis; the response and progression rates were 50%. However, complete response was obtained in 3 cases (25%) after gamma radiosurgery. Gamma knife was the initial treatment in three cases without pathological diagnosis in which one obtained CR and two showed partial response (PR). Stereotactic gamma radiosurgery is expected to be an effective and novel treatment for pineal and related tumors not only as an adjuvant, but also as an initial therapy. (author)

  9. Intracranial germinomas with simultaneous lesions at pineal and suprasellar regions: diagnostics and therapeutics considerations

    International Nuclear Information System (INIS)

    Germinomas are the most common intracranial germ cell tumor. Germinomas comprise 65% of this type of tumor and represent a less malignant form. This neoplasm constitutes approximately 0.1% to 3.4% of all intracranial tumors. The embryologic origin remains a mystery. Ninety-five percent of germinomas arise in the region of the third ventricle, along an axis from the suprasellar cistern (48%) to the pineal region (37%, involvement of both sites, either sequentially or simultaneously, ocurred rarely (6%). Clinical presentation depends on tumor location and may involve endocrine, hypothalamic, visual and cognitive dysfunction. We report two cases of patients with germinomas with simultaneous lesions in both the suprasellar and pineal regions and review on the clinical presentation, means of diagnosis, treatment using radiotherapy and outcome of this rate treatable neoplasm. (The author)

  10. Endoscopic diagnosis of a pineal papillary glioneuronal tumor with extensive ventricular involvement: Case report with review of literature

    Directory of Open Access Journals (Sweden)

    Husain Nuzhat

    2009-01-01

    Full Text Available Papillary glioneuronal tumor (PGNT is a newly described mixed glioneuronal tumor, recently included in the World Health Organization classification of central nervous system tumors. We report morphologic and immunohistochemical characteristics PGNT of the pineal region extending into the third and lateral ventricles in a four-year-old male child and reviewed all the cases reported in the international literature till date. In this child the diagnosis of PGNT was established by endoscopic biopsy and squash smear examination.

  11. CRX is a Diagnostic Marker of Retinal and Pineal Lineage Tumors

    OpenAIRE

    Idbaih, Ahmed; Geffers, Lars; Correll, Mick; Holton, Kristina; Santagata, Sandro; Maire, Cecile; Quackenbush, John; Ligon, Keith Lloyd

    2009-01-01

    Background: CRX is a homeobox transcription factor whose expression and function is critical to maintain retinal and pineal lineage cells and their progenitors. To determine the biologic and diagnostic potential of CRX in human tumors of the retina and pineal, we examined its expression in multiple settings. Methodology/Principal Findings: Using situ hybridization and immunohistochemistry we show that Crx RNA and protein expression are exquisitely lineage restricted to retinal and pineal cell...

  12. Pineal and ectopic pineal tumors: the role of radiation therapy. [X ray; /sup 60/Co

    Energy Technology Data Exchange (ETDEWEB)

    Rao, Y.T.R.; Medini, E.; Haselow, R.E.; Jones, T.K. Jr.; Levitt, S.H.

    1981-08-01

    Seventeen patients with pineal tumors and one ectopic (suprasellar) germinoma were treated with radiation therapy. Surgery was restricted to decompression in 16 patients, and only two patients had resection of the tumor. Thirteen of 18 patients are alive without evidence for disease with a ten-year surrvival rate of 88%. The tumor dose ranged from 4000 rads to 6000 rads. No age or dose dependence in survival was noted, but patients with whole brain irradiation or generous volume to include ventricular system had better survival. No case of spinal metastasis was noted. The possibility of increased incidence of meningeal seeding following surgical intervention is considered. From their data, the authors feel that radiation therapy with or without surgical decompression should be the primary treatment for pinealoma. Surgery can be used for diagnosis and/or treatment of patients who show delayed response to radiation. Recommendation is made for the use of whole brain irradiation to 4000 rads followed by a boost to the tumor area to 5000 rads.

  13. Pilomyxoid astrocytoma of the pineal region: cytopathological features and differential diagnostic considerations by intraoperative smear preparation.

    Science.gov (United States)

    Hayashi, Toshitetsu; Haba, Reiji; Kushida, Yoshio; Katsuki, Naomi; Shibuya, Shinsuke; Kadota, Kyuichi; Matsunaga, Toru; Miyake, Keisuke; Tamiya, Takashi

    2015-02-01

    Pilomyxoid astrocytoma (PMA) is a recently identified type of pilocytic astrocytoma (PA) with shorter progression-free and overall survival, higher rate of recurrence, and higher risk of leptomeningeal spread compared to pilocytic tumors (WHO grade 2 designation). A case is presented here in which intraoperative imprint smears of a pineal region tumor in a 14-year-old girl revealed cytologic monomorphism, elongated cells with bland nuclei embedded in a myxoid background. The tumor cells possessed uniformly round nuclei with a smooth nuclear outline, fine granular chromatin, and small nucleoli. Slender cytoplasmic fibrillary processes and angiocentric arrangement were observed but Rosenthal fibers or eosinophilic granular bodies were absent. A cytologic diagnosis of PMA of the pineal region was suggested by intraoperative smear preparation. Histology and immunohistochemical results confirmed the final diagnosis. This report shows that smear preparation can be trustworthy for the intraoperative diagnosis of PMA, helping to determine the appropriate neurosurgical procedure and therapeutic implications. PMID:24578310

  14. The infratentorial supracerebellar approach in surgery of lesions of the pineal region

    Science.gov (United States)

    Oliveira, Joana; Cerejo, António; Silva, Pedro Santos; Polónia, Patrícia; Pereira, Josué; Vaz, Rui

    2013-01-01

    Background: Surgery of pineal region lesions is considered a challenging task, due to the particular relationship of lesions in this location with neural and vascular structures. Few series with a significant experience of dealing with these patients have been reported. Methods: We review our experience using infratentorial supracerebellar approach in the surgery of pineal region, regarding the extension of the removal, postoperative morbidity, and discussing details of the surgical technique. In all cases, a supracerebellar infratentorial approach was used in the semi sitting position. Results: A total of 32 patients were operated in the past 20 years (3 germinomas, 3 teratoma, 3 pineocitoma, 2 pineal tumor of intermediate differentiation, 6 pineoblastomas, 6 low grade astrocytoma, 2 glioblastoma, 2 metastasis, 1 ependymoma, 1 epidermoid tumor, 1 cavernoma, and 2 arachnoid cyst). Total removal was achieved in 15 cases and subtotal extensive removal in 7 patients. In the remaining cases, only partial removal was possible, due to the involved pathological types. There was no surgical mortality and no cases of cerebellar venous infarction. Morbidity consisted of transient ocular movement disturbance in 14 patients, transient ataxia in 3 patients, and 1 case of local cerebrospinal fluid (CSF) fistula with meningitis that required surgical treatment. Conclusion: Supracerebellar infratentorial is a safe approach to lesions in the pineal region, and total or extensive subtotal removal is possible in most cases, with acceptable morbidity. PMID:24381797

  15. Correlación cito-histológica del tumor papilar de la glándula pineal. Presentación de un caso / Papillary pineal tumor: cyto-histological correlation. Case report

    Scientific Electronic Library Online (English)

    Rosa A, Barbella-Aponte; Nohelia, Rojas-Ferrer; JP, García de la Torre; Roberto, Vera-Berón.

    2014-01-01

    Full Text Available En la última revisión de la Organización Mundial de la Salud (OMS) en relación a los tumores del sistema nervioso central (SNC), se describieron nuevas entidades, como el Tumor Papilar de la Glándula Pineal. Esta lesión de rara aparición, se ha identificado en adultos jóvenes. El diagnóstico de esto [...] s tumores es complejo ya que depende de su ubicación, edad de aparición y el aspecto histológico; éste último tiene similitudes con otras lesiones como el ependimoma papilar o el papiloma/carcinoma de plexos coroides. Citológicamente presentan características claras que pueden ayudar al diagnóstico a través de la impronta en el estudio intraoperatorio; reconocer ciertos criterios con éste importante y sencillo método diagnóstico ha sido la motivación principal para el estudio de entidades poco frecuentes del SNC, además de corroborar el necesario trabajo de un equipo multidisciplinar. Abstract in english In the latest revision of the central nervous system tumors (CNS) of the World Health Organization (WHO), new entities has been described, as papillary tumor of the pineal region. This rare lesion has been identified in young adults. The diagnosis of these tumors is complex, depends on the location, [...] age of onset and histological appearance. Histological characteristics have similarities with other lesions such as papillary ependymoma, papiloma / choroid plexus carcinoma. Cytologically have clear characteristics that can aid in the diagnosis through the smears on the intraoperative study. Certain criteria for recognize this important and simple diagnostic method has been the main motivation for the study of CNS rare entities, as our case, in addition to corroborating the necessary work of a multidisciplinary team.

  16. Masses in the pineal region - MRI with Gd-DTPA

    Energy Technology Data Exchange (ETDEWEB)

    Kahn, T.; Fuerst, G.; Roosen, N.; Steinmetz, H.; Lenard, H.G.; Goebel, U.; Moedder, U.

    1989-06-01

    The results obtained from contrast-enhanced MRI in 21 patients with masses in the pineal region are reported. The use of gadolinium-DTPA results in intensive contrast uptake by the tumour; this produces better definition of the tumour and more exact delineation from neighbouring structures. This is of importance in judging resectability and in choosing the operative approach. During chemotherapy or radiotherapy, it provides reliable demonstration of the success of treatment and accurately demonstrates the size of the tumour and the presence of necrosis. On the other hand, histologic classification of pineal tumours is possible only occasionally. (orig.).

  17. Masses in the pineal region - MRI with Gd-DTPA

    International Nuclear Information System (INIS)

    The results obtained from contrast-enhanced MRI in 21 patients with masses in the pineal region are reported. The use of gadolinium-DTPA results in intensive contrast uptake by the tumour; this produces better definition of the tumour and more exact delineation from neighbouring structures. This is of importance in judging resectability and in choosing the operative approach. During chemotherapy or radiotherapy, it provides reliable demonstration of the success of treatment and accurately demonstrates the size of the tumour and the presence of necrosis. On the other hand, histologic classification of pineal tumours is possible only occasionally. (orig.)

  18. Parenchymal pineal tumors: a clinicopathological study of 76 cases

    International Nuclear Information System (INIS)

    Purpose: The aim of this study was to identify factors that could lead to optimization of the management of pineal parenchymal tumors (PPT) which remains equivocal and controversial. Methods and Materials: In order to determine factors that influence PPT prognosis, a series of 76 consecutive patients from 12 European centers with histologically proven tumors was retrospectively reviewed. The clinical records and material for histologic review were available in all cases. Follow-up was achieved in 90% of cases. Results: According to WHO classification, there were 19 pineocytomas, 28 intermediate and mixed PPT, and 29 pineoblastomas. According to a four-grade institutional classification, there were 11 Grade 1, 27 Grade 2, 20 Grade 3, and 18 Grade 4. Surgical resection was attempted in 44 patients, whereas 30 had biopsy only. In one case, diagnosis was made at autopsy and in another on spinal deposits. Forty-four patients were irradiated following surgery, 15 patients received chemotherapy. Forty-one patients were alive (median follow-up: 85 months); 9 patients died perioperatively; 26 patients relapsed. Univariate analysis showed a good outcome correlated with age above 20 years, tumor diameter less than 25 mm, and low-grade histology. Multivariate analysis confirmed histology and tumor volume to be significant independent prognostic factors. The extent of surgery and radiotherapy had no clear influence on survival. Conclusions: This review highlights the prognostic features of PPT and may help to determine treatment strategies based on radiologic and pathologic characteristics

  19. Estudo por ressonância magnética da região da pineal: pineal normal e cistos simples Magnetic resonance study of the pineal region: normal pineal gland, simple cysts

    OpenAIRE

    JOSÉ GUILHERME CALDAS; DOMINIQUE DOYON; HENRIQUE LEDERMAN; ROBERT CARLIER

    1998-01-01

    Realiza-se um estudo por ressonância magnética da pineal normal e dos cistos simples da pineal e estabelece-se um protocolo para estudo da região pineal analisando-se 762 exames. A utilização da técnica com cortes finos (3 milímetros no máximo) identifica a pineal normal na maioria das vezes (84,4%) e demonstra que a pineal normal, sem cistos, apresenta sinal isointenso em Tl e T2 com realce após a injeção de gadolínio, medindo em média 6,1 milímetros no seu maior diâmetro. Os cistos simples ...

  20. Role of computed tomography in the management of pineal area tumors

    Energy Technology Data Exchange (ETDEWEB)

    Abu-Yousef, M.; Hitchon, P.J.

    1984-11-01

    Eleven patients with pathology-proven pineal area tumors were evaluated by computed tomography before and after treatment. There were 3 germinomas, 3 gliomas, 2 metastases, and 1 each of embryonal rhabdomyosarcoma, epidermoid tumor, and neuroblastoma. An accurate CT diagnosis was made in 9 of the 11 cases. Although CT findings are not pathognomonic, an accurate diagnosis is possible in most cases if the CT information is combined with the age, sex, clinical findings, and, in some patients, tumor response to irradiation. CT, a noninvasive procedure, can help in evaluating the effects of various treatment modalities on pineal tumors.

  1. The role of computed tomography in the management of pineal area tumors

    International Nuclear Information System (INIS)

    Eleven patients with pathology-proven pineal area tumors were evaluated by computed tomography before and after treatment. There were 3 germinomas, 3 gliomas, 2 metastases, and 1 each of embryonal rhabdomyosarcoma, epidermoid tumor, and neuroblastoma. An accurate CT diagnosis was made in 9 of the 11 cases. Although CT findings are not pathognomonic, an accurate diagnosis is possible in most cases if the CT information is combined with the age, sex, clinical findings, and, in some patients, tumor response to irradiation. CT, a noninvasive procedure, can help in evaluating the effects of various treatment modalities on pineal tumors

  2. Isodense epidermoid cyst in the pineal region

    International Nuclear Information System (INIS)

    A 69-year-old male was admitted complaining of gait disturbances and diplopia, 2.5 years after an episode of serous meningitis. Neurological examination on admission disclosed Parinaud's sign, unsteady gait and dysdiadochokinesis on the left side. A striking finding on the computerized tomography (CT) was the left to right shift of the posterior portion of the third ventricle without visualization of the quadrigeminal and ambient cisterns, which were almost completely occupied by an isodense mass accompanied by high dense flecks and a low dense part. Enhanced CT showed positive enhancement in the vicinity of the pineal calcification. By the suboccipital supracerebellar approach, an encapsulated mass containing brownish yellow fluid was subtotally removed and a histological examination of it revealed epidermoid tissue and hemosiderin deposits in the solid portion. Few reports of isodense epidermoid cysts have so far been found in the literature giving a full explanation for this unusual CT attenuation value. Based on the clinical course and histology of this case, the pathogenesis of the unusual density is discussed along the following lines: The mixture of the low dense factor due to cholesterin and the high dense factor due to prior bleeding is believed to result in the isodense attenuation value in the liquid portion. Also, in the solid part, a microscopically mixed texture of deposited hemosiderin and cholesterin clefts in the inflammatory granulomatous tissue could explain its density on the CT scan. (author)

  3. ALK positive inflammatory myofibroblastic tumour of the pineal region

    OpenAIRE

    Clarke, A J; Jacques, T. S.; Galloway, M J; THOM, M; Kitchen, N. D.; G. T. Plant

    2005-01-01

    Inflammatory myofibroblastic tumours (IMTs) are an uncommon spindle cell neoplasm with a dense inflammatory infiltrate, usually encountered in children. IMTs of the central nervous system are extremely rare. This report describes the case of an IMT in a 61 year old man, in the pineal region. The tumour was completely excised, and immunohistochemistry demonstrated anaplastic lymphoma kinase 1 expression. There was no tumour recurrence during 18 months of follow up. Our case extends both the ag...

  4. Massa expansiva da região posterior do terceiro ventrículo (tumores da região da pineal

    Directory of Open Access Journals (Sweden)

    Antonio Ronaldo Spotti

    1989-12-01

    Full Text Available Tumores da região da pineal não são comuns. São descritos aspectos clínicos, tomográficos e dos resultados terapêuticos em 12 casos observados num período de 5 anos (1979-1984. Os autores consideram que a via de acesso supracerebelar infratentorial, descrita por Krause em 1926 e reintroduzida por Stein em 1971, é a melhor para a abordagem cirúrgica desse tipo de tumor.

  5. Germinomas cerebrais (teratomas atípicos da pineal Cerebral germinomas (atipical teratomas of the pineal region

    Directory of Open Access Journals (Sweden)

    Alexandre Alencar

    1981-12-01

    Full Text Available São estudados três casos de germinomas cerebrais, sendo um tópico, da região pineal, e dois ectópicos, chamados germinomas supra-selares ou quiasmáticos. Estes últimos parecem ser mais agressivos que os seus congeneres tópicos, pois alem de se disseminarem pelas cisternas basais, costumam infiltrar as paredes do III ventrículo, fórnix, hipotálamo, nervos e quiasma ópticos. Caracteristicamente produzem um enorme aumento das proteínas liquóricas, desacompanhado de uma pleocitose proporcional. As proteínas liquóricas aumentadas sao globulinas cujas reações mostram-se fortemente positivas, possivelmente produzidas pelas celulas de aspecto linfocitario que constituem parte desta neoplasia. O aumento das proteinas liquoricas e tao acentuado que em presenca de uma crianca ou adolescente com sindrome de hipertensão intracraniana, hiperproteinoraquia sem pleocitose e sinais clínicos ou radiológicos sugestivos de localização na base do crânio a possibilidade de um germinoma quiasmático deve ser seriamente considerada, pois o quadro e muito sugestivo.Three cases of Cerebral Germinomas, one of them situated in the pineal region (topical and two ectopical of the so called suprasellar or chiasmal Germinomas are studied. These last ones may be more aggressive than the congeneral topical ones, since besides it's dissemination throughout the basal cisternas they usually infilstrate into de walls of the III Ventricle, Fornix, Hypothalamus, Chiasma and Optic nervs. A high level of proteins in the spinal fluid without proportional increase of the cells is characteristic. Globulins are the predominant fraction of the increased spinal fluid proteins, as indicated by the highly positive laboratory test. These globulins are possibly produced by the lymphocytes which are part of this neoplasm. The high level of protein in the spinal fluid without proportional increase of the cells, in the presence of intracranial syndrome in a child or adolescent, with anatomical signs of basal localization make the possibility of a Chiasmal Germinona highly probable.

  6. Germinomas cerebrais (teratomas atípicos da pineal) / Cerebral germinomas (atipical teratomas of the pineal region)

    Scientific Electronic Library Online (English)

    Alexandre, Alencar.

    1981-12-01

    Full Text Available São estudados três casos de germinomas cerebrais, sendo um tópico, da região pineal, e dois ectópicos, chamados germinomas supra-selares ou quiasmáticos. Estes últimos parecem ser mais agressivos que os seus congeneres tópicos, pois alem de se disseminarem pelas cisternas basais, costumam infiltrar [...] as paredes do III ventrículo, fórnix, hipotálamo, nervos e quiasma ópticos. Caracteristicamente produzem um enorme aumento das proteínas liquóricas, desacompanhado de uma pleocitose proporcional. As proteínas liquóricas aumentadas sao globulinas cujas reações mostram-se fortemente positivas, possivelmente produzidas pelas celulas de aspecto linfocitario que constituem parte desta neoplasia. O aumento das proteinas liquoricas e tao acentuado que em presenca de uma crianca ou adolescente com sindrome de hipertensão intracraniana, hiperproteinoraquia sem pleocitose e sinais clínicos ou radiológicos sugestivos de localização na base do crânio a possibilidade de um germinoma quiasmático deve ser seriamente considerada, pois o quadro e muito sugestivo. Abstract in english Three cases of Cerebral Germinomas, one of them situated in the pineal region (topical) and two ectopical of the so called suprasellar or chiasmal Germinomas are studied. These last ones may be more aggressive than the congeneral topical ones, since besides it's dissemination throughout the basal ci [...] sternas they usually infilstrate into de walls of the III Ventricle, Fornix, Hypothalamus, Chiasma and Optic nervs. A high level of proteins in the spinal fluid without proportional increase of the cells is characteristic. Globulins are the predominant fraction of the increased spinal fluid proteins, as indicated by the highly positive laboratory test. These globulins are possibly produced by the lymphocytes which are part of this neoplasm. The high level of protein in the spinal fluid without proportional increase of the cells, in the presence of intracranial syndrome in a child or adolescent, with anatomical signs of basal localization make the possibility of a Chiasmal Germinona highly probable.

  7. Ganglioglioma da região da pineal: relato de caso Ganglioglioma of the pineal region: case report

    OpenAIRE

    Walter José Fagundes-Pereyra; Larissa de Sousa; Gervásio Teles de Cardoso Carvalho; Atos Alves de Sousa

    2001-01-01

    Os gangliogliomas são neoplasias mistas, compostas de elementos gliais e neuronais, extremamente raros na região da glândula pineal. Na presente revisão da literatura foram encontrados oito casos publicados. Apresentamos o caso de paciente de 14 anos, masculino, com ganglioglioma da região da pineal, tratado cirurgicamente, com exérese total da lesão por via suboccipital transtentorial. O estudo histológico mostrou tratar-se de ganglioglioma grau I, confirmado por imuno-histoquímica. Conclui-...

  8. MR imaging findings of pineal germinoma: focus on differential diagnosis from other germ cell tumors

    International Nuclear Information System (INIS)

    To determine the characteristic MR imaging findings of pineal germinoma, and differential diagnosis from other germ cell tumors. MR images of patients with histopathologically proven pineal germinoma(n=3D14) and other pineal germ cell tumors(n=3D10) were retrospectively analyzed with regard to size, signal intensity and homogeneity, enhancing features, cyst formation, and multiplicity of lesions. Other pineal germ cell tumors were the mixed germ cell tumors (n=3D4), malignant teratomas (n=3D3), choriocarcinoma(n=3D1), embryonal carcinoma(n=3D1), and endodermal sinus tumor(n=3D1). Tumor markers were evaluated. On T1-weighted images, germinomas showed homogeneous(86%) or iso signal intensity (93%), while other germ cell tumors showed inhomogeneous(70%) or iso signal intensity(70%). On T2-weighted images, germinomas showed homogeneous(64%) or iso signal intensity(57%), while other germ cell tumors showed inhomogeneous(70%) or high signal intensity(80%). On Gd-DTPA enhanced images, germinomas showed homogeneous (93%) or strong enhancement (64%), while other germ cell tumors showed homogeneous(60%) or strong enhancement (70%). Cyst formation was noted in ten Patients (71%) with germinoma and in six (60%) with other germ cell tumors. Invasion on surrounding structures was seen in 11 patients (79%) with germinoma and in five (50%) with other germ cell tumors. Lesions were multiple in three patients(21%) with germinoma. Thirteen of 14 patients with germinoma had normal serum ?-FP(tetoprotein) and ?-HCG(human chononic gonafotrophin) levels. Two of four patients with mixed germ cell tumors had elevated serum ?-FP and ?-HCG levels; in the ther two, elevated serum ?-FP or ?-HCG levels were noted. In the malignant teratoma and embryonal carcinoma patients, serum ?-FP and ?-HCG levels were normal. The patient with choriocarcinoma had an elevated serum ?-HCG level. On T1W1, the only significant differential point (p<0.01) between germinomas and other germ cell tumors was homogeneity. Germinomas were frequently homogeneous, and iso signal intensity on T1WI and T2WI, strong enhancement, and the formation of small cysts(<3mm) was noted. This MR imaging finding, combined with assay for tumor markers, is helpful for the differential diagnosis of pineal germinoma and other germ cell tumors.=20

  9. MR imaging findings of pineal germinoma: focus on differential diagnosis from other germ cell tumors

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Hyun Jin; Lee, Ho Kyu; Kim, Jae Kyun; Shin, Ji Hoon; Choi, Choong Gon; Lee, Myung Jun; Ham, Soo Youn; Lee, Jong Hwa; Suh, Dae Chul [Ulsan Univ. College of Medicine, Seoul (Korea, Republic of)

    1998-10-01

    To determine the characteristic MR imaging findings of pineal germinoma, and differential diagnosis from other germ cell tumors. MR images of patients with histopathologically proven pineal germinoma(n=3D14) and other pineal germ cell tumors(n=3D10) were retrospectively analyzed with regard to size, signal intensity and homogeneity, enhancing features, cyst formation, and multiplicity of lesions. Other pineal germ cell tumors were the mixed germ cell tumors (n=3D4), malignant teratomas (n=3D3), choriocarcinoma(n=3D1), embryonal carcinoma(n=3D1), and endodermal sinus tumor(n=3D1). Tumor markers were evaluated. On T1-weighted images, germinomas showed homogeneous(86%) or iso signal intensity (93%), while other germ cell tumors showed inhomogeneous(70%) or iso signal intensity(70%). On T2-weighted images, germinomas showed homogeneous(64%) or iso signal intensity(57%), while other germ cell tumors showed inhomogeneous(70%) or high signal intensity(80%). On Gd-DTPA enhanced images, germinomas showed homogeneous (93%) or strong enhancement (64%), while other germ cell tumors showed homogeneous(60%) or strong enhancement (70%). Cyst formation was noted in ten Patients (71%) with germinoma and in six (60%) with other germ cell tumors. Invasion on surrounding structures was seen in 11 patients (79%) with germinoma and in five (50%) with other germ cell tumors. Lesions were multiple in three patients(21%) with germinoma. Thirteen of 14 patients with germinoma had normal serum {alpha}-FP(tetoprotein) and {beta}-HCG(human chononic gonafotrophin) levels. Two of four patients with mixed germ cell tumors had elevated serum {beta}-FP and {alpha}-HCG levels; in the ther two, elevated serum {alpha}-FP or {beta}-HCG levels were noted. In the malignant teratoma and embryonal carcinoma patients, serum {alpha}-FP and {beta}-HCG levels were normal. The patient with choriocarcinoma had an elevated serum {beta}-HCG level. On T1W1, the only significant differential point (p<0.01) between germinomas and other germ cell tumors was homogeneity. Germinomas were frequently homogeneous, and iso signal intensity on T1WI and T2WI, strong enhancement, and the formation of small cysts(<3mm) was noted. This MR imaging finding, combined with assay for tumor markers, is helpful for the differential diagnosis of pineal germinoma and other germ cell tumors.=20.

  10. Precocious Puberty due to Human Chorionic Gonadotropin-Secreting Pineal Tumor

    Directory of Open Access Journals (Sweden)

    Ho-Chang Kuo

    2006-04-01

    Full Text Available We present a 9-year-old boy with central precocious puberty and hydrocephalus causedby a human chorionic gonadotropin (?-hCG secreting pineal tumor. High levels of ?-hCGin the serum and cerebrospinal fluid were observed in this patient. The patient receivedradiotherapy and chemotherapy without surgical intervention. Subsequently, significanttumor regression was observed and the serum ?-hCG level normalized. There was no evidenceof tumor recurrence at follow-up one year after treatment. The role of tissue biopsy toestablish a diagnosis in pineal germ cell tumors remains controversial because it can be adifficult procedure and may be dangerous, causing severe complications. In this patient, theelevated ?-hCG level indicated the presence of a tumor and was considered sufficient evidenceto warrant initiating treatment.

  11. Cystic lesions of the pineal region - MRI and pathology

    International Nuclear Information System (INIS)

    Pineal lesions are rare. Tumours in this location comprise 0.4-1% of intracranial tumours. They grow mainly as solid-mass lesions, and cystic tumours are not common. On MRI, a cystic configuration is associated usually with non-neoplastic pineal lesions rather than with a tumour, but analysis does not allow cystic pineal tumours to be distinguished from glial cysts with certainty. We compared neuroradiological and pathological data from 13 cystic pineal lesions, analysing preoperative MRI. Formalin-fixed, paraffin-embedded surgical specimens were stained routinely and immunocytochemically, using the streptavidin-biotin-complex method. Histology revealed six pineocytomas, four glial cysts, an arachnoid cyst, a low-grade astrocytoma and a teratoma. Signal characteristics of pineocytomas were similar in many respects to those of glial pineal cysts. Histomorphological analysis allowed unambiguous discrimination between pineocytomas and glial pineal cysts. (orig.)

  12. Cystic lesions of the pineal region - MRI and pathology

    Energy Technology Data Exchange (ETDEWEB)

    Engel, U. [Department of Neuropathology, Benjamin-Franklin-Klinikum, Faculty of Medicine, Freie Universitaet Berlin, Hindenburgdamm 30, 12200 Berlin (Germany); Gottschalk, S.; Niehaus, L.; Lehmann, R. [Department of Neuroradiology, Institute of Radiological Diagnosis, Charite University Hospital, Berlin (Germany); May, C.; Vogel, S. [Neurosurgical Clinic, St. Gertraud' s Hospital, Berlin (Germany); Jaenisch, W. [Department of Neuropathology, Landesklinik Brandenburg (Germany)

    2000-06-01

    Pineal lesions are rare. Tumours in this location comprise 0.4-1% of intracranial tumours. They grow mainly as solid-mass lesions, and cystic tumours are not common. On MRI, a cystic configuration is associated usually with non-neoplastic pineal lesions rather than with a tumour, but analysis does not allow cystic pineal tumours to be distinguished from glial cysts with certainty. We compared neuroradiological and pathological data from 13 cystic pineal lesions, analysing preoperative MRI. Formalin-fixed, paraffin-embedded surgical specimens were stained routinely and immunocytochemically, using the streptavidin-biotin-complex method. Histology revealed six pineocytomas, four glial cysts, an arachnoid cyst, a low-grade astrocytoma and a teratoma. Signal characteristics of pineocytomas were similar in many respects to those of glial pineal cysts. Histomorphological analysis allowed unambiguous discrimination between pineocytomas and glial pineal cysts. (orig.)

  13. Precocious Puberty due to Human Chorionic Gonadotropin-Secreting Pineal Tumor

    OpenAIRE

    Ho-Chang Kuo; Jiunn-Ming Sheen; Kuan-Sheng Wu; Hsiu-Hui Wei; Chih-Cheng Hsiao

    2006-01-01

    We present a 9-year-old boy with central precocious puberty and hydrocephalus causedby a human chorionic gonadotropin (?-hCG) secreting pineal tumor. High levels of ?-hCGin the serum and cerebrospinal fluid were observed in this patient. The patient receivedradiotherapy and chemotherapy without surgical intervention. Subsequently, significanttumor regression was observed and the serum ?-hCG level normalized. There was no evidenceof tumor recurrence at follow-up one year after treatment. The r...

  14. Pineal germinoma with extracranial metastases: case report

    International Nuclear Information System (INIS)

    Pineal germinoma is the commonest pineal region tumor of childhood and adolescence. Metastatic germinoma most commonly occurs via the cerebrospinal fluid (CSF), and it is usually limited to the cerebrospinal axis. ExtacraniaI hematogenous metastasis is known to be very rare. We report here on a case of pineal germinoma with gradual extracranial metastases that occurred both through the CSF pathway and by hematogenous spread. The patient had multifocal CSF seeding after his surgery for pineal germinoma, and the left iliac metastasis and lung metastasis then occurred

  15. Pineal germinoma with extracranial metastases: case report

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Young Rang; Lee, Seung Ro; Park, Dong Woo; Hahm, Chang Kok; Park, Moon Hyang; Ko, Yong [College of Medicine, Hanyang Univ., Seoul (Korea, Republic of)

    2004-08-01

    Pineal germinoma is the commonest pineal region tumor of childhood and adolescence. Metastatic germinoma most commonly occurs via the cerebrospinal fluid (CSF), and it is usually limited to the cerebrospinal axis. ExtacraniaI hematogenous metastasis is known to be very rare. We report here on a case of pineal germinoma with gradual extracranial metastases that occurred both through the CSF pathway and by hematogenous spread. The patient had multifocal CSF seeding after his surgery for pineal germinoma, and the left iliac metastasis and lung metastasis then occurred.

  16. Primary glioblastoma in the pineal region: a case report and review of the literature

    Directory of Open Access Journals (Sweden)

    Moon Kyung-Sub

    2008-08-01

    Full Text Available Abstract Introduction Glioblastoma in the pineal region is extremely rare with only a few cases reported in the literature. Case presentation A 68-year-old man presented with a sudden deterioration manifesting as a headache, vomiting and gait disturbance. A magnetic resonance imaging study revealed a heterogeneously ring-enhanced mass in the pineal region. The mass was subtotally removed through the occipital transtentorial approach, and diagnosed as a glioblastoma. Conclusion We discuss the clinical course, radiological findings and treatment strategies of pineal glioblastoma with a review of the relevant literature.

  17. Incidence of calcification in the pineal gland, habenular commissure and choroid plexus of the lateral ventricle

    Energy Technology Data Exchange (ETDEWEB)

    Yamagami, Tatsuhito; Ishikawa, Masatsune; Miyake, Hidenori; Aoki, Michio; Takeuchi, Juji

    1984-04-01

    CT scans of 3,000 consecutive normal persons were examined to verify the incidence of calcification in the pineal body, the habenular commissure, and the choroid plexus of the lateral ventricle. In people over 10 years old, pineal calcification was found in 83% (male 83%, female 81%), habenular calcification in 18% (male 22%, female 60%). In people over 30 years of age, pineal calcification was found in 86%, habenular calcification in 20%, and choroid plexus calcification in 69%. There was a preponderance of male cases in almost all decades. The size and shape of the calcification in the pineal region were examined in 29 pineal-region tumors and other germinoma cases. There were no specific differences in calcification between normal persons and the pineal region tumor cases. However, there was a tendency for the pineal body calcification in the pineal teratoma to deviate unilaterally.

  18. Evaluation of pineal calcification in children

    International Nuclear Information System (INIS)

    The study cases were 804 patients who had received either CT or plain radiographs for some reasons. Their ages ranged from newborn to 15 years old. Twenty four patients had the pineal calcification, in which one patient had the pineal region tumor and 4 patients had precocious puberty. The incidence of the pineal calcification was observed on CT as 0.2, 5.8, and 14 % in their age of 0 to 5, 6 to 10, and 11 to 15 years old, respectively. On the other hand, this finding was detected only in 0, 1.1, and 1.2 % on plain radiographs. In conclusion, pineal calcification on CT may suggest the pathological state in children. Although it is observed in a minority of normal children, such a calcification could be looked upon as not only pineal region tumor but precocious puberty and other intracranial disorders with suspicion. (author)

  19. Germinomas cerebrais (teratomas atípicos da pineal) Cerebral germinomas (atipical teratomas of the pineal region)

    OpenAIRE

    Alexandre Alencar

    1981-01-01

    São estudados três casos de germinomas cerebrais, sendo um tópico, da região pineal, e dois ectópicos, chamados germinomas supra-selares ou quiasmáticos. Estes últimos parecem ser mais agressivos que os seus congeneres tópicos, pois alem de se disseminarem pelas cisternas basais, costumam infiltrar as paredes do III ventrículo, fórnix, hipotálamo, nervos e quiasma ópticos. Caracteristicamente produzem um enorme aumento das proteínas liquóricas, desacompanhado de uma pleocitose proporcional. A...

  20. Malignant papillary glioneuronal tumor of the pineal gland: Case presentation and literature review of a distinct entity

    Science.gov (United States)

    Kaloostian, Paul E.; Chen, Han; Tran, Hoan P.

    2013-01-01

    Patient: Male, 58 Final Diagnosis: Papillary glioneuronal tumor of the pineal gland Symptoms: Headache • loss of memory • hydrocephalus Medication: — Clinical Procedure: — Specialty: Oncology • neurology • neurosurgery Objective: Rare disease Background: The authors report the third case of a rare papillary glioneuronal tumor of the pineal gland and only the second case reported with anaplastic features in this particular location. The authors also review the literature of papillary glioneuronal tumors. Case Report: Our patient is a 58-year-old Caucasian male who presented with diffuse headaches and loss of short-term memory. There were no deficits on physical exam. MRI Brain was performed demonstrating a large heterogeneously enhancing mass within the pineal gland causing obstructive hydrocephalus. He was taken to the operating room for supracerebellar-infratentorial approach for biopsy of the mass using neuronavigation. He required an endoscopic third ventriculostomy post-operatively for worsening hydrocephalus. Pathology demonstrated a rare malignant papillary glioneuronal tumor. It was recommended that patient undergo chemotherapy and radiation, however he refused treatment. He died six months after his initial diagnosis due to a condition unrelated to his intracranial tumor. Conclusions: This is an unusually rare tumor of the pineal gland, with only one other malignant case noted in this location. We review the literature of this rare entity that should be considered on the differential diagnosis of a pineal gland mass. PMID:23826458

  1. Pineal epidermoid cyst: case report and review of the literature

    OpenAIRE

    Hassani, Fahd Derkaoui; Bouchaouch, Abdelali; El Fatemi, Nizare; Gana, Rachid; El Abbadi, Najia; Maaqili, Moulay Rachid

    2014-01-01

    Intracranial epidermoid cysts are one of the rare tumors of all intracranial tumors. They represent 0,2 to 1% of intracranial tumors and 7% of tumors in the cerebellopontine angle. The pineal region is exceptionally subject to such kind of tumor. Cushing was the first to report the pineal localization of the epidermoid cyst in 1928. Up to now, 85 cases of pineal epidermoid cyst were cited in the literature. We report a clinical case concerning a 45 years old man who presented an intracranial ...

  2. The management of pineal tumors as a model for a multidisciplinary approach in neuro-oncology.

    Science.gov (United States)

    Frappaz, D; Conter, C Faure; Szathmari, A; Valsijevic, A; Mottolese, C

    2015-01-01

    The management of pineal tumors is a model for multidisciplinarity. Apart from an emergency situation that requires immediate shunting of cerebrospinal fluid (CSF), the initial discussion should involve at least a radiologist, a surgeon, a neurologist and an oncologist. The initial decision is whether obtaining a histological proof is obligatory. It depends on age and ethnicity, site (mono- or bifocality), presence of markers in serum as well as CSF, and/or of malignant cells in the CSF. In cases of marker elevation indicating a germ cell tumor, front line chemotherapy can avoid dangerous immediate surgery. When histological proof is required, the extent of surgery should be discussed, aiming either only at obtaining tissue or removal. If a germ cell tumor is detected, treatment will include a cisplatin-containing chemotherapy followed by focal or ventricular irradiation. Tumors of the pineal parenchyma will be treated according to grade, either by surgery alone (pinealocytoma) or chemo-radiotherapy (pinealoblastomas). Similarly, gliomas will be treated depending on their grade with several different possible lines in low grade, and usually radio-chemotherapy in high grade. A careful balance between improved survival rates and decreased long-term side effects will guide the decisions of all these specialists. PMID:24863688

  3. Use of 3D-computed tomography angiography for planning the surgical removal of pineal region meningiomas using Poppen's approach: a report of ten cases and a literature review

    Science.gov (United States)

    2011-01-01

    Background There are several treatment approaches for pineal region meningiomas, such as Poppen's approach, Krause's approach and combinations of the two approaches. We present our experience with the use of 3D-computed tomography angiography for planning the surgical removal of pineal region meningiomas using a suboccipital transtentorial approach (Poppen's approach) and evaluate the role of Poppen's approach. Methods During the period from January 2005 to June 2010, ten patients presented to us with pineal region meningioma. MRI was routinely used to define the tumor size, position, and its relevant complications while 3D-CTA was applied to define the blood supply of the tumor and the venous complex (VC) shift before operations. Most of the meningiomas had developed at both sides of the tentorial plane and extended laterally with typical characteristics of a pineal region tumor. Results All tumors were completely removed surgically without any injury to the VC. Postoperative intracranial infection occurred in one case who recovered after antibiotics were given. Postoperative intraventricular hemorrhage and pneumocephalus were found in one case, but fully recovered after conservative treatment. In the nine cases of concurrent hydrocephalus, this was gradually relieved in eight patients and the single case that became aggravated was successfully treated with ventriculoperitoneal shunt. Moreover, the follow-up MRI examinations did not indicate any recurrence of the meningiomas. Conclusion We found that the use of Poppen's approach is strongly supported for the successful removal of pineal region meningiomas without serious complications. PMID:21676231

  4. Use of 3D-computed tomography angiography for planning the surgical removal of pineal region meningiomas using Poppen's approach: a report of ten cases and a literature review

    Directory of Open Access Journals (Sweden)

    Li Ye

    2011-06-01

    Full Text Available Abstract Background There are several treatment approaches for pineal region meningiomas, such as Poppen's approach, Krause's approach and combinations of the two approaches. We present our experience with the use of 3D-computed tomography angiography for planning the surgical removal of pineal region meningiomas using a suboccipital transtentorial approach (Poppen's approach and evaluate the role of Poppen's approach. Methods During the period from January 2005 to June 2010, ten patients presented to us with pineal region meningioma. MRI was routinely used to define the tumor size, position, and its relevant complications while 3D-CTA was applied to define the blood supply of the tumor and the venous complex (VC shift before operations. Most of the meningiomas had developed at both sides of the tentorial plane and extended laterally with typical characteristics of a pineal region tumor. Results All tumors were completely removed surgically without any injury to the VC. Postoperative intracranial infection occurred in one case who recovered after antibiotics were given. Postoperative intraventricular hemorrhage and pneumocephalus were found in one case, but fully recovered after conservative treatment. In the nine cases of concurrent hydrocephalus, this was gradually relieved in eight patients and the single case that became aggravated was successfully treated with ventriculoperitoneal shunt. Moreover, the follow-up MRI examinations did not indicate any recurrence of the meningiomas. Conclusion We found that the use of Poppen's approach is strongly supported for the successful removal of pineal region meningiomas without serious complications.

  5. Rosette-forming glioneuronal tumor in the pineal gland and the third ventricle: a case with radiological and clinical implications

    Science.gov (United States)

    Xu, Junqing; Yang, Yong; Liu, Ying; Wei, Mengqi; Ren, Jing; Chang, Yingjuan; Huan, Yi; Yin, Hong

    2012-01-01

    A 39-year-old man presented with more than 20 years history of episodic headache and one year history of dizziness, impaired vision and memory disorders. Computed tomography and Magnetic resonance imaging revealed a cystic mass involving the pineal gland, tectum and the third ventricle and obstruction of the aqueduct. Interestingly, the fourth ventricle was not involved in this case. The pathological diagnosis was rosette forming glioneuronal tumor (RGNT). These lesions are considered low-grade tumors (WHO grade I). We describe here the fifth reported patient with a pineal gland RGNT and the eighth reported patient with a RGNT outside the fourth ventricle. PMID:23256084

  6. Analysis of clinical features and treatment in mature teratomas at pineal region

    Directory of Open Access Journals (Sweden)

    QI Gui-jun

    2012-04-01

    Full Text Available Surgical treatment through occipital tentorium of cerebellum approach was performed in nine cases of mature teratoma at the pineal region. Diagnosis was confirmed by postoperative pathological examination. No perioperative death occurred. Surgery-related complications (visual difficulties, visual field defects, seizures were seen in 4 cases. All cases were followed for 3 months-7 years (mean 3.70 years. The mature teratoma at the pineal region are more common in male children. The main clinical manifestations are intracranial hypertension and ataxia. Neurosurgical treatment may provide satisfactory outcome.

  7. Identification and Treatment of a Pineal Gland Tumor in an Adolescent with Prodromal Psychotic Symptoms

    Science.gov (United States)

    Mittal, Vijay A.; Karlsgodt, Katherine; Zinberg, Jamie; Cannon, Tyrone D.; Bearden, Carrie E.

    2015-01-01

    An adolescent male patient originally presented to a prodromal clinical research program with severe obsessive-compulsive behaviors and subthreshold symptoms of psychosis, which eventually developed into Schneiderian first-rank psychotic symptoms. The patient was followed over a two-year period. His symptoms did not respond to psychotherapy or pharmacological interventions. However, when a pineal gland tumor was discovered and treated with chemotherapy and autologous stem cell rescue, both psychotic symptoms and psychosocial functioning reverted towards baseline. Although subcortical brain structures have been implicated in the pathophysiology of idiopathic psychosis, reports of psychiatric sequelae of treatment of subcortical tumors are extremely rare. Etiological pathways that may have played a role in symptom development are of particular interest, as understanding these mechanisms may shed light on the pathophysiology of psychotic disorders more generally. PMID:20826854

  8. Operative results of keyhole supracerebellar-infratentorial approach to the pineal region.

    Science.gov (United States)

    Bonney, Phillip A; Boettcher, Lillian B; Cheema, Ahmed A; Maurer, Adrian J; Sughrue, Michael E

    2015-07-01

    The supracerebellar-infratentorial approach to the pineal region is typically accomplished with a craniotomy that extends to at least the rim of the foramen magnum. Minimally invasive techniques that limit the inferior extent of the craniotomy have been described for this approach but, to our knowledge, no operative results have been published demonstrating the feasibility and safety of such techniques. We present a series of patients who underwent surgical resection of pineal region lesions using the minimally invasive method at our institution. Clinical, radiologic, and operative data were prospectively collected on patients treated for lesions of the pineal region by the senior author from January 2012 to July 2014. Seven patients were identified. The sitting position was employed in each patient. Keyhole craniotomies were limited to a maximum diameter of 2.5 cm. Adequate working corridors were attained, and in no patient was resection limited by the exposure. No neurological or systemic complications were seen in the perioperative and early follow-up periods. In this feasibility study, we demonstrate that it is not necessary to extend a craniotomy inferiorly to the rim of the foramen magnum in order to gain access to the pineal region via relaxation of the cerebellum. The same surgical goals can be safely accomplished with a smaller craniotomy. PMID:25913279

  9. Pineal epidermoid cyst: case report and review of the literature

    Science.gov (United States)

    Hassani, Fahd Derkaoui; Bouchaouch, Abdelali; El Fatemi, Nizare; Gana, Rachid; El Abbadi, Najia; Maaqili, Moulay Rachid

    2014-01-01

    Intracranial epidermoid cysts are one of the rare tumors of all intracranial tumors. They represent 0,2 to 1% of intracranial tumors and 7% of tumors in the cerebellopontine angle. The pineal region is exceptionally subject to such kind of tumor. Cushing was the first to report the pineal localization of the epidermoid cyst in 1928. Up to now, 85 cases of pineal epidermoid cyst were cited in the literature. We report a clinical case concerning a 45 years old man who presented an intracranial hypertension during 18 months. The clinical examination found a hemiparesis with a facial hypoesthesis. The MRI showed a process of the pineal region. The patient underwent a surgery with a large resection. The histological examination confirms the epidermoid cyst. Many approaches were described in the literature. The outcome is related to this localization. PMID:25489364

  10. MRI of pineal region tumours: relationship between tumours and adjacent structures

    International Nuclear Information System (INIS)

    A variety of tumours may arise in the pineal region; accurate diagnosis is important in the selection of treatment and prognosis. A retrospective analysis of the MRI studies of 25 patients with pathologically proven pineal region tumours was performed, focused on the relationship between the tumour and neighbouring structures. Compression of the tectal plate was classified as expansive or invasive, and compression of the corpus callosum as inferior, anterior or posterior. In 10 of the 14 patients (71 %) with germ cell tumours tectal compression was of the invasive type; 8 patients (57 %) had multiple tumours and in 13 (93 %) the tumour margins were irregular. Teratomas were readily diagnosed because of characteristic heterogeneous signal intensity. Pineal cell tumours were differentiated from germ cell tumours by their rounded shape, solid nature, sharp margins, and expansive type of tectal compression. Meningiomas were characterised by their falcotentorial attachments, posterior callosal compression, and a low-intensity rim on T2-weighted images. Gd-DTPA injection enabled clear demonstration of the site and extent of tumour spread and was useful in differentiating cystic and solid components. The appearances described, while not pathognomonic, are helpful in the differential diagnosis of pineal region tumours, and valuable in planning appropriate treatment. (orig.). With 4 figs., 6 tabs

  11. MRI of pineal region tumours: relationship between tumours and adjacent structures

    Energy Technology Data Exchange (ETDEWEB)

    Satoh, H. [Hiroshima University, School of Medicine (Japan). Dept. of Neurosurgery; Uozumi, T. [Hiroshima University, School of Medicine (Japan). Dept. of Neurosurgery; Kiya, K. [Dept. of Neurosurgery, Hiroshima Prefectural Hospital, Hiroshima (Japan); Kurisu, K. [Hiroshima University, School of Medicine (Japan). Dept. of Neurosurgery; Arita, K. [Hiroshima University, School of Medicine (Japan). Dept. of Neurosurgery; Sumida, M. [Hiroshima University, School of Medicine (Japan). Dept. of Neurosurgery; Ikawa, F. [Dept. of Neurosurgery, Hiroshima Prefectural Hospital, Hiroshima (Japan)

    1995-11-01

    A variety of tumours may arise in the pineal region; accurate diagnosis is important in the selection of treatment and prognosis. A retrospective analysis of the MRI studies of 25 patients with pathologically proven pineal region tumours was performed, focused on the relationship between the tumour and neighbouring structures. Compression of the tectal plate was classified as expansive or invasive, and compression of the corpus callosum as inferior, anterior or posterior. In 10 of the 14 patients (71 %) with germ cell tumours tectal compression was of the invasive type; 8 patients (57 %) had multiple tumours and in 13 (93 %) the tumour margins were irregular. Teratomas were readily diagnosed because of characteristic heterogeneous signal intensity. Pineal cell tumours were differentiated from germ cell tumours by their rounded shape, solid nature, sharp margins, and expansive type of tectal compression. Meningiomas were characterised by their falcotentorial attachments, posterior callosal compression, and a low-intensity rim on T2-weighted images. Gd-DTPA injection enabled clear demonstration of the site and extent of tumour spread and was useful in differentiating cystic and solid components. The appearances described, while not pathognomonic, are helpful in the differential diagnosis of pineal region tumours, and valuable in planning appropriate treatment. (orig.). With 4 figs., 6 tabs.

  12. Pineal region tumours treated with interstitial brachytherapy with low activity sources (192-iridium)

    International Nuclear Information System (INIS)

    Three patients with tumours of the pineal region underwent interstitial Ir-192 brachytherapy. Histological diagnoses were obtained in all patients, by stereotactic biopsy and included one germinoma, one mixed pineoblastomapincocytoma, and one astrocytoma grade III. Our approach to pineal region neoplasms is first to decide whether sterotactic biopsy or surgery should be performed. When a pineal lesion is thought to be benign on the basis of imaging, such as benign teratoma, surgery is performed to resect the entire lesion. When a definitive diagnosis is not possible, stereotactic biopsy is performed to obtain a histological diagnosis for treatment planning, using a Brown-Roberts-Wells (BRW) stereotactic apparatus with computed tomography (CT) or magnetic resonance imaging (MRI). When a lesion is malignant and localized, stereotactic implantation of catheters for interstitial brachytherapy is performed simultaneously. Radioactive Ir-192 seeds are inserted into the catheters and maintained for 5-10 days to give 36 Gy of irradiation at the tumour periphery. Sequential CT scans and MRI after treatment revealed tumour disappearance in two patients with germinoma and high grade astrocytoma and tumour reduction in the patient with mixed pineoblastoma/pineocytoma. No significant morbidity or mortality occurred in any of these patients after stereotactic biopsy and brachytherapy. The technique and the advantages of this therapeutic approach to selected pineal region tumours are described and discussed. (author)

  13. Molecular Basis for Defining the Pineal Gland and Pinealocytes as Targets for Tumor Necrosis Factor

    Science.gov (United States)

    Carvalho-Sousa, Claudia Emanuele; da Silveira Cruz-Machado, Sanseray; Tamura, Eduardo Koji; Fernandes, Pedro A. C. M.; Pinato, Luciana; Muxel, Sandra M.; Cecon, Erika; Markus, Regina P.

    2011-01-01

    The pineal gland, the gland that translates darkness into an endocrine signal by releasing melatonin at night, is now considered a key player in the mounting of an innate immune response. Tumor necrosis factor (TNF), the first pro-inflammatory cytokine to be released by an inflammatory response, suppresses the translation of the key enzyme of melatonin synthesis (arylalkylamine-N-acetyltransferase, Aanat). Here, we show that TNF receptors of the subtype 1 (TNF-R1) are expressed by astrocytes, microglia, and pinealocytes. We also show that the TNF signaling reduces the level of inhibitory nuclear factor kappa B protein subtype A (NFKBIA), leading to the nuclear translocation of two NFKB dimers, p50/p50, and p50/RelA. The lack of a transactivating domain in the p50/p50 dimer suggests that this dimer is responsible for the repression of Aanat transcription. Meanwhile, p50/RelA promotes the expression of inducible nitric oxide synthase (iNOS) and the production of nitric oxide, which inhibits adrenergically induced melatonin production. Together, these data provide a mechanistic basis for considering pinealocytes a target of TNF and reinforce the idea that the suppression of pineal melatonin is one of the mechanisms involved in mounting an innate immune response. PMID:22654792

  14. Molecular basis for defining pineal gland and pinealocytes as targets for tumor necrosis factor (TNF

    Directory of Open Access Journals (Sweden)

    ReginaP.Markus

    2011-05-01

    Full Text Available The pineal gland, which is the gland that translates darkness into an endocrine signal by releasing melatonin at night, is now considered a key player in the mounting of an innate immune response. Tumor necrosis factor (TNF, the first pro-inflammatory cytokine to be released by an inflammatory response, suppresses the translation of the key enzyme of melatonin synthesis (arylalkylamine-N-acetyltransferase-alkyl-N-acetyltransferase, Aa-nat. Here we show that TNF receptors of the subtype 1 (TNF-R1 are expressed by astrocytes, microglia and pinealocytes. We also show that the activation of TNF triggers the nuclear factor kappa B (NFKB pathway in pinealocytes by reducing the cytoplasmic level of the inhibitory nuclear factor kappa B protein of the subtype A (NFKBIA. The TNF-induced nuclear translocation of the p50/p50 NFKB transcription factor lacks a transactivation domain, and this phenomenon explains how TNF blocks the transcription of Aa-nat. In addition, the p65/RelA nuclear translocation was read-out following the expression of inducible nitric oxide synthase (iNOS and the synthesis of nitric oxide NO. The increase in the transcription of genes activated by NFKB opens a new perspective for understanding the implication of the pineal gland in pathophysiological conditions.

  15. Successful Treatment by Chemotherapy of Pineal Parenchymal Tumor with Intermediate Differentiation: A Case Report

    Science.gov (United States)

    Yi, Ji-won; Kim, Hyo-jeong; Seol, Young-mi; Kahng, Dong-hwahn; Choi, Yu-yi; Park, Eun-kyoung

    2013-01-01

    A 37-year-old male presented with a mass measuring 2.5 cm in size in the midbrain and obstructive hydrocephalus, which had manifested as a headache and dizziness. Magnetic resonance (MR) imaging of the brain showed intermediate enhancement on T1-weighted MR imaging and a high intensity of enhancement on T2-weighted MR. Neurosurgeons performed an occipital craniotomy with partial removal of the tumor and the postoperative diagnosis was a pineal parenchymal tumor with intermediate differentiation. He had undergone irradiation with 54 Gy of radiation on 27 fractions for removal of the remaining tumor approximately one month after surgery. However, in follow-up imaging performed four months after radiotherapy, a remnant mass in the superoposterior aspect of the midbrain was found to have extended to the hypothalamus and the third ventricle. He was treated with six cycles of procarbazine, lomustine, vincristine chemotherapy. At five months since the completion of chemotherapy, the brain MR imaging showed no evidence of any remaining tumor and he no longer displayed any of his initial symptoms. PMID:24155685

  16. Malformación cavernosa de la región pineal: Caso clínico y revisión de la literatura / Cavernous malformation of the pineal region: Case report and review of the literature

    Scientific Electronic Library Online (English)

    C., Chamadoira; A., Cerejo; A., Vilarinho; L., Castro; R., Vaz.

    2010-04-01

    Full Text Available Las malformaciones cavernosas de la región pineal son raras, con solamente 21 casos publicados hasta el momento en la literatura. A pesar de la dificultad de su diagnóstico debido a su extrema rareza, la presencia de esta lesión puede ser sospechada basándonos en sus características radiológicas. Pr [...] esentamos el caso de una paciente de 57 años de edad, con un cuadro clínico de instauración aguda de desorientación, somnolencia y diplopia. La TC cerebral mostró una hemorragia aguda en la región pineal e hidrocefalia triventricular asociada y la RM cerebral fue sugestiva de que se tratase de una malformación cavernosa. La paciente fue operada con escisión total de la lesión y el estudio histológico confirmó el diagnóstico de angioma cavernoso. Concluimos que la cirugía para extracción total de la lesión es el tratamiento de elección cuando, basados en la imagen, sospechamos un angioma cavernoso de la región pineal. Abstract in english Cavernous malformations rarely occur in the pineal region with only 21 reported to date. Although its diagnosis is not easy because of the extreme rareness of this condition, the presence of this lesion can be suspected based on its typical radiological findings. We report the case of a 57-year-old [...] woman presented with desorientation, somnolence and diplopy. The CT-scan showed an acute hemorrhage in the pineal region and triventricular hydrocephalus. An MRI suggested a cavernous malformation. The patient was operated with total en-bloc removal of the lesion. We conclude that surgical exploration and total resection is the treatment of choice when the diagnosis of cavernous angioma is suspected of the basis of neuroimaging.

  17. Assessing therapy response of secreting pineal germ cell tumor on simultaneous 18F-choline PET/MRI.

    Science.gov (United States)

    Panagiotidis, Emmanouil; Shankar, Ananth; Afaq, Asim; Bomanji, Jamshed

    2014-09-01

    An 18-year-old man presented with 6 weeks' history of diplopia, early morning headaches, and blurred vision; on ophthalmologic examination, Parinaud syndrome was revealed. Brain MRI scan showed a calcified pineal mass. Brain simultaneous PET/MRI with 18F-choline showed an avid enhancing mass occupying the pineal region with restricted diffusion. A second examination after chemotherapy demonstrated reduction in both size and radiotracer activity of the mass. Our study emphasizes the potential of simultaneous 18F-choline PET/MRI being a useful tool for contribution in the diagnosis and treatment assessment in a convenient way with minimal radiation exposure and reduced throughput patient time. PMID:24217533

  18. Isodense epidermoid cyst in the pineal region. Case report

    Energy Technology Data Exchange (ETDEWEB)

    Yamanouchi, Yasuo; Takahara, Nobuhiko; Kawamura, Yasuo; Matsumura, Hiroshi

    1985-02-01

    A 69-year-old male was admitted complaining of gait disturbances and diplopia, 2.5 years after an episode of serous meningitis. Neurological examination on admission disclosed Parinaud's sign, unsteady gait and dysdiadochokinesis on the left side. A striking finding on the computerized tomography (CT) was the left to right shift of the posterior portion of the third ventricle without visualization of the quadrigeminal and ambient cisterns, which were almost completely occupied by an isodense mass accompanied by high dense flecks and a low dense part. Enhanced CT showed positive enhancement in the vicinity of the pineal calcification. By the suboccipital supracerebellar approach, an encapsulated mass containing brownish yellow fluid was subtotally removed and a histological examination of it revealed epidermoid tissue and hemosiderin deposits in the solid portion. Few reports of isodense epidermoid cysts have so far been found in the literature giving a full explanation for this unusual CT attenuation value. Based on the clinical course and histology of this case, the pathogenesis of the unusual density is discussed along the following lines: The mixture of the low dense factor due to cholesterin and the high dense factor due to prior bleeding is believed to result in the isodense attenuation value in the liquid portion. Also, in the solid part, a microscopically mixed texture of deposited hemosiderin and cholesterin clefts in the inflammatory granulomatous tissue could explain its density on the CT scan.

  19. Intracranial physiological calcification on computed tomography, 1. Calcification of pineal region

    Energy Technology Data Exchange (ETDEWEB)

    Kwak, Ryungchan; Takeuchi, Fumihiko; Ito, Shotaro; Kadoya, Satoru

    1988-06-01

    Of intracranial physiological calcification, common calcification of pineal region, choroid plexus of lateral ventricles and of basal ganglia was examined based on the frequency of occurence of age and sex and type of CT scanners. Consecutive cases of 2877 (1450 males and 1427 females) underwent plain CT scanning were studied. Pathological calcification was excluded from this study. Three types of CT scanners (SCN-200, Somatom 2 and TCT-10 A) were used. As a whole, calcification was shown in 67.7 % in pineal region, 57.6 % in choroid plexus of lateral ventricles and 7.5 % in basal ganglia. First, we reported in detail the calcification of pineal region, in which calcification occurred most frequently. Calcification in pineal region had a close relation with age by increasing with aging. The youngest patient was 8 years old. There was a striking increase in number of patients aged from 10 to 39 years. There was a gradual increase in those aged over 40 years. Of patients aged from 70 to 79 years, calcification was found in 81.5 %. The incidence was noted no changes in patients aged over 80 years. As for patients aged over 20 years, calcification was observed in 75.1 % (82.6 % males and 68.0 % females). In patients aged from 20 to 79 years, the calcification was significantly higher in male than female. Although there was a different incidence of calcification examined by three types of CT scanners, it was not significant. There was no significant difference between thickness of 8 mm section and 10 mm.

  20. Role of radiosurgery in the management of pineal region tumours: indications, method, outcome.

    Science.gov (United States)

    Balossier, A; Blond, S; Touzet, G; Sarrazin, T; Lartigau, E; Reyns, N

    2015-01-01

    Numerous tumour types can occur in the pineal region. Because these tumours are uncommon and heterogeneous, it is often difficult to establish optimal treatment strategies based on comparative clinical trials. To date, the role of radiosurgery for the treatment of pineal region tumours remains controversial. This report of a 10-year single-department experience and review of the literature focuses on the spectrum of pathologic features found in these pineal parenchymal tumours and on the interest of radiosurgery in their management. Considering pineocytomas, although these tumours have been considered to be radioresistant to fractionated radiotherapy, our results are in agreement with similar results reported in the literature in suggesting that radiosurgery may be an alternative to surgical resection or an adjuvant therapy when the resection is not optimal. When dissemination occurs after radiosurgery, however, craniospinal radiation and chemotherapy are necessary. Radiosurgery has also proven its interest in the treatment of germinomas as an alternative to encephalic radiotherapy with limited long-term damage. Regarding the other pathologies, radiosurgery can be considered as part of a multimodal treatment including surgery, chemo-radiotherapy and its role still has to be clearly defined. PMID:24874722

  1. Comparison of Three Methods for the Estimation of Pineal Gland Volume Using Magnetic Resonance Imaging

    Science.gov (United States)

    Acer, Niyazi; Il?ca, Ahmet Turan; Turgut, Ahmet Tuncay; Özçelik, Özlem; Y?ld?r?m, Birdal; Turgut, Mehmet

    2012-01-01

    Pineal gland is a very important neuroendocrine organ with many physiological functions such as regulating circadian rhythm. Radiologically, the pineal gland volume is clinically important because it is usually difficult to distinguish small pineal tumors via magnetic resonance imaging (MRI). Although many studies have estimated the pineal gland volume using different techniques, to the best of our knowledge, there has so far been no stereological work done on this subject. The objective of the current paper was to determine the pineal gland volume using stereological methods and by the region of interest (ROI) on MRI. In this paper, the pineal gland volumes were calculated in a total of 62 subjects (36 females, 26 males) who were free of any pineal lesions or tumors. The mean ± SD pineal gland volumes of the point-counting, planimetry, and ROI groups were 99.55 ± 51.34, 102.69 ± 40.39, and 104.33 ± 40.45?mm3, respectively. No significant difference was found among the methods of calculating pineal gland volume (P > 0.05). From these results, it can be concluded that each technique is an unbiased, efficient, and reliable method, ideally suitable for in vivo examination of MRI data for pineal gland volume estimation. PMID:22619577

  2. Pineal parenchymal tumor of intermediate differentiation: Treatment outcomes of five cases

    Science.gov (United States)

    WATANABE, TSUBASA; MIZOWAKI, TAKASHI; ARAKAWA, YOSHIKI; IIZUKA, YUSUKE; OGURA, KENGO; SAKANAKA, KATSUYUKI; MIYAMOTO, SUSUMU; HIRAOKA, MASAHIRO

    2014-01-01

    Pineal parenchymal tumor of intermediate differentiation (PPTID) is a rare disease, first classified by the World Health Organization in 2000. The number of available studies on the treatment of PPTID is currrently limited and the optimal management for this disease has not yet been determined. We retrospectively evaluated the treatment outcomes for PPTID at our institute and analyzed the roles of radiation therapy and chemotherapy for this disease. The clinical data on five patients diagnosed with PPTID since 2000 were retrospectively reviewed. Patients with cerebrospinal dissemination at diagnosis received biopsy-only surgery, craniospinal and whole-ventricular irradiation and chemotherapy. Patients with locally limited disease at diagnosis received local or whole-ventricular irradiation after surgery. The median relapse-free and overall survival were 72.9 and 94.1 months, respectively. Two of the five patients developed a relapse of cerebrospinal dissemination after treatment and succumbed to the disease. All the patients who received both craniospinal and whole-ventricular irradiation exhibited evidence of cerebral white matter abnormalities in magnetic resonance imaging and developed neurocognitive disorders after treatment. Although PPTID may be aggressive and has cerebrospinal fluid seeding potential, PPTID patients may survive long-term, even after recurrence. Considering the long survival time and the late adverse effects due to intensive treatment, the irradiation field and usage of chemotherapy after surgery require optimization. PMID:24649332

  3. Quantitative imaging values of CT, MR, and FDG-PET to differentiate pineal parenchymal tumors and germinomas: are they useful?

    International Nuclear Information System (INIS)

    Quantitative values of CT attenuation, apparent diffusion coefficient (ADC), and standardized uptake value (SUV) were investigated for differentiation between pineal parenchymal tumors (PPTs) and germinomas. Differences in age, sex, and calcification pattern were also evaluated. Twenty-three patients with PPTs and germinomas in 20 years were retrospectively enrolled under the approval of the institutional review board. CT attenuation, ADC, and SUV (20, 13, and 10 patients, respectively) were statistically compared between the two tumors. Differences in sex and patterns of calcification (''exploded'' or ''engulfed'') were also examined. Mean patient ages were compared among three groups of pineoblastoma, pineal parenchymal tumor of intermediate differentiation, (PPTID) and pineocytoma and germinoma. None of the quantitative values of CT attenuation, ADC, and SUV showed significant differences between PPTs and germinomas (p >.05). However, there was a significant difference in age (p <.05) among the three groups of pineoblastoma (mean age ± standard deviation 7.0 ± 8.7 years), PPTID, and pineocytoma (53.7 ± 11.4 years) and germinoma (19.1 ± 8.1 years). Sex also showed significant differences between PPTs and germinomas (p =.039). Exploded pattern of calcification was found in 9 of 11 PPT patients and engulfed pattern in 7 of 9 patients with germinomas. No reverse pattern was observed, and the patterns of calcification were considered highly specific of tumor types. None of the quantitative imaging values could differentiate PPTs from germinomas. Age, sex, and calcification patterns were confirmed useful in differentiating these tumors to some degree. (orig.)

  4. Evaluation of pineal calcification in children. Using both CT and plain radiographs

    Energy Technology Data Exchange (ETDEWEB)

    Ando, Kazuo; Odagiri, Kunio; Fujiwara, Takuya; Tanohata, Kazunori; Matsui, Kengo; Okano, Shigeki

    1987-07-01

    The study cases were 804 patients who had received either CT or plain radiographs for some reasons. Their ages ranged from newborn to 15 years old. Twenty four patients had the pineal calcification, in which one patient had the pineal region tumor and 4 patients had precocious puberty. The incidence of the pineal calcification was observed on CT as 0.2, 5.8, and 14 % in their age of 0 to 5, 6 to 10, and 11 to 15 years old, respectively. On the other hand, this finding was detected only in 0, 1.1, and 1.2 % on plain radiographs. In conclusion, pineal calcification on CT may suggest the pathological state in children. Although it is observed in a minority of normal children, such a calcification could be looked upon as not only pineal region tumor but precocious puberty and other intracranial disorders with suspicion.

  5. Ectopic pineal chordoma

    Science.gov (United States)

    Figueiredo, Eberval G.; Tavares, Wagner M.; Welling, Leonardo; Rosemberg, Sergio; Teixeira, Manoel Jacobsen

    2011-01-01

    Background: Chordomas are rare tumors that arise from the remnants of embryonic notochord anywhere along the neuroaxis. Even though they may occur in an extraosseous intradural location, the most common sites include the sacrococcygeal and clivus regions. The authors report a unique presentation encompassing the pineal region with metastasis to the peritoneum after a ventriculoperitoneal (VP) shunt procedure and review the current knowledge about their pathophysiology and management. The presentation and clinical history endorse the idea that intradural extraosseous chordomas may be distinct from ecchordosis physaliphora and probably do not derive from it. Case Description: An 18-year-old male with previous history of VP shunt presented to the emergency room with pain and abdominal distension. Computed tomography (CT) scans revealed a mass in the pineal region and in the abdominal cavity. Histopathologic exams showed chordoma in both abdominal and cranial samples. The patient died due to systemic complications. Conclusion: The authors hypothesized that notochord remnants may subsist within the brain and occasionally may generate a neoplastic lesion. PMID:22059140

  6. Quantitative imaging values of CT, MR, and FDG-PET to differentiate pineal parenchymal tumors and germinomas: are they useful?

    Energy Technology Data Exchange (ETDEWEB)

    Kakigi, Takahide; Okada, Tomohisa; Kanagaki, Mitsunori; Yamamoto, Akira; Fushimi, Yasutaka; Sakamoto, Ryo; Togashi, Kaori [Kyoto University Graduate School of Medicine, Department of Diagnostic Imaging and Nuclear Medicine, Sakyo-ku, Kyoto (Japan); Arakawa, Yoshiki; Takahashi, Jun C. [Kyoto University Graduate School of Medicine, Department of Neurosurgery, Kyoto (Japan); Mikami, Yoshiki [Kyoto University Graduate School of Medicine, Department of Pathology, Kyoto (Japan); Shimono, Taro [Osaka City University Graduate School of Medicine, Department of Radiology, Osaka (Japan)

    2014-04-15

    Quantitative values of CT attenuation, apparent diffusion coefficient (ADC), and standardized uptake value (SUV) were investigated for differentiation between pineal parenchymal tumors (PPTs) and germinomas. Differences in age, sex, and calcification pattern were also evaluated. Twenty-three patients with PPTs and germinomas in 20 years were retrospectively enrolled under the approval of the institutional review board. CT attenuation, ADC, and SUV (20, 13, and 10 patients, respectively) were statistically compared between the two tumors. Differences in sex and patterns of calcification (''exploded'' or ''engulfed'') were also examined. Mean patient ages were compared among three groups of pineoblastoma, pineal parenchymal tumor of intermediate differentiation, (PPTID) and pineocytoma and germinoma. None of the quantitative values of CT attenuation, ADC, and SUV showed significant differences between PPTs and germinomas (p >.05). However, there was a significant difference in age (p <.05) among the three groups of pineoblastoma (mean age ± standard deviation 7.0 ± 8.7 years), PPTID, and pineocytoma (53.7 ± 11.4 years) and germinoma (19.1 ± 8.1 years). Sex also showed significant differences between PPTs and germinomas (p =.039). Exploded pattern of calcification was found in 9 of 11 PPT patients and engulfed pattern in 7 of 9 patients with germinomas. No reverse pattern was observed, and the patterns of calcification were considered highly specific of tumor types. None of the quantitative imaging values could differentiate PPTs from germinomas. Age, sex, and calcification patterns were confirmed useful in differentiating these tumors to some degree. (orig.)

  7. Pineal Cavernous Malformations: Report of Two Cases

    OpenAIRE

    Kim, Dong-Seok; Shim, Kyu-Won; Kim, Tae-Gon; Chang, Jong-Hee; Park, Yong-Gou; Choi, Joong-Uhn

    2005-01-01

    Pineal hemorrhage only occurs in rare cases, and this known to have several different causes such as germ cell tumors, pineal cysts and vascular malformations, including the cavernous malformations. Pineal cavernous malformations are extremely rare: to date only fifteen cases have been reported worldwide. Although the diagnosis of pineal cavernous malformation is not easy because of the extreme rareness of this condition, the presence of this lesion can be suspected based on its typical radio...

  8. Imaging of brain tumors

    International Nuclear Information System (INIS)

    The contents are diagnostic approaches, general features of tumors -hydrocephalus, edema, attenuation and/or intensity value, hemorrhage, fat, contrast enhancement, intra-axial supratentorial tumors - tumors of glial origin, oligodendrogliomas, ependymomas, subependymomas, subependymal giant cell astrocytomas, choroid plexus papilloma; midline tumors - colloid cysts, craniopharyngiomas; pineal region tumors and miscellaneous tumors i.e. primary intracerebral lymphoma, primitive neuroectodermal tumors, hemangioblastomas; extraaxial tumors - meningiomas; nerve sheath tumors -schwannomas, epidermoids, dermoids, lipomas, arachnoid cysts; metastatic tumors (8 refs.)

  9. Pineal metastasis as first clinical manifestation of colorectal adenocarcinoma: case report Metástase pineal como primeira manifestação clinica de adenocarcinoma colorretal: relato de caso

    Directory of Open Access Journals (Sweden)

    RICARDO RAMINA

    1999-03-01

    Full Text Available Cerebral metastases from colorectal adenocarcinomas occur in 8% of the cases. Diagnosis is usually made when primary disease and widespread metastases are already known. We report the case of a patient with single metastases in the pineal region as the first clinical manifestation of a colorectal adenocarcinoma. A 48-year-old female with Parinaud's syndrome for 15 days prior her admission was evaluated in our clinic. She had no symptoms or signs of colorectal disease. MRI examination revealed an heterogeneous lesion with peritumoral gadolinium enhancement, located in the pineal region. The tumor was radically resected through an infratentorial/supracerebellar approach. Histology showed metastatic carcinoma and immunohistochemical examination showed gastrointestinal tract adenocarcinoma. Metastases to the pineal region are extremely rare and should be considered in the differential diagnosis of tumors of this region.Metástases cerebrais derivadas de adenocarcinomas colorretais ocorrem em 8% dos casos. Geralmente a doença primária e as metástases em outros órgãos já são conhecidas quando do momento das manifestações neurológicas. Descrevemos um caso de metástase única na região pineal que promoveu a primeira manifestação clínica de adenocarcinoma colorretal. Uma mulher de 48 anos de idade apresentava há quinze dias de sua admissão ao nosso serviço diplopia e síndrome de Parinaud . O exame de ressonância magnética revelou lesão heterogênea localizada na região pineal. O tumor foi completamente retirado por acesso infratentorial/supracerebelar. O exame histológico revelou tumor metastático indiferenciado e o exame imuno-histoquímico demostrou adenocarcinoma do trato gastrointestinal moderadamente diferenciado. Metástases para a região pineal são extremamente raras e devem ser consideradas no diagnóstico diferencial de tumores nesta região.

  10. Pineal metastasis as first clinical manifestation of colorectal adenocarcinoma: case report / Metástase pineal como primeira manifestação clinica de adenocarcinoma colorretal: relato de caso

    Scientific Electronic Library Online (English)

    RICARDO, RAMINA; MAURÍCIO, COELHO NETO; WAGNER M., MARIUSHI; WALTER O., ARRUDA.

    1999-03-01

    Full Text Available Metástases cerebrais derivadas de adenocarcinomas colorretais ocorrem em 8% dos casos. Geralmente a doença primária e as metástases em outros órgãos já são conhecidas quando do momento das manifestações neurológicas. Descrevemos um caso de metástase única na região pineal que promoveu a primeira man [...] ifestação clínica de adenocarcinoma colorretal. Uma mulher de 48 anos de idade apresentava há quinze dias de sua admissão ao nosso serviço diplopia e síndrome de Parinaud . O exame de ressonância magnética revelou lesão heterogênea localizada na região pineal. O tumor foi completamente retirado por acesso infratentorial/supracerebelar. O exame histológico revelou tumor metastático indiferenciado e o exame imuno-histoquímico demostrou adenocarcinoma do trato gastrointestinal moderadamente diferenciado. Metástases para a região pineal são extremamente raras e devem ser consideradas no diagnóstico diferencial de tumores nesta região. Abstract in english Cerebral metastases from colorectal adenocarcinomas occur in 8% of the cases. Diagnosis is usually made when primary disease and widespread metastases are already known. We report the case of a patient with single metastases in the pineal region as the first clinical manifestation of a colorectal ad [...] enocarcinoma. A 48-year-old female with Parinaud's syndrome for 15 days prior her admission was evaluated in our clinic. She had no symptoms or signs of colorectal disease. MRI examination revealed an heterogeneous lesion with peritumoral gadolinium enhancement, located in the pineal region. The tumor was radically resected through an infratentorial/supracerebellar approach. Histology showed metastatic carcinoma and immunohistochemical examination showed gastrointestinal tract adenocarcinoma. Metastases to the pineal region are extremely rare and should be considered in the differential diagnosis of tumors of this region.

  11. Probing Pineal-specific Gene Expression with Transgenic Zebrafish†

    OpenAIRE

    KOJIMA, Daisuke; DOWLING, JOHN E.; Fukada, Yoshitaka

    2008-01-01

    The pineal gland of zebrafish (Danio rerio) contains lightsensitive photoreceptor cells and plays an important role in the neuroendocrine system. The zebrafish exorhodopsin gene encodes a pineal-specific photoreceptive protein, whose promoter region harbors a cis-acting element, pineal expression-promoting element (PIPE), directing pineal-specific gene expression. For in vivo genetic studies on PIPE-binding proteins and their regulatory mechanisms, we generated a transgenic zebrafish line, Tg...

  12. MR imaging of pineal cysts

    International Nuclear Information System (INIS)

    To evaluate the incidence and characteristic findings of pineal cyst incidentally detected on magnetic resonance (MR) imaging. Brain MR images obtained in 2432 patients were retrospectively reviewed to determine the incidence and MR findings of pineal cysts, which were evaluated according to their size, shape, location, signal intensity, interval change, contrast enhancement and mass effect on adjacent structures. Cysts were encountered in 107(4.4 %) of 2432 patients evaluated. their size ranged from 1 X 1 X 1 to 15 X 8 X 9 (mean, 5.97 X 3.82 X 4.82)mm. All were spherical (n=53) or oval (n=54) in shape. Their margin was smooth and they were homogeneous in nature. On T1-weighted images, the cysts were seen to be hyperintense (n=57) or isointense (n=50) to cerebrospinal fluid, but less so than brain parenchyma. T2-weighted images showed them to be isointense (n=51)or hyperintense (n=56) to cerebrospinal fluid. The cysts were centrally located in 65 cases and eccentrically in 42. Compression of the superior colliculi of the tectum was demonstrated in 17 cases (15.9 %). NO patients presented clinical symptoms or signs related to either pineal or tectal lesions. Peripheral enhancement around the cyst after Gd-DTPA injection was demonstrated in 51 cases(100 %). Follow-up examinations in 19 cases demonstrated no interval change. The incidence of pineal cysts was 4.4 %. The MR characteristics of simple pineal cysts include: (1) an oval or spherical shape, (2) a smooth outer margin and homogeneous nature, (3) isosignal or slightly high signal intensity to cerebrospinal fluid on whole pulse sequences, (4) ring enhancement after contrast injection, (5) an absence of interval change, as seen during follow up MR study. These MR appearances of pineal cysts might be helpful for differentiating them from pineal tumors

  13. MR imaging of pineal cysts

    Energy Technology Data Exchange (ETDEWEB)

    Ahn, Yong Sik; Yu, Hyeon; Kim, Wan Tae; Bae, Jin Woo; Moon, Hee Jung; Shin, Hyun Ja [Korea Veterans Hospital, Seoul (Korea, Republic of)

    1999-09-01

    To evaluate the incidence and characteristic findings of pineal cyst incidentally detected on magnetic resonance (MR) imaging. Brain MR images obtained in 2432 patients were retrospectively reviewed to determine the incidence and MR findings of pineal cysts, which were evaluated according to their size, shape, location, signal intensity, interval change, contrast enhancement and mass effect on adjacent structures. Cysts were encountered in 107(4.4 %) of 2432 patients evaluated. their size ranged from 1 X 1 X 1 to 15 X 8 X 9 (mean, 5.97 X 3.82 X 4.82)mm. All were spherical (n=53) or oval (n=54) in shape. Their margin was smooth and they were homogeneous in nature. On T1-weighted images, the cysts were seen to be hyperintense (n=57) or isointense (n=50) to cerebrospinal fluid, but less so than brain parenchyma. T2-weighted images showed them to be isointense (n=51)or hyperintense (n=56) to cerebrospinal fluid. The cysts were centrally located in 65 cases and eccentrically in 42. Compression of the superior colliculi of the tectum was demonstrated in 17 cases (15.9 %). NO patients presented clinical symptoms or signs related to either pineal or tectal lesions. Peripheral enhancement around the cyst after Gd-DTPA injection was demonstrated in 51 cases(100 %). Follow-up examinations in 19 cases demonstrated no interval change. The incidence of pineal cysts was 4.4 %. The MR characteristics of simple pineal cysts include: (1) an oval or spherical shape, (2) a smooth outer margin and homogeneous nature, (3) isosignal or slightly high signal intensity to cerebrospinal fluid on whole pulse sequences, (4) ring enhancement after contrast injection, (5) an absence of interval change, as seen during follow up MR study. These MR appearances of pineal cysts might be helpful for differentiating them from pineal tumors.

  14. Pineal lesions: a multidisciplinary challenge.

    Science.gov (United States)

    Westphal, Manfred; Emami, Pedram

    2015-01-01

    The pineal region is a complex anatomical compartment, harbouring the pineal gland surrounded by the quadrigeminal plate and the confluents of the internal cerebral veins to form the vein of Galen. The complexity of lesions in that region, however, goes far beyond the pineal parenchyma proper. Originating in the pineal gland, there are not only benign cysts but also numerous different tumour types. In addition, lesions such as tectal gliomas, tentorial meningiomas and choroid plexus papillomas arise from the surrounding structures, occupying that regions. Furthermore, the area has an affinity for metastatic lesions. Vascular lesions complete the spectrum mainly as small tectal arteriovenous malformations or cavernous haemangiomas.Taken together, there is a wide spectrum of lesions, many unique to that region, which call for a multidisciplinary approach. The limited access and anatomical complexity have generated a spectrum of anatomical approaches and raised the interest for neuroendoscopic approaches. Equally complex is the spectrum of treatment modalities such as microsurgery as the main option but stereotactic radiosurgery as an alternative or adjuvant to surgery for selected cases, radiation as for germinoma (see below) and or combinatorial chemotherapy, which may need to precede any other ablative technique as constituents.In this context, we review the current literature and our own series to obtain a snapshot sentiment of how to approach pineal lesions, how to interrelate alternative/competing concepts and review the recent technological advances. PMID:25411146

  15. Incidence of pineal tumours. A review of the literature.

    Science.gov (United States)

    Mottolese, C; Szathmari, A; Beuriat, P-A

    2015-01-01

    The knowledge of the incidence of pineal tumours is important not only for diagnostic care but also for its therapeutic programme. We reviewed the incidence of pineal tumours reported in literature in an attempt to establish if a difference existed between pineal gland tumours and the pineal region tumours as different authors use both expressions to indicate the same thing. The rate of frequency of these tumours is useful to guide the therapeutic choice for patients as the decisional tree is completely different for either germ cell tumours, pineal gland tumours or pineal gliomas and eventually papillary tumours of the pineal region. According to the French Register of pineal tumours, true pineal tumours represent: 27% pineal parenchymal tumours (PPT), 27% germ cell tumours, 17% gliomas, 8% papillary tumours. True pineal gland tumours are represented by: pineocytomas - (13%), pineal parenchymal tumours with intermediary differentiation PTT-ID - (66%) and pinealoblastomas - (21%). There was no statistical difference found between the French register and the Lyon series concerning histological diagnosis. It seemed to us important to discover its true incidence by comparing the data published in the literature and to stress the utility of the French Register for these uncommon tumours not only for recording new histological cases but also to document clinical symptomatology, therapeutic programmes, length of follow-up and clinical results for each patient treated. A better understanding of their natural history and improved evaluation of different treatments and their complications should contribute to improve clinical results. PMID:25113513

  16. Long term outcome of adolescent and adult patients with pineal parenchymal tumors treated with fractionated radiotherapy between 1982 and 2003 -- a single institution's experience

    Directory of Open Access Journals (Sweden)

    Schulz-Ertner Daniela

    2010-12-01

    Full Text Available Abstract Background To evaluate the effectivity of fractionated radiotherapy in adolescent and adult patients with pineal parenchymal tumors (PPT. Methods Between 1982 and 2003, 14 patients with PPTs were treated with fractionated radiotherapy. 4 patients had a pineocytoma (PC, one a PPT with intermediate differentiation (PPTID and 9 patients a pineoblastoma (PB, 2 of which were recurrences. All patients underwent radiotherapy on the primary tumor site with a median total dose of 54 Gy. In 9 patients with primary PB treatment included whole brain irradiation (3 patients or irradiation of the craniospinal axis (6 patients with a median total dose of 35 Gy. Results Median follow-up was 123 months in the PC patients and 109 months in the patients with primary PB. 7 patients were free from relapse at the end of follow-up. One PC patient died from spinal seeding. Among 5 PB patients treated with radiotherapy without chemotherapy, 3 developed local or spinal tumor recurrence. Both patients treated for PB recurrences died. The patient with PPTID is free of disease 7 years after radiotherapy. Conclusion Local radiotherapy seems to be effective in patients with PC and some PPTIDs. Diagnosis and treatment of patients with more aggressive variants of PPTIDs as well as treatment of PB needs to be further improved, since local and spinal failure even despite craniospinal irradiation (CSI is common. As PPT are very rare tumors, treatment within multi-institutional trials remains necessary.

  17. Long term outcome of adolescent and adult patients with pineal parenchymal tumors treated with fractionated radiotherapy between 1982 and 2003 -- a single institution's experience

    Science.gov (United States)

    2010-01-01

    Background To evaluate the effectivity of fractionated radiotherapy in adolescent and adult patients with pineal parenchymal tumors (PPT). Methods Between 1982 and 2003, 14 patients with PPTs were treated with fractionated radiotherapy. 4 patients had a pineocytoma (PC), one a PPT with intermediate differentiation (PPTID) and 9 patients a pineoblastoma (PB), 2 of which were recurrences. All patients underwent radiotherapy on the primary tumor site with a median total dose of 54 Gy. In 9 patients with primary PB treatment included whole brain irradiation (3 patients) or irradiation of the craniospinal axis (6 patients) with a median total dose of 35 Gy. Results Median follow-up was 123 months in the PC patients and 109 months in the patients with primary PB. 7 patients were free from relapse at the end of follow-up. One PC patient died from spinal seeding. Among 5 PB patients treated with radiotherapy without chemotherapy, 3 developed local or spinal tumor recurrence. Both patients treated for PB recurrences died. The patient with PPTID is free of disease 7 years after radiotherapy. Conclusion Local radiotherapy seems to be effective in patients with PC and some PPTIDs. Diagnosis and treatment of patients with more aggressive variants of PPTIDs as well as treatment of PB needs to be further improved, since local and spinal failure even despite craniospinal irradiation (CSI) is common. As PPT are very rare tumors, treatment within multi-institutional trials remains necessary. PMID:21184689

  18. Primary pineal melanoma presenting with leptomeningeal spreading in a 22-year-old woman: a case report

    Science.gov (United States)

    2012-01-01

    Introduction Primary malignant melanoma of the pineal region is exceedingly rare. We report a case of primary pineal malignant melanoma and review the literature. Case presentation Our patient was a 22-year-old Iranian woman without any significant past medical history, who was referred to our center with a four-week history of headache and gait disturbance. A magnetic resonance imaging study showed a solid mass in the pineal region causing obstructive hydrocephalus. A brain biopsy was performed and the histological examination indicated melanoma. No other additional melanocytic lesions were found elsewhere. Our patient underwent gross total resection. At the time of discharge she had fully recovered without any neurological deficits. Three weeks after discharge, she was readmitted to hospital with the diagnosis of distal deep vein thrombosis and pulmonary embolism; 12 weeks after the onset of her illness she died of cardiopulmonary arrest. Conclusion We have presented here a rare tumor, a primary malignant melanoma of the pineal region. To the best of our knowledge, this is the second-youngest patient with such a tumor reported in the literature. PMID:22738318

  19. Primary pineal melanoma presenting with leptomeningeal spreading in a 22-year-old woman: a case report

    Directory of Open Access Journals (Sweden)

    Azimi Parisa

    2012-06-01

    Full Text Available Abstract Introduction Primary malignant melanoma of the pineal region is exceedingly rare. We report a case of primary pineal malignant melanoma and review the literature. Case presentation Our patient was a 22-year-old Iranian woman without any significant past medical history, who was referred to our center with a four-week history of headache and gait disturbance. A magnetic resonance imaging study showed a solid mass in the pineal region causing obstructive hydrocephalus. A brain biopsy was performed and the histological examination indicated melanoma. No other additional melanocytic lesions were found elsewhere. Our patient underwent gross total resection. At the time of discharge she had fully recovered without any neurological deficits. Three weeks after discharge, she was readmitted to hospital with the diagnosis of distal deep vein thrombosis and pulmonary embolism; 12 weeks after the onset of her illness she died of cardiopulmonary arrest. Conclusion We have presented here a rare tumor, a primary malignant melanoma of the pineal region. To the best of our knowledge, this is the second-youngest patient with such a tumor reported in the literature.

  20. Primary pineal malignant melanoma

    OpenAIRE

    Cesar La Cruz Pelea; Oderay Mabel Cedeño Díaz; Roberto Garcia Leal

    2011-01-01

    Primary pineal malignant melanoma is a rare entity, with only thirteen cases reported in the world literature to date. We report a case of a 70-year-old man, who consulted with gait disturbance of six months duration, associated in the last month with dizziness, visual abnormalities and diplopia. No other additional melanocytic lesions were found elsewhere. The magnetic resonance showed a 25 mm expansive mass in the pineal gland that was associated with hydrocephaly, ventricular and transepen...

  1. Cytologic features of the normal pineal gland of adults.

    Science.gov (United States)

    Jiménez-Heffernan, José A; Bárcena, Carmen; Agra, Carolina; Asunción, Alfonso

    2015-08-01

    It is well known that the histology of normal pineal gland may resemble not only pineal tumors but also gliomas, owing to its cellularity which is much greater than that of normal white or gray matter. Our recent experience with a case in which part of a normal gland was submitted for intraoperative consultation, together with the scarcity of cytologic descriptions, led us to perform a cyto-histologic correlation study. In addition to the intraoperative case, we collected five pineal glands from consecutive adult autopsies. During the squash procedure, we often noted the presence of calcified grains. Smears were hypercellular, distributed in tissue fibrillary fragments and as numerous single cells, with crystalline structures. Pineal gland cells (pineocytes) were large, round, epithelioid with ill-defined cytoplasms and moderate nuclear pleomorphism. Spindle cells with greater fibrillary quality were less common. One of the most remarkable findings seen in all cases was the presence of cytoplasmic pigment. Histological evaluation and immunohistochemical staining confirmed that the tissue was normal pineal gland. The histology showed a characteristic lobular aspect and frequent corpora arenacea. The pigment seen cytologically was also encountered in histology and corresponded to lipofuscin. Cytologic features of the pineal gland are peculiar when compared to other normal structures of the central nervous system. These features correlate closely with what is seen on histology. In an adequate clinical context, and in combination with frozen sections, cytology allows a specific recognition of the pineal gland during intraoperative pathologic consultations. PMID:25914033

  2. Elements in the human pineal body

    International Nuclear Information System (INIS)

    100 human pineal bodies (=epiphyses, =pineal glands) were examined by neutron activation analysis for the concentration of Ca, K, Na, Rb, Fe, Co, Se and Zn. Comparing the results with the values from other brain areas, the Ca-content was 90 times higher, Co-content was double and Zn-concentration three times as high as those in the brain. The K, Na, Rb, Fe and Se values were found to be similar to those of other brain regions. Element concentration and age gave no significant correlation for the elements investigated. The K-content was taken as a parameter for cellular vitality and the pineal bodies were grouped into three classes of vitality. The normal K and Na, and the varying trace element concentrations refer to some specific biochemical and physiological functions of the organ. (author)

  3. Elements in the human pineal body

    Energy Technology Data Exchange (ETDEWEB)

    Nathan, M.; Hoeck, A.; Kasperek, K.; Feinendegen, L.E. (Kernforschungsanlage Juelich G.m.b.H. (Germany, F.R.). Inst. fuer Medizin); Demmel, U. (Koeln Univ. (Germany, F.R.))

    1982-01-01

    100 human pineal bodies (=epiphyses, =pineal glands) were examined by neutron activation analysis for the concentration of Ca, K, Na, Rb, Fe, Co, Se and Zn. Comparing the results with the values from other brain areas, the Ca-content was 90 times higher, Co-content was double and Zn-concentration three times as high as those in the brain. The K, Na, Rb, Fe and Se values were found to be similar to those of other brain regions. Element concentration and age gave no significant correlation for the elements investigated. The K-content was taken as a parameter for cellular vitality and the pineal bodies were grouped into three classes of vitality. The normal K and Na, and the varying trace element concentrations refer to some specific biochemical and physiological functions of the organ.

  4. Biosynthesis of taurine by rat pineals in vitro

    International Nuclear Information System (INIS)

    Pineal glands from adult, male rats were incubated in oxygenated Krebs-Ringer buffer containing 14C-cystine. After three hours the incubation media and pineal gland extracts were placed separately on Dowex AG W50-X-4 columns. In the elution volume where 14C-labeled taurine is found a labeled peak was recovered. However, when subjected to one or two dimensional paper chromatography especially the eluants from pineal gland extracts yielded two 14C-labeled substances one located in the region where unlabeled taurine is detected by ortho-phthalaldehyde reagent. These results were confirmed utilizing a method developed in our laboratory based on high performance liquid chromatography (HPLC). The pineals, as well as their respective incubation medium, were shown to contain radioactive taurine. These results demonstrate that rat pineal glands are capable of taurine synthesis. Also a high degree of labeling was associated with an area on paper chromatograms, migrating more rapidly than the standards, using acidic solvent systems. If represented by a single pineal compound, the substance must be rapidly synthesized from 14C-cystine to account for the radioactivity observed. Future studies of sulfur metabolism within the pineal gland could be of significant interest. (author)

  5. Pineal calcification on computed tomography

    Energy Technology Data Exchange (ETDEWEB)

    Kwon, S. H.; Kang, M. S.; Zeon, S. K.; Park, S. K. [Keimyung University Medical College and Hospital, Daegu (Korea, Republic of)

    1981-09-15

    Pineal gland visible in plain skull radiography when calcified had been an important indicator for evaluation of any space, occupying lesion within cranium according to displacement of it from normal midline position. Since the pineal gland is more frequently demonstrated on CT scan than plain skull radiography, it seems helpful to define the incidence and localization of pineal gland. 324 patients, performed head CT scan are analyzed incidence and localization of calcified pineal gland. The results were as follows: 1. The overall incidence of pineal calcification was 51%. 2. The male and female ratio in pineal calcification was 56% to 43%. 3. 1) In the AP localization of pineal gland, the ratio of distance from anterior inner table of the skull to the pineal gland and that from pineal gland to the posterior inner table was 1.46 {+-} 0.20. 2) In the lateral localization of pineal gland, according to 'Lateral Percentage Shift' by Hahn and Rim (1976), the result was 0.98% shift in 80 normal cases, but 2.20% shift in 38 cases with S.O.L.

  6. Pineal calcification on computed tomography

    International Nuclear Information System (INIS)

    Pineal gland visible in plain skull radiography when calcified had been an important indicator for evaluation of any space, occupying lesion within cranium according to displacement of it from normal midline position. Since the pineal gland is more frequently demonstrated on CT scan than plain skull radiography, it seems helpful to define the incidence and localization of pineal gland. 324 patients, performed head CT scan are analyzed incidence and localization of calcified pineal gland. The results were as follows: 1. The overall incidence of pineal calcification was 51%. 2. The male and female ratio in pineal calcification was 56% to 43%. 3. 1) In the AP localization of pineal gland, the ratio of distance from anterior inner table of the skull to the pineal gland and that from pineal gland to the posterior inner table was 1.46 ± 0.20. 2) In the lateral localization of pineal gland, according to 'Lateral Percentage Shift' by Hahn and Rim (1976), the result was 0.98% shift in 80 normal cases, but 2.20% shift in 38 cases with S.O.L

  7. Prognostic Significance of P53 Protein, Cyclin D1 and Ki-67 in Pineal Parenchymal Tumours

    Directory of Open Access Journals (Sweden)

    Nagihan YALCIN

    2009-12-01

    Full Text Available Pineal parenchymal tumours are very rare consisting less than 0.1% of all central nervous system tumours. The aim of this study was to investigate the prognostic significance of Ki-67, cyclin D1 and p53 protein expressions in pineal parenchymal tumours. Ten pineal parenchymal tumours were investigated: 2 pineocytomas, 5 pineal parenchymal tumour of intermediate differentiation and 3 pineoblastomas . Immunohistochemical staining was performed using avidin-biotin-peroxidase method. The number of mitoses ranged from 0-25 in pineal parenchymal tumour of intermediate differentiation and 2-30 in pineoblastomas. In general, Ki-67 was found between 0-53.5 %, cyclin D1 was found between 0-40%, p53 was found between 0-4% in pineal parenchymal tumors. In pineal parenchymal tumour of intermediate differentiation, positive staining rates for Ki-67, cyclin D1 and p53 were found as 4-17.5%, 2-30% and 0-4%, respectively. In pineoblastomas, Ki-67, cyclin D1 and p53 were found as 9.2-53.5%, 5-40% and 1-2%, respectively. The number of mitoses was not significant for the prognosis in pineal parenchymal tumors. The very low level of p53 protein made us think that it does not play an active role in the development of these tumours

  8. Primary pineal malignant melanoma

    Directory of Open Access Journals (Sweden)

    Oderay Mabel Cedeño Díaz

    2011-06-01

    Full Text Available Primary pineal malignant melanoma is a rare entity, with only thirteen cases reported in the world literature to date. We report a case of a 70-year-old man, who consulted with gait disturbance of six months duration, associated in the last month with dizziness, visual abnormalities and diplopia. No other additional melanocytic lesions were found elsewhere. The magnetic resonance showed a 25 mm expansive mass in the pineal gland that was associated with hydrocephaly, ventricular and transependimary oedema. The lesion was partially excised by a supracerebellar infratentorial approach. The histological examination revealed a melanoma. The patient received radiation therapy, but died of disease 16 weeks later. We herein review the literature on this rare tumour and comment on its clinical, radiological and histopathological features and differential diagnosis.

  9. Primary pineal malignant melanoma

    Science.gov (United States)

    Cedeño Diaz, Oderay Mabel; Leal, Roberto García; La Cruz Pelea, Cesar

    2011-01-01

    Primary pineal malignant melanoma is a rare entity, with only thirteen cases reported in the world literature to date. We report a case of a 70-year-old man, who consulted with gait disturbance of six months duration, associated in the last month with dizziness, visual abnormalities and diplopia. No other additional melanocytic lesions were found elsewhere. The magnetic resonance showed a 25 mm expansive mass in the pineal gland that was associated with hydrocephaly, ventricular and transependimary oedema. The lesion was partially excised by a supracerebellar infratentorial approach. The histological examination revealed a melanoma. The patient received radiation therapy, but died of disease 16 weeks later. We herein review the literature on this rare tumour and comment on its clinical, radiological and histopathological features and differential diagnosis. PMID:24765293

  10. Regional cerebral blood flow measurement in brain tumors

    International Nuclear Information System (INIS)

    The regional cerebral blood flow (CBF) was determined on seventeen patients with brain tumors. Ring type single photon emission CT (SPECT) was used following intravenous injection of 133Xe. Case materials included eleven meningiomas and six malignant gliomas. Evaluation was performed with emphasis on the following points; 1. Correlation of the flow data within tumors to the angiographic tumor stains, 2. Influence of tumors on the cerebral blood flow of the normal brain tissue, 3. Correlation between degree of peripheral edema and the flow data of the affected hemispheres. There was significant correlation between flow data within tumors and angiographic tumor stains in meningiomas. Influence of tumors on cerebral blood flow of the normal tissue was greater in meningiomas than in gliomas. There was negative correlation between the degree of peripheral edema and the flow data of the affected hemisphere. It has been concluded that the measurement of CBF in brain tumors is a valuable method in evaluation of brain tumors. (author)

  11. Trace element concentrations in the human pineal body

    International Nuclear Information System (INIS)

    One hundred human pineal bodies obtained from 56 males and 44 females were analysed by means of instrumental neutron activation analysis for trace element concentrations of cobalt, iron, rubidium, selenium and zinc. The results indicated that the measured element concentrations were not related to body surface, age or fresh weight. Moreover, the mean absolute cobalt value from 97 pineal bodies was elevated by a factor of 1.43 over the mean absolute concentration value of 257 other brain areas. The mean zinc content was found to be 3.7-fold higher than the mean zinc value from 269 other brain samples. The iron values from various brain areas did not differ from those of the pineal body. Whereas pineal selenium was slightly higher, rubidium was lower than in other brain regions. By correlating the different element concentrations with each other, a positive correlation was found for selenium and rubidium and a negative correlation for cobalt and zinc. The present data suggest that the measured trace elements are somehow related to specific roles in the physiology and biochemistry of the pineal body. This is supported by the constancy of element concentration over a wide range of increasing fresh weights of the organ. It is suggested that the measured trace elements zinc, cobalt and iron are involved as constituents of enzymes in the betabolism of amino acids, peptides and proteins of the pineal body. Moreover, the conspicuously high zinc content of this organ may be related to a so-far undetected neurotransmitter. (author)

  12. Frequency of central nervous system tumors in delta region, Egypt

    Directory of Open Access Journals (Sweden)

    Khaled R Zalata

    2011-01-01

    Full Text Available Introduction and Aim of Work: Central nervous system (CNS tumors represent a major public health problem, and their epidemiological data in Egypt have been rather incomplete except for some regional reports. There are no available frequency-based data on CNS tumors in our locality. The objective of this study was to estimate the frequency of CNS tumors in east delta region, Egypt. Materials and Methods: The data were collected during the 8-year period from January 1999 to December 2007 from Pathology Department, Mansoura University, and other referred pathology labs. Examination of HandE stained sections from retrieved paraffin blocks were done in all cases for histopathologic categorization of C.N.S. tumors. Immunohistochemical studies were applied to confirm final histopathologic diagnosis in problematic cases. Results: Intracranial tumors represented 86.7% of cases in comparison to only 13.3% for spinal tumors. Gliomas were the CNS tumors of the highest frequency (35.2%, followed by meningioma (25.6%, pituitary adenoma (11.6% and nerve sheath tumors (6.6%. 10.25% of tumors were of children <15 years. Conclusion: This study provides the largest series of the relative frequency of CNS tumors in Delta region in Egypt till now and may help to give insight into the epidemiology of CNS tumors in our locality.

  13. The Lhx9 homeobox gene controls pineal gland development and prevents postnatal hydrocephalus

    DEFF Research Database (Denmark)

    Yamazaki, Fumiyoshi; MØller, Morten

    2015-01-01

    Lhx9 is a member of the LIM homeobox gene family. It is expressed during mammalian embryogenesis in the brain including the pineal gland. Deletion of Lhx9 results in sterility due to failure of gonadal development. The current study was initiated to investigate Lhx9 biology in the pineal gland. Lhx9 is highly expressed in the developing pineal gland of the rat with transcript abundance peaking early in development; transcript levels decrease postnatally to nearly undetectable levels in the adult, a temporal pattern that is generally similar to that reported for Lhx9 expression in other brain regions. Studies with C57BL/6J Lhx9 (-/-) mutant mice revealed marked alterations in brain and pineal development. Specifically, the superficial pineal gland is hypoplastic, being reduced to a small cluster of pinealocytes surrounded by meningeal and vascular tissue. The deep pineal gland and the pineal stalk are also reduced in size. Although the brains of neonatal Lhx9 (-/-) mutant mice appear normal, severe hydrocephalus develops in about 70 % of the Lhx9 (-/-) mice at 5-8 weeks of age; these observations are the first to document that deletion of Lhx9 results in hydrocephalus and as such indicate that Lhx9 contributes to the maintenance of normal brain structure. Whereas hydrocephalus is absent in neonatal Lhx9 (-/-)mutant mice, the neonatal pineal gland in these animals is hypoplastic. Accordingly, it appears that Lhx9 is essential for early development of the mammalian pineal gland and that this effect is not secondary to hydrocephalus.

  14. A case of pineal teratoma with intraventricular free fat on CT scan

    International Nuclear Information System (INIS)

    Detection of an intraventricular or intratumoral fat-fluid level on the plain craniograms has been known as a characteristic sign indicating the presence of intracranial teratomatous tumors. On CT scans, however, only thirteen cases have been previously reported to be found an intraventricular and/or subarachnoid free fat associated with spontaneous ruptures of these tumors. We reported a case of pineal teratoma with intraventricular free-fat seen on CT scans. A nine-year-old male with precocious puberty was admitted to our hospital complaining a moderate nonpulsatile headache. Neurological examinations were normal without signs of meningeal irritation. The serum and CSF titer of HCG were raised markedly. The laboratory data of the CSF were normal and there were no pathological cells in the CSF. The CT scans revealed a large heterogeneous mass containing multiple areas of negative density in the pineal region. There were negative density droplets in the bilateral frontal horn on the same CT scans indicating a presence of free fats. At surgery, an yellowish oily material was drained from the tumor, but there was no sign of meningitis over the cortical surface of the occipital lobe. An intraventricular free fat on CT scan have been reported in fourteen cases including ours following the first case described by Fawcitt in 1976. Although most of the cases presented headache, only two cases was diagnosed clinically as chemical meningitis. Pathological changes indicating granulomatous meningitis, however, were noted in five cases, all of them presenting seizure attacks. (author)

  15. Adenomatoid odontogenic tumor in mandibular region

    International Nuclear Information System (INIS)

    The adenomatoid odontogenic tumor is an uncommon neoplasm derivative of the odontogenic epithelium containing canalicular structures with inductor modifications of variable intensity in the conjunctival tissue. It is a slow growth lesion and no much invasive but that may to be similar to other odontogenic lesions more aggressive including the dentigerous cyst and the ameloblastoma among others. Its classical location (upper canine area) guides us to diagnosis and its duct histological pattern is very typical of this tumor. Other tumors included in this group are the ameloblastic fibroma, the ameloblastic odontoma, the calcified odontogenic cyst and composed and complex odontomas. This group of lesions may or not to have formations of hard tissue inside. Thus, authors present the case of a patient presenting with this type of tumor making a histopathology study, a literature review on this benign odontogenic tumor and its clinical radiographic features, treatment, as well as the differential diagnoses to be into account. (author)

  16. Pineal gland function is required for colon antipreneoplastic effects of physical exercise in rats.

    Science.gov (United States)

    Frajacomo, F T T; de Paula Garcia, W; Fernandes, C R; Garcia, S B; Kannen, V

    2015-10-01

    Light-at-night exposure enhances the risk of cancer. Colon cancer is among the most dangerous tumors affecting humankind. Physical exercise has shown positive effects against colon cancer. Here, we investigated whether pineal gland modulates antipreneoplastic effects of physical exercise in the colon. Surgical and non-surgical pineal impairments were performed to clarify the relationship between the pineal gland activity and manifestation of colonic preneoplastic lesions. Next, a progressive swimming training was applied in rats exposed or not to either non-surgical pineal impairment or carcinogen treatment for 10 weeks. Both surgical and non-surgical pineal impairments increased the development of colon preneoplasia. It was further found that impairing the pineal gland function, higher rates of DNA damage were induced in colonic epithelial and enteric glial cells. Physical exercise acted positively against preneoplasia, whereas impairing the pineal function with constant light exposure disrupts its positive effects on the development of preneoplastic lesions in the colon. This was yet related to increased DNA damage in glial cells and enteric neuronal activation aside from serum melatonin levels. Our findings suggest that protective effects of physical exercise against colon cancer are dependent on the pineal gland activity. PMID:25487536

  17. Biosynthesis and biological action of pineal allopregnanolone

    OpenAIRE

    Kazuyoshi Tsutsui

    2014-01-01

    The pineal gland transduces photoperiodic changes to the neuroendocrine system by rhythmic secretion of melatonin. We recently provided new evidence that the pineal gland is a major neurosteroidogenic organ and actively produces a variety of neurosteroids de novo from cholesterol in birds. Notably, allopregnanolone is a major pineal neurosteroid that is far more actively produced in the pineal gland than the brain and secreted by the pineal gland in juvenile birds. Subsequently, we have demon...

  18. Lymphopoiesis in the chicken pineal gland

    Energy Technology Data Exchange (ETDEWEB)

    Cogburn, L.A.; Glick, B.

    1981-10-01

    Pineal lymphoid development was studied in two breeds of chickens from hatching until sexual maturity. No lymphocytes were found in the pineal prior to 9 days of age (da). Lymphocytes migrate through the endothelium of venules into the pineal stroma. Lymphoid tissue reached its maximal accumulation in 32-da pineal glands of both breeds. At this age, the New Hampshire (NH) breed had a larger proportion of lymphoid volume to total pineal volume (32%) than did pineal glands from White Leghorn (WL) chickens (18%).

  19. Circadian Regulation of Pineal Gland Rhythmicity

    Science.gov (United States)

    Borjigin, Jimo; Zhang, L. Samantha; Calinescu, Anda-Alexandra

    2011-01-01

    The pineal gland is a neuroendocrine organ of the brain. Its main task is to synthesize and secrete melatonin, a nocturnal hormone with diverse physiological functions. This review will focus on the central and pineal mechanisms in generation of mammalian pineal rhythmicity including melatonin production. In particular, this review covers the following topics: (1) local control of serotonin and melatonin rhythms; (2) neurotransmitters involved in central control of melatonin; (3) plasticity of the neural circuit controlling melatonin production; (4) role of clock genes in melatonin formation; (5) phase control of pineal rhythmicity; (6) impact of light at night on pineal rhythms; and (7) physiological function of the pineal rhythmicity. PMID:21782887

  20. Radiotherapy of malignant tumors of the maxillofacial region

    International Nuclear Information System (INIS)

    Domestic and foreign literature data on problems of radiotherapy of malignant tumors of the maxillofacial region are reviewed. According to literature data radiotherapy of patients with cancer of oral cavity mucosa is applied as an independent method in 69.6% of cases and in combination with operation it is applied in 84.8% of cases. Radiosensitivity of tumors of this localization as well as methods for improvement of the radioteirapy depending on the type of tumor and its stage are analyzed. Efficiency of radiotherapy of metastases in regional lymph nodes as well as ad isability of their prophylactic irradiation are discussed

  1. Comparative histology of pineal calcification

    OpenAIRE

    Vigh, B.; Szél, A; Debreceni, K.; Fejér, Z.; Manzano e Silva, M.J.; Vigh-Teichmann, I.

    1998-01-01

    The pineal organ (pineal gland, epiphysis cerebri) contains several calcified concretions called "brain sand7' or acervuli (corpora arenacea). These concretions are conspicuous with imaging techniques and provide a useful landmark for orientation in the diagnosis of intracranial diseases. Predominantly composed of calcium and magnesium salts, corpora arenacea are numerous in old patients. In smaller number they can be present in children as well. The degree...

  2. A pineal regulatory element (PIRE) mediates transactivation by the pineal/retina-specific transcription factor CRX

    OpenAIRE

    Li, Xiaodong; CHEN, SHIMING; Wang, Qingliang; Zack, Donald J; Snyder, Solomon H; Borjigin, Jimo

    1998-01-01

    The circadian hormone melatonin is synthesized predominantly in the pineal gland by the actions of two pineal-specific enzymes: serotonin N-acetyltransferase (NAT) and hydroxyindole-O-methyltransferase (HIOMT). Pineal night-specific ATPase (PINA), another pineal- and night-specific protein we recently identified, is produced as a truncated form of the Wilson disease gene (Atp7b) product. To identify the regulatory elements required for pineal-specific gene expression, we isolated sequences up...

  3. Homeobox Genes in the Rodent Pineal Gland

    DEFF Research Database (Denmark)

    Rath, Martin Fredensborg; Rohde, Kristian; Klein, David C; Møller, Morten

    2013-01-01

    The pineal gland is a neuroendocrine gland responsible for nocturnal synthesis of melatonin. During early development of the rodent pineal gland from the roof of the diencephalon, homeobox genes of the orthodenticle homeobox (Otx)- and paired box (Pax)-families are expressed and are essential for normal pineal development consistent with the well-established role that homeobox genes play in developmental processes. However, the pineal gland appears to be unusual because strong homeobox gene expr...

  4. Low-grade oligodendroglioma of the pineal gland: a case report and review of the literature

    Science.gov (United States)

    2010-01-01

    Background Gliomas are a very rare subtype of pineal region tumours, whereas oligodendrogliomas of the pineal region are exceedingly rare, since there have been only 3 cases of anaplastic oligodedrogliomas reported this far. Methods-Results We present a case of a low-grade oligodendroglioma arising in the pineal gland of a 37 year-old woman. The patient presented with diplopia associated with a cystic pineal region mass demonstrated on MRI. Total resection was performed and histological examination showed that the cystic wall consisted of tumour cells with a central nucleus a perinuclear halo and minimal pleomorphism. Immnunohistochemical analysis showed that these cells were diffusely positive for CD57, and negative for GFAP, CD10, CD99, cytokeratins, neurofilaments and synaptophysin. FISH analysis was performed in a small number of neoplastic cells, which were not exhausted after immunohistochemistry and did not reveal deletion of 1p and 19q chromosome arms. However, the diagnosis of a low grade oligodendroglioma of the pineal gland was assigned. Conclusion Although the spectrum of tumours arising in the pineal gland is broad, the reports of oligodendrogliomas confined to this location are exceedingly rare, and to the best of our knowledge there is no report of a low-grade oligodendroglioma. However, they should be added in the long list of tumours arising in the pineal gland. PMID:20849631

  5. Low-grade oligodendroglioma of the pineal gland: a case report and review of the literature

    Directory of Open Access Journals (Sweden)

    Levidou Georgia

    2010-09-01

    Full Text Available Abstract Background Gliomas are a very rare subtype of pineal region tumours, whereas oligodendrogliomas of the pineal region are exceedingly rare, since there have been only 3 cases of anaplastic oligodedrogliomas reported this far. Methods-Results We present a case of a low-grade oligodendroglioma arising in the pineal gland of a 37 year-old woman. The patient presented with diplopia associated with a cystic pineal region mass demonstrated on MRI. Total resection was performed and histological examination showed that the cystic wall consisted of tumour cells with a central nucleus a perinuclear halo and minimal pleomorphism. Immnunohistochemical analysis showed that these cells were diffusely positive for CD57, and negative for GFAP, CD10, CD99, cytokeratins, neurofilaments and synaptophysin. FISH analysis was performed in a small number of neoplastic cells, which were not exhausted after immunohistochemistry and did not reveal deletion of 1p and 19q chromosome arms. However, the diagnosis of a low grade oligodendroglioma of the pineal gland was assigned. Conclusion Although the spectrum of tumours arising in the pineal gland is broad, the reports of oligodendrogliomas confined to this location are exceedingly rare, and to the best of our knowledge there is no report of a low-grade oligodendroglioma. However, they should be added in the long list of tumours arising in the pineal gland.

  6. DETECTION OF TUMOR REGION USING FAST FUZZY CLUSTERING ALGORITHM

    OpenAIRE

    Ms.A.Dhivya (ME); Mrs.D.Anitha ME (AP/IT),

    2014-01-01

    Magnetic Resonance Imaging (MRI) is a medical imaging technique for measuring the anatomy and functions of the body in detail to providing information of the brain and the brain stem. To understand the complex segmentation among the brain regions we propose a fuzzy clustering algorithm. The algorithm starts with globally denoising the brain images using Kernel algorithm. Next, region will be segmented using the FFC (Fast Fuzzy Clustering) algorithms and detecting the tumor region ...

  7. Autoradiographic demonstration of target cells for the mineralocorticoid aldosterone in the rat pineal gland

    International Nuclear Information System (INIS)

    Male rats received [3H]aldosterone 30 min before sacrifice. Autoradiograms were prepared from brain and pineal gland by a thaw-mount technique. Grain counting revealed that the pineal retained 4 times as much radioactivity as brain regions with tight capillaries. Using an appropriate method of quantitative autoradiogram evaluation, it was shown that in adrenalectomized animals, but not after shamoperiation, 28% of the pinealocytes concentrated the steroid in their nuclei. This is the first demonstration of saturable mineralocorticoid binding in the pineal gland. (author)

  8. NeuroD1: developmental expression and regulated genes in the rodent pineal gland

    DEFF Research Database (Denmark)

    Muñoz, Estela M; Bailey, Michael J; Rath, Martin F; Shi, Qiong; Morin, Fabrice; Coon, Steven L; Møller, Morten; Klein, David C

    2007-01-01

    NeuroD1/BETA2, a member of the bHLH transcription factor family, is known to influence the fate of specific neuronal, endocrine and retinal cells. We report here that NeuroD1 mRNA is highly abundant in the developing and adult rat pineal gland. Pineal expression begins in the 17-day embryo at which time it is also detectable in other brain regions. Expression in the pineal gland increases during the embryonic period and is maintained thereafter at levels equivalent to those found in the cerebell...

  9. Malignant tumors of head and neck region - a retrospective analysis

    International Nuclear Information System (INIS)

    To evaluate the spectrum of malignant tumors of head and neck region. The data of total 375 neoplastic lesions of both the sexes between 8-70 years of age was collected and compared with the findings reported from centers in other parts of the country. Among the total 375 cases of neoplastic lesions, 148 were benign whereas 227 proved to be malignant histologically in 155 male and 72 female patients. Squamous cell carcinoma (SCC) was the most frequently encountered histological category (45.8%) followed by lymphoma (14.5%), basal cell carcinoma (10.5%), carcinoma thyroid (10.5%) and salivary gland tumors (8.80%). These were followed by infrequently encountered tumors including nasopharyngeal carcinoma (n=5), small blue round cell tumors (n=3), undifferentiated carcinoma (n=3), retinoblastoma (n=2) and transitional carcinoma nose (n=1). The anatomical regions involved with this tumor were larynx (53.5% of all SCC) followed by pharynx (18.7%) tongue (10.71%) oral cavity (4.4%) metastasis (5.3%) and skin (2.60%). (author)

  10. Primary pineal malignant melanoma with B-Raf V600E mutation: a case report and brief review of the literature.

    Science.gov (United States)

    Jetschke, Kathleen; Viehweger, Heike; Freesmeyer, Martin; Warnke, Jan-Peter; Mawrin, Christian

    2015-07-01

    Primary pineal melanoma is exceedingly rare, and sufficient treatment options have not been established. Here we describe a 57-year-old male patient who presented with short-term memory disturbance and ataxia. Magnetic resonance imaging of the brain showed a tumor mass in the pineal gland. Biopsy revealed a malignant melanocytic tumor. No primary malignant melanoma was known, and extensive imaging studies including PET-CT excluded other sites affected by a malignant melanoma. The demonstration of the BRAF V600E mutation in the pineal tumor made the patient eligible for intrathecal treatment with vemurafenib. Unfortunately, the patient died 26 days after surgery due to tumor hemorrhage. This is the first report of V600E in primary pineal melanoma, suggesting that a fraction of these rare tumors might additionally benefit from vemurafenib treatment. PMID:25976339

  11. The Lhx9 homeobox gene controls pineal gland development and prevents postnatal hydrocephalus.

    Science.gov (United States)

    Yamazaki, Fumiyoshi; Møller, Morten; Fu, Cong; Clokie, Samuel J; Zykovich, Artem; Coon, Steven L; Klein, David C; Rath, Martin F

    2015-05-01

    Lhx9 is a member of the LIM homeobox gene family. It is expressed during mammalian embryogenesis in the brain including the pineal gland. Deletion of Lhx9 results in sterility due to failure of gonadal development. The current study was initiated to investigate Lhx9 biology in the pineal gland. Lhx9 is highly expressed in the developing pineal gland of the rat with transcript abundance peaking early in development; transcript levels decrease postnatally to nearly undetectable levels in the adult, a temporal pattern that is generally similar to that reported for Lhx9 expression in other brain regions. Studies with C57BL/6J Lhx9(-/-) mutant mice revealed marked alterations in brain and pineal development. Specifically, the superficial pineal gland is hypoplastic, being reduced to a small cluster of pinealocytes surrounded by meningeal and vascular tissue. The deep pineal gland and the pineal stalk are also reduced in size. Although the brains of neonatal Lhx9(-/-) mutant mice appear normal, severe hydrocephalus develops in about 70% of the Lhx9(-/-) mice at 5-8 weeks of age; these observations are the first to document that deletion of Lhx9 results in hydrocephalus and as such indicate that Lhx9 contributes to the maintenance of normal brain structure. Whereas hydrocephalus is absent in neonatal Lhx9(-/-)mutant mice, the neonatal pineal gland in these animals is hypoplastic. Accordingly, it appears that Lhx9 is essential for early development of the mammalian pineal gland and that this effect is not secondary to hydrocephalus. PMID:24647753

  12. Hibernoma of the axillary region: a rare benign adipocytic tumor

    Directory of Open Access Journals (Sweden)

    Yasuhito Tanaka

    2010-03-01

    Full Text Available Hibernoma is a rare benign tumor considered to arise from remnants of fetal brown adipose tissue. It tends to occur in sites where brown fat persists beyond fetal life, such as the interscapular region, but can occur in sites where brown fat is usually absent in adults. Clinically, hibernomas are slow-growing, asymptomatic tumors. However, unlike lipomas, MRI findings sometimes mislead clinicians to diagnose a malignant neoplasm. We describe a 63-year-old male with an axillary hibernoma involving the brachial neurovascular bundles and mimicking a well-differentiated liposarcoma, from which it should be distinguished.

  13. CT and MRI of germ-cell tumors with metastasis or multi-located tumors

    International Nuclear Information System (INIS)

    Twenty-seven cases of germ-cell tumors were examined with a CT scan in our clinic. In the 11 cases of metastasis or multi-localized tumors, the CT findings were studied in connection with the MRI findings. There were 6 cases of germ-cell tumors which had broad infiltrating tumors with multiple lesions on first admission. Their tumor sites were different from that in cases of malignant glioma, being frequently localized in the pineal and/or the suprasellar region, on the wall of the third and/or lateral ventricle, and in the region of the basal ganglia. Five of the cases of germ-cell tumors had metastasis with various patterns connected to a remote area - that is, to spinal cords, to the ventricular wall and basal cistern of the brain stem by CSF dissemination, to a lung by hematogeneous metastasis, and to the peritoneal wall or organs by a V-P shunt. The CT findings of germ-cell tumors were correlated mainly with the results of the histological diagnosis; they were found not to differ with the tumor site. The germinoma in the suprasellar region had less calcification than in the pineal region. Cysts, calcification, and an enlargement of the lateral ventricle on the tumor side were frequently seen in the germinoma of the basal ganglia. On the MRI of 5 cases of germinoma, the T1-weighted image revealed a slightly low or iso signal intensity, while the T2-weighted image showed a high signal intensity. In the case of multiple tumor lesions, some cases demonstrated different CT findings and radiosensitivities for each tumor. The possibility of a multicentric origin for the tumors is thus suggested in some cases of germ-cell tumors. (author)

  14. Long-term clinical outcome in patients with pineal germinoma

    International Nuclear Information System (INIS)

    We retrospectively analyzed the long-term clinical course of 10 patients with pineal germinomas to determine the best treatment modality for achieving a good outcome. Subjects were treated at the Gunma University Hospital between 1980 and 1998, given a total dose of 40-50 Gy (mean: 49 Gy) delivered under a conventional fractionation schedule. Tumors had shrunk at 20 Gy in all 10 patients. Mean follow-up was 13.5 years (162 months, range, 59 to 268 months). Five-year survival for the group was 100%. None experienced intracranial disease recurrence. No new abnormalities in internal secretion considered to be due to radiotherapy were seen. Karnofsky performance scales (KPS) for 8 of the 10 were 100. KPS of the remaining 2 were 80, including easy fatiguability, mild ataxia, and recent memory disturbance. Administration of doses of 50 Gy for pineal germinoma is adequate for controlling the tumor over the long term but may reduce the patientis quality of life. Further study is therefore needed to determine the optimal dosage for pineal germinoma. (author)

  15. Staging Childhood Brain and Spinal Cord Tumors

    Science.gov (United States)

    ... normally, and how well the muscles, senses, and reflexes work. This may also be called a neuro ... Treatment for information on medulloblastoma, central nervous system primitive neuroectodermal tumors (PNETs), and tumors of the pineal ...

  16. Bistable UV pigment in the lamprey pineal

    OpenAIRE

    Koyanagi, Mitsumasa; Kawano, Emi; Kinugawa, Yoshimi; Oishi, Tadashi; Shichida, Yoshinori; Tamotsu, Satoshi; Terakita, Akihisa

    2004-01-01

    Lower vertebrates can detect UV light with the pineal complex independently of eyes. Electrophysiological studies, together with chromophore extraction analysis, have suggested that the underlying pigment in the lamprey pineal exhibits a bistable nature, that is, reversible photoreaction by UV and visible light, which is never achieved by known UV pigments. Here we addressed the molecular identification of the pineal UV receptor. Our results showed that the long-hypothesized pigment is a lamp...

  17. Transcriptome analysis of the zebrafish pineal gland

    OpenAIRE

    Toyama, Reiko; Chen, Xiongfong; Jhawar, Nupur; Aamar, Emil; Epstein, Jonathan; Reany, Nir; Alon, Shahar; Gothilf, Yoav; Klein, David; Dawid, Igor B.

    2009-01-01

    The zebrafish pineal gland (epiphysis) is a site of melatonin production, contains photoreceptor cells, and functions as a circadian clock pace maker. Here we have used microarray technology to study the zebrafish pineal transcriptome. Analysis of gene expression at three larval and two adult stages revealed a highly dynamic transcriptional profile, revealing many genes that are highly expressed in the zebrafish pineal gland. Statistical analysis of the data based on Gene Ontology annotation ...

  18. Circadian Regulation of Pineal Gland Rhythmicity

    OpenAIRE

    Borjigin, Jimo; Zhang, L. Samantha; Calinescu, Anda-Alexandra

    2011-01-01

    The pineal gland is a neuroendocrine organ of the brain. Its main task is to synthesize and secrete melatonin, a nocturnal hormone with diverse physiological functions. This review will focus on the central and pineal mechanisms in generation of mammalian pineal rhythmicity including melatonin production. In particular, this review covers the following topics: (1) local control of serotonin and melatonin rhythms; (2) neurotransmitters involved in central control of melatonin; (3) plasticity o...

  19. Crx broadly modulates the pineal transcriptome

    OpenAIRE

    Rovsing, Louise; Clokie, Samuel; Bustos, Diego M.; Rohde, Kristian; Coon, Steven L.; Litman, Thomas; Rath, Martin F.; Møller, Morten; Klein, David C.

    2011-01-01

    Cone-rod homeobox (Crx) encodes Crx, a transcription factor expressed selectively in retinal photoreceptors and pinealocytes, the major cell type of the pineal gland. Here, the influence of Crx on the mammalian pineal gland was studied by light and electron microscopy and by use of microarray and qRTPCR technology, thereby extending previous studies on selected genes (Furukawa et al. 1999). Deletion of Crx was not found to alter pineal morphology, but was found to broadly modulate the mouse p...

  20. Crx broadly modulates the pineal transcriptome

    DEFF Research Database (Denmark)

    Rovsing, Louise; Clokie, Samuel; Bustos, Diego M; Rohde, Kristian; Coon, Steven L; Litman, Thomas; Rath, Martin F; Møller, Morten; Klein, David C

    2011-01-01

    Cone-rod homeobox (Crx) encodes Crx, a transcription factor expressed selectively in retinal photoreceptors and pinealocytes, the major cell type of the pineal gland. In this study, the influence of Crx on the mammalian pineal gland was studied by light and electron microscopy and by use of microarray and qRTPCR technology, thereby extending previous studies on selected genes (Furukawa et al. 1999). Deletion of Crx was not found to alter pineal morphology, but was found to broadly modulate the m...

  1. Non-pancreatic cancer tumors in the pancreatic region

    OpenAIRE

    Åke Andrén-Sandberg

    2011-01-01

    Most of tumors found in the pancreas are adenocarcinoma of the pancreas. A small number of tumors in the pancreas, such as islet cell tumors or neuroendocrine tumors, papillary cystic neoplasms, lymphoma, acinar cell tumors, metastatic tumors to the pancreas often, have a far better prognosis, and the majority of these tumors are non-malignant or benign. The author reviewed the recent literatures, and summarized where the tumor comes originally in the pancreas, what is the type of the tumor, ...

  2. Crx broadly modulates the pineal transcriptome

    Science.gov (United States)

    Rovsing, Louise; Clokie, Samuel; Bustos, Diego M.; Rohde, Kristian; Coon, Steven L.; Litman, Thomas; Rath, Martin F.; Møller, Morten; Klein, David C.

    2011-01-01

    Cone-rod homeobox (Crx) encodes Crx, a transcription factor expressed selectively in retinal photoreceptors and pinealocytes, the major cell type of the pineal gland. Here, the influence of Crx on the mammalian pineal gland was studied by light and electron microscopy and by use of microarray and qRTPCR technology, thereby extending previous studies on selected genes (Furukawa et al. 1999). Deletion of Crx was not found to alter pineal morphology, but was found to broadly modulate the mouse pineal transcriptome, characterized by a >2-fold downregulation of 543 genes and a >2-fold upregulation of 745 genes (p < 0.05). Of these, one of the most highly upregulated (18-fold) is Hoxc4, a member of the Hox gene family, members of which are known to control gene expression cascades. During a 24-hour period, a set of 51 genes exhibited differential day/night expression in pineal glands of wild-type animals; only eight of these were also day/night expressed in the Crx?/? pineal gland. However, in the Crx?/? pineal gland 41 genes exhibit differential night/day expression that is not seen in wild-type animals. These findings indicate that Crx broadly modulates the pineal transcriptome and also influences differential night/day gene expression in this tissue. Some effects of Crx deletion on the pineal transcriptome might be mediated by Hoxc4 upregulation. PMID:21797868

  3. Estudo por ressonância magnética da região da pineal: pineal normal e cistos simples

    OpenAIRE

    CALDAS JOSÉ GUILHERME; DOYON DOMINIQUE; LEDERMAN HENRIQUE; CARLIER ROBERT

    1998-01-01

    Realiza-se um estudo por ressonância magnética da pineal normal e dos cistos simples da pineal e estabelece-se um protocolo para estudo da região pineal analisando-se 762 exames. A utilização da técnica com cortes finos (3 milímetros no máximo) identifica a pineal normal na maioria das vezes (84,4%) e demonstra que a pineal normal, sem cistos, apresenta sinal isointenso em Tl e T2 com realce após a injeção de gadolínio, medindo em média 6,1 milímetros no seu maior diâmetro. Os cistos simples ...

  4. Corpus pineale og MR billeddiagnostik

    DEFF Research Database (Denmark)

    Langevad, Line; Madsen, Camilla Gøbel; Siebner, Hartwig; Garde, Ellen

    2014-01-01

    The pineal gland (CP) is located centrally in the brain and produces melatonin. Cysts and concrements are frequent findings on MRI but their significance is still unclear. The visualization of CP is difficult due to its location and surrounding structures and so far, no standardized method exists. New studies suggest a correlation between CP-morphology and melatonin secretion as well as a connection between melatonin, disturbed circadian rhythm, and the development of cancer and cardiovascular d...

  5. Pineal tumours in the north of England 1968-93.

    OpenAIRE

    Bailey, S.; Skinner, R.; Lucraft, H. H.; Perry, R.H.; Todd, N; Pearson, A. D.

    1996-01-01

    The records of 38 patients under 25 years of age presenting with pineal tumours between 1968 and 1993, identified from the Northern Region Children's and Young Adults' Malignant Disease Registry, were analysed retrospectively with regards to clinical presentation, diagnostic approach, treatment strategy, and outcome. The overall five year survival was 45%. Fifteen patients had a histological diagnosis: six with germinomas, three with teratomas, three with astrocytomas, and three with pinealob...

  6. Pineal malignant neoplasm in association with hereditary retinoblastoma.

    OpenAIRE

    Stannard, C; Knight, B K; Sealy, R

    1985-01-01

    A patient with unilateral hereditary retinoblastoma who was successfully treated at the age of 7 weeks developed a tumour in the pineal region two and a half years later. The initial response to radiation treatment of the latter lesion was not maintained. Subsequent necropsy findings are described. Clinically and pathologically this case represents an example of the recently described trilateral retinoblastoma. The response to treatment after early recognition was disappointing.

  7. Biosynthesis and biological action of pineal allopregnanolone

    Directory of Open Access Journals (Sweden)

    Kazuyoshi Tsutsui

    2014-05-01

    Full Text Available The pineal gland transduces photoperiodic changes to the neuroendocrine system by rhythmic secretion of melatonin. We recently provided new evidence that the pineal gland is a major neurosteroidogenic organ and actively produces a variety of neurosteroids de novo from cholesterol in birds. Notably, allopregnanolone is a major pineal neurosteroid that is far more actively produced in the pineal gland than the brain and secreted by the pineal gland in juvenile birds. Subsequently, we have demonstrated the biological action of pineal allopregnanolone on Purkinje cells in the cerebellum during development in juvenile birds. Pinealectomy (Px induces apoptosis of Purkinje cells, whereas allopregnanolone administration to Px chicks prevents cell death. Furthermore, Px increases the number of Purkinje cells that express active caspase-3, a crucial mediator of apoptosis, and allopregnanolone administration to Px chicks decreases the number of Purkinje cells expressing active caspase-3. It thus appears that pineal allopregnanolone prevents cell death of Purkinje cells by suppressing the activity of caspase-3 during development. This paper highlights new aspects of the biosynthesis and biological action of pineal allopregnanolone.

  8. Corpus pineale og MR billeddiagnostik

    DEFF Research Database (Denmark)

    Langevad, Line; Madsen, Camilla GØbel

    2014-01-01

    The pineal gland (CP) is located centrally in the brain and produces melatonin. Cysts and concrements are frequent findings on MRI but their significance is still unclear. The visualization of CP is difficult due to its location and surrounding structures and so far, no standardized method exists. New studies suggest a correlation between CP-morphology and melatonin secretion as well as a connection between melatonin, disturbed circadian rhythm, and the development of cancer and cardiovascular diseases, underlining the need for a standardized approach to CP on MRI.

  9. FULLY AUTOMATED APPROACH TO IDENTIFY BRAIN TUMORS USING DYNAMIC REGION MERGING

    OpenAIRE

    ASHWINI JANGDE, NAVNEET SAHU

    2013-01-01

    : Image segmentation is a fundamental task of computer vision application. In this paper address the automatic image segmentation algorithum, which exploit the information obtain from deducting tumor in brain MRI. Many segmentation technic are used to deduct the tumor portion like Thresholding technic, Hybrid technic , Boundary based technic, and Region based technic but in this all technic should deducted the initial tumor tissue but when the secondary tumor present or more than one tumor ar...

  10. Treatment Option Overview (Childhood Brain and Spinal Cord Tumors)

    Science.gov (United States)

    ... normally, and how well the muscles, senses, and reflexes work. This may also be called a neuro ... Treatment for information on medulloblastoma, central nervous system primitive neuroectodermal tumors (PNETs), and tumors of the pineal ...

  11. General Information about Childhood Brain and Spinal Cord Tumors

    Science.gov (United States)

    ... normally, and how well the muscles, senses, and reflexes work. This may also be called a neuro ... Treatment for information on medulloblastoma, central nervous system primitive neuroectodermal tumors (PNETs), and tumors of the pineal ...

  12. Treatment of Newly Diagnosed and Recurrent Childhood Brain Tumors

    Science.gov (United States)

    ... normally, and how well the muscles, senses, and reflexes work. This may also be called a neuro ... Treatment for information on medulloblastoma, central nervous system primitive neuroectodermal tumors (PNETs), and tumors of the pineal ...

  13. [Histologic study of the pineal organ in tinamid birds].

    Science.gov (United States)

    Redins, C A; Machado, A B

    1989-05-01

    The pineal organs of 10 species of tinamid birds belonging to the genera Crypturellus, Nothura, Rhynchotus and Tinamus were studied in serial microscopic sections of the entire medial region of the brain. All were located in a triangular space formed by the cerebral hemispheres and the cerebellum. They have the form of a club with the enlarged distal part enclosed in the dura-mater. In all species the pineal is formed of tubulofollicular structures, the walls of which are covered by a pseudo-stratified epithelium with elongated cells. In Rhynchotus and Nothura there is a predominance of small follicles with a reduced lumen and a regular outline, whereas in Tinamus and Crypturellus there is a predominance of large follicles with a wide lumen and an irregular outline. Our results show that morphological organization of the pineal organs in tinamids is similar to that observed for the majority of modern birds, in spite of the fact that they are generally regarded as very primitive. PMID:2608946

  14. Pineal Function: Impact of Microarray Analysis

    Science.gov (United States)

    Klein, David C.; Bailey, Michael J.; Carter, David A.; Kim, Jong-so; Shi, Qiong; Ho, Anthony; Chik, Constance; Gaildrat, Pascaline; Morin, Fabrice; Ganguly, Surajit; Rath, Martin F.; Møller, Morten; Sugden, David; Rangel, Zoila G.; Munson, Peter J.; Weller, Joan L.; Coon, Steven L.

    2009-01-01

    Microarray analysis has provided a new understanding of pineal function by identifying genes that are highly expressed in this tissue relative to other tissues and also by identifying over 600 genes that are expressed on a 24-hour schedule. This effort has highlighted surprising similarity to the retina and has provided reason to explore new avenues of study including intracellular signaling, signal transduction, transcriptional cascades, thyroid/retinoic acid hormone signaling, metal biology, RNA splicing, and the role the pineal gland plays in the immune/inflammation response. The new foundation that microarray analysis has provided will broadly support future research on pineal function. PMID:19622385

  15. Pineal thyroid relationship in psychic stress

    Energy Technology Data Exchange (ETDEWEB)

    Singh, P.N.; Prasad, G.C.; Udupa, K.N. (Banaras Hindu Univ. (India). Inst. of Medical Sciences)

    1981-07-01

    Pineal hormone and thyroid functions, were studied simultaneously in rats after the induction of acute psychic stress as well as exogenous administration of melatonin, thyroxine and also after thyroidectomy. A gradual increase in /sup 131/I uptake, serum PBI and melatonin levels were observed in blood, reaching a maximum on the 8th day of psychic stress. Melatonin administration resulted in hypothyroidism whereas thyroxine increased the activity of the pineal gland. Thyroidectomy revealed a gradual decrease in melatonin content of the pineal gland whereas supplementation with thyroxine resulted in a melatonin content similar to that observed in the sham operated (control) group.

  16. Pineal thyroid relationship in psychic stress

    International Nuclear Information System (INIS)

    Pineal hormone and thyroid functions, were studied simultaneously in rats after the induction of acute psychic stress as well as exogenous administration of melatonin, thyroxine and also after thyroidectomy. A gradual increase in 131I uptake, serum PBI and melatonin levels were observed in blood, reaching maximum on 8th day of psychic stress. Melatonin administration resulted in hypothyroidism whereas thyroxine increased the activity of pineal qland. Thyroidectomy revealed a gradual decrease in melatonin content of pineal gland whereas supplementation with thyroxine resulted in a melatonin content similar to that observed in sham operated (control) group. (author)

  17. NeuroD1: developmental expression and regulated genes in the rodent pineal gland

    DEFF Research Database (Denmark)

    Muñoz, Estela M; Bailey, Michael J

    2007-01-01

    NeuroD1/BETA2, a member of the bHLH transcription factor family, is known to influence the fate of specific neuronal, endocrine and retinal cells. We report here that NeuroD1 mRNA is highly abundant in the developing and adult rat pineal gland. Pineal expression begins in the 17-day embryo at which time it is also detectable in other brain regions. Expression in the pineal gland increases during the embryonic period and is maintained thereafter at levels equivalent to those found in the cerebellum and retina. In contrast, NeuroD1 mRNA decreases markedly in non-cerebellar brain regions during development. Pineal NeuroD1 levels are similar during the day and night, and do not appear to be influenced by sympathetic neural input. Gene expression analysis of the pineal glands from neonatal NeuroD1 knockout mice identifies 127 transcripts that are down-regulated (>twofold, p twofold, p <0.05). According to quantitative RT-PCR, the most dramatically down-regulated gene is kinesin family member 5C ( approximately 100-fold) and the most dramatically up-regulated gene is glutamic acid decarboxylase 1 ( approximately fourfold). Other impacted transcripts encode proteins involved in differentiation, development, signal transduction and trafficking. These findings represent the first step toward elucidating the role of NeuroD1 in the rodent pinealocyte.

  18. Transcriptome analysis of the zebrafish pineal gland

    Science.gov (United States)

    Toyama, Reiko; Chen, Xiongfong; Jhawar, Nupur; Aamar, Emil; Epstein, Jonathan; Reany, Nir; Alon, Shahar; Gothilf, Yoav; Klein, David; Dawid, Igor B.

    2010-01-01

    The zebrafish pineal gland (epiphysis) is a site of melatonin production, contains photoreceptor cells, and functions as a circadian clock pace maker. Here we have used microarray technology to study the zebrafish pineal transcriptome. Analysis of gene expression at three larval and two adult stages revealed a highly dynamic transcriptional profile, revealing many genes that are highly expressed in the zebrafish pineal gland. Statistical analysis of the data based on Gene Ontology annotation indicates that many transcription factors are highly expressed during larval stages, whereas genes dedicated to phototransduction are preferentially expressed in the adult. Furthermore, several genes were identified that exhibit day/night differences in expression. Among the multiple candidate genes suggested by these data we note the identification of a tissue-specific form of the unc119 gene with a possible role in pineal development. PMID:19504458

  19. Melatonin synthesis in the human pineal gland

    OpenAIRE

    Stehle Jörg H; Kauert Gerold; Rüb Udo; Bux Roman; Ackermann Katrin

    2007-01-01

    Poster presentation: The mammalian pineal organ is a peripheral oscillator, depending on afferent information from the so-called master clock in the suprachiasmatic nuclei of the hypothalamus. One of the best studied outputs of the pineal gland is the small and hydrophobic molecule melatonin. In all vertebrates, melatonin is synthesized rhythmically with high levels at night, signalling the body the duration of the dark period. Changes or disruptions of melatonin rhythms in humans are related...

  20. Late intrathoracic relapse of pineal germinoma connected to intraspinal canal

    Directory of Open Access Journals (Sweden)

    Utsuki Satoshi

    2007-01-01

    Full Text Available Extraneural metastases of intracranial germinoma are rarely reported. The authors describe the first case of metastatic lung germinoma of the thoracic spine. A 27-year-old man presented with right shoulder pain and right upper limb weakness. He had a history of repetitive radiation therapy - nine (whole-abdomen; 15Gy, 12 (whole brain; 30Gy, whole spine 42Gy and 14 years ago (local; 32Gy - for abdominal metastasis, temporal and fourth ventricle metastasis and spinal dissemination and metastatic pineal germinoma, respectively. Magnetic resonance imaging revealed a lung mass invading the thoracic spine that was diagnosed as a germinoma by tumor biopsy. He was treated by irradiation with 54Gy and two cycles of chemotherapy with cisplatin and etoposide. He did not have any sign of tumor eight years later.

  1. Mutation Screening in the Mitochondrial D-Loop Region of Tumoral and Non-tumoral Breast Cancer in Iranian Patients

    Directory of Open Access Journals (Sweden)

    Mansour Heidari

    2012-07-01

    Full Text Available The mitochondrial DNA (mtDNA mutations in mitochondrial coding and non coding regions seem to be important in carcinogenesis. The aim of this investigation was to evaluate coding region (mt-tRNAPhe and tRNAPro and non-coding sequence, mitochondrial displacement loop (mtDNA D-loop, in the cancerous and non-cancerous lesions of Iranian patients with breast cancer (BC. Genomic DNA was extracted from 50 breast tumors and surrounding normal tissue pairs as well as from 50 unrelated normal breast tissues from Iranian Kurdish population. Subsequently, PCR amplification was performed using specific primers, and then PCR products were subjected to direct sequencing. 41 genetic variants were identified in mtDNA D-loop among tumoral and non-tumoral tissues but not in tRNAPhe and tRNAPro sequences. Our findings indicated that C182T, 194insT, 285insA and 16342delT were just found in BC tumors whereas 302insC, C309T and C16069T found in both tumors and surrounding normal tissues. Although our findings showed that the observed genetic variations were not restricted to breast cancer tissues, some genetic changes were found only in BC tumors. Our results, in agreement with the evidence from earlier studies, confirm that the mtDNA genetic alterations might be implicated in tumor initiation, progression and development. text-align: justify;

  2. Supratentorial tumors; Supratentorielle Tumoren

    Energy Technology Data Exchange (ETDEWEB)

    Grunwald, I.; Dillmann, K.; Roth, C.; Backens, M.; Reith, W. [Universitaetsklinikum Saarland, Homburg (Germany). Klinik fuer Diagnostische und Interventionelle Neuroradiologie

    2007-06-15

    Magnetic resonance imaging is a routine diagnostic measure for a suspected intracerebral mass. Computed tomography is usually also indicated. Further diagnostic procedures as well as the interpretation of the findings vary depending on the tumor location. This contribution discusses the symptoms and diagnostics for supratentorial tumors separated in relation to their intra- or extracranial location. Supratentorial tumors include astrocytoma, differentiated by their circumscribed and diffuse growth, ganglioglioma, ependyoma, neurocytoma, primitive neuroectodermal tumors (PNET), oligodendroglioma, dysembryoplastic neuroepithelial tumors (DNET), meningoangiomatosis, pineal tumors, hamartoma, lymphoma, craniopharyngeoma and metastases. The supratentorial extracranial tumors include the choroid plexus, colloid cysts, meningeoma, infantile myofibromatosis and lipoma. The most common subforms, especially of astrocytoma, will also be presented. (orig.)

  3. Postnatal development of the dog pineal gland. Light microscopy

    OpenAIRE

    Calvo, J.L.; Boya, J.; García-Mauriño, A.; López Carbonell, A.

    1990-01-01

    The light microscopical morphology of the dog pineal gland from the first postnatal day to maturity is described. In the first postnatal week, the pineal parenchyma shows immature cells and many mitotic figures. In this week, pigmented cells are obsemed for the first time, both in the pineal gland and in extrapineal nodules. Throughout the second week, the pineal parenchyma shows a cordonal pattern that disappears progressively in the following stages. From the...

  4. Tumors and tumor - like lesions of the oro - facial region at Mayo hospital, Lahore - a five year study

    International Nuclear Information System (INIS)

    The oro-facial region including the oral cavity, the maxilla and mandible and related tissues can be the site of a multitude of neoplastic conditions. These tumours have a predilection for the entire facial region; however, odontogenic tumours tend to affect the mandible more than the maxilla. We report results from a retrospective study spanning five years on the frequency, clinical presentation, sites and character of orofacial tumors seen in the main referral hospital of Pakistan. Patients and Methods: Records of consecutive patients of all age and sex seen by the author's team at the Department of Oral and Maxillofacial Surgery, Mayo Hospital with tumours affecting the oro-facial region from January 2005 to December 2009 were retrieved, coded and entered into a database. The data were then analyzed by age, sex, presenting signs and symptoms, site of lesion, and their histology. Results: A total of 237 patients with oro-facial swellings were retrieved from the registry. The complete data set was obtained for 189 patients, comprising 108 (57.9%) males and 81 (42%) females. The most common clinical presenting features were mandibular facial swelling (63%), intra-oral swelling (55%), and ulceration (29%). The tumors were found in the mandible 67 (35%), buccal mucosa 33 (17%), floor of the mouth 22 (11%) and tongue 29 (15%). The remainder making up almost 20% was found in the palate, submandibular region, pre auricular region and lips. Ninety three (49.2%) of the patients presented with lesions that were classified as malignant of which 64 (69%) were diagnosed as squamous cell carcinoma (SCC). seventy (37.0%) had benign odontogenic tumors and twenty six (13.7%) had non-odontogenic tumor - like lesions. Sixty - four (69%) of malignant tumors were squamous cell carcinoma; sixty four (86.4%) of the benign odontogenic tumors were classified as ameloblastoma. The mean age at presentation of all lesions was 40.4 years with over 50% of benign lesions in patients aged between 30 and 40 years. Malignant tumors were more commonly detected in patients between 41 and 70 years (63%). Conclusion: Tumors and tumor - like lesions of the oro-facial region comprising the mandible tongue and adjacent structures are a diverse group of neoplasm and are seen commonly in practice of maxillofacial surgery. Both malignant and benign tumours are seen. In the present study, SCC and ameloblastoma were the commonest malignant and benign odontogenic tumours seen respectively; the two representing more than 65% of all tumors. (author)

  5. [Intracranial germ cell tumors: the point of view of the endocrinologist].

    Science.gov (United States)

    Krysiak, Robert

    2013-01-01

    Extragonadal germ cell tumors are rare neoplasms most commonly diagnosed in the first and second decades of life. Intracranially they tend to arise in the midline in the pineal and hypothalamic/intrasellar regions. The clinical presentation in the central nervous system depends on the patient's age, tumor location, and tumor size. Because of the proximity of these tumors to the hypothalamus and pituitary gland, their presence often results in the development of various hormonal abnormalities. Patients most often present with diabetes insipidus, growth hormone insufficiency and precocious puberty. Early diagnosis of germ cell tumors is of the utmost importance as they are highly radiosensitive, although the correct diagnosis may be sometimes difficult to achieve. In this paper, we review different aspects of pathology, clinical presentation, diagnosis and management of intracranial germ cell tumors. Particular attention is paid to the endocrine aspects of these tumors. PMID:24697039

  6. [Analysis of brain tumors in children from the Rzeszów region].

    Science.gov (United States)

    Dzianott, A; Korczowski, R; Czyzyk, E; Mazur, A

    1995-03-01

    The authors present an analysis of brain tumors diagnosed in the pediatric ward of the voivodship hospital in Rzeszów between 1988 and 1992. Age, sex and clinical manifestation leading to hospitalisation, localisation and histopathology of the tumors were assessed. PMID:8657489

  7. Pineal expression-promoting element (PIPE), a cis-acting element, directs pineal-specific gene expression in zebrafish

    OpenAIRE

    Asaoka, Yoichi; Mano, Hiroaki; Kojima, Daisuke; Fukada, Yoshitaka

    2002-01-01

    The pineal gland, sharing morphological and biochemical similarities with the retina, plays a unique and central role in the photoneuroendocrine system. The unique development of the pineal gland is directed by a specific combination of the expressed genes, but little is known about the regulatory mechanism underlying the pineal-specific gene expression. We isolated a 1.1-kbp fragment upstream of the zebrafish exo-rhodopsin (exorh) gene, which is expressed specifically in the pineal gland. Tr...

  8. Tumor odontógeno adenomatoide en región mandibular / Adenomatoid odontogenic tumor in mandibular region

    Scientific Electronic Library Online (English)

    Ernesto, Sánchez Cabrales; Dadonim, Vila Morales; Ángel Mario, Felipe Garmendia; Alain, Serra Ortega; Alma, Torres Gómez de Cádiz.

    2010-12-01

    Full Text Available El tumor odontogénico adenomatoide es un tumor poco frecuente derivado del epitelio odontontogénico, que contiene estructuras canaliculares con modificaciones inductivas de intensidad variable en el tejido conjuntivo. Es una lesión de crecimiento lento y poco invasiva pero que se puede asemejar a ot [...] ras lesiones odontógenas de mayor agresividad como el quiste dentígero y el ameloblastoma entre otros. Su localización clásica (área de caninos superiores) nos orienta al diagnóstico y su patrón histológico ductiforme es muy propio de este tumor. Otros tumores que se encuentran dentro de este grupo son el fibroma ameloblástico, el odontoameloblastoma, el quiste odontógeno calcificante y los odontomas compuesto y complejo. Este grupo de lesiones puede o no tener formaciones de tejido duro dental dentro de ellos. Por esta razón, se presenta un paciente con este tipo de tumor, al que se le realizó estudio histopatológico, se revisó la literatura acerca de este tumor odontogénico benigno y sus características clínicas, radiográficas, tratamiento, así como los diagnósticos diferenciales que se deben tener en cuenta. Abstract in english The adenomatoid odontogenic tumor is an uncommon neoplasm derivative of the odontogenic epithelium containing canalicular structures with inductor modifications of variable intensity in the conjunctival tissue. It is a slow growth lesion and no much invasive but that may to be similar to other odont [...] ogenic lesions more aggressive including the dentigerous cyst and the ameloblastoma among others. Its classical location (upper canine area) guides us to diagnosis and its duct histological pattern is very typical of this tumor. Other tumors included in this group are the ameloblastic fibroma, the ameloblastic odontoma, the calcified odontogenic cyst and composed and complex odontomas. This group of lesions may or not to have formations of hard tissue inside. Thus, authors present the case of a patient presenting with this type of tumor making a histopathology study, a literature review on this benign odontogenic tumor and its clinical radiographic features, treatment, as well as the differential diagnoses to be into account.

  9. Tumor odontógeno adenomatoide en región mandibular Adenomatoid odontogenic tumor in mandibular region

    Directory of Open Access Journals (Sweden)

    Ernesto Sánchez Cabrales

    2010-12-01

    Full Text Available El tumor odontogénico adenomatoide es un tumor poco frecuente derivado del epitelio odontontogénico, que contiene estructuras canaliculares con modificaciones inductivas de intensidad variable en el tejido conjuntivo. Es una lesión de crecimiento lento y poco invasiva pero que se puede asemejar a otras lesiones odontógenas de mayor agresividad como el quiste dentígero y el ameloblastoma entre otros. Su localización clásica (área de caninos superiores nos orienta al diagnóstico y su patrón histológico ductiforme es muy propio de este tumor. Otros tumores que se encuentran dentro de este grupo son el fibroma ameloblástico, el odontoameloblastoma, el quiste odontógeno calcificante y los odontomas compuesto y complejo. Este grupo de lesiones puede o no tener formaciones de tejido duro dental dentro de ellos. Por esta razón, se presenta un paciente con este tipo de tumor, al que se le realizó estudio histopatológico, se revisó la literatura acerca de este tumor odontogénico benigno y sus características clínicas, radiográficas, tratamiento, así como los diagnósticos diferenciales que se deben tener en cuenta.The adenomatoid odontogenic tumor is an uncommon neoplasm derivative of the odontogenic epithelium containing canalicular structures with inductor modifications of variable intensity in the conjunctival tissue. It is a slow growth lesion and no much invasive but that may to be similar to other odontogenic lesions more aggressive including the dentigerous cyst and the ameloblastoma among others. Its classical location (upper canine area guides us to diagnosis and its duct histological pattern is very typical of this tumor. Other tumors included in this group are the ameloblastic fibroma, the ameloblastic odontoma, the calcified odontogenic cyst and composed and complex odontomas. This group of lesions may or not to have formations of hard tissue inside. Thus, authors present the case of a patient presenting with this type of tumor making a histopathology study, a literature review on this benign odontogenic tumor and its clinical radiographic features, treatment, as well as the differential diagnoses to be into account.

  10. Malignant giant cell tumor of soft parts in lumbosacral region

    Directory of Open Access Journals (Sweden)

    Jadali F

    2008-04-01

    Full Text Available Background: Giant cell tumor of soft parts is a rare neoplasm that mainly affects adulst and the elderly and is usually located in the extremities. Here we report a child with giant cell tumor of soft tissue, which is a very rare condition in childhood. Clinical presentation : A 5 year old girl presented with a 5 month history of left lower extremity pain. She had developed paraplegia before admission. On examination, mild left lumbosacral swelling and tenderness was found. Abdominal and pelvic CT-Scan revealed an expansile lytic lesion of the left side of sacrum with significant soft tissue component extending toward the left iliac bone. Lumbar MRI revealed a space occupying lesion originating from posterior L5 elements, projecting toward the L1. Intervention : The patient underwent surgery. A firm epidural hemorrhagic tumor of L5, S1, and S2 with no spinal cord involvement was found. Partial tumor resection (measuring 3*1*0.5 cm in maximal diameter and laminectomy was done. Conclusion : Primary giant cell tumors of soft tissue are distinctive, rare neoplasms that exhibit a wide clinicopathologic spectrum similar to osseous GCTs and need to be differentiated from other giant cell rich soft tissue tumors. Recognition of this tumor is important due to its behavior as a low grade malignancy, but this cannot be predicted and metastasis does occur rarely

  11. Pineal control of aging: effect of melatonin and pineal grafting on aging mice.

    OpenAIRE

    Pierpaoli, W.; Regelson, W

    1994-01-01

    Dark-cycle, night administration of the pineal hormone melatonin in drinking water to aging mice (15 months of age) prolongs survival of BALB/c females from 23.8 to 28.1 months and preserves aspects of their youthful state. Similar results were seen in New Zealand Black females beginning at 5 months and C57BL/6 males beginning at 19 months. As melatonin is produced in circadian fashion from the pineal, we grafted pineals from young 3- to 4-month-old donors into the thymus of 20-month-old syng...

  12. MicroRNAs in the Pineal Gland

    Science.gov (United States)

    Clokie, Samuel J. H.; Lau, Pierre; Kim, Hyun Hee; Coon, Steven L.; Klein, David C.

    2012-01-01

    MicroRNAs (miRNAs) play a broad range of roles in biological regulation. In this study, rat pineal miRNAs were profiled for the first time, and their importance was evaluated by focusing on the main function of the pineal gland, melatonin synthesis. Massively parallel sequencing and related methods revealed the miRNA population is dominated by a small group of miRNAs as follows: ?75% is accounted for by 15 miRNAs; miR-182 represents 28%. In addition to miR-182, miR-183 and miR-96 are also highly enriched in the pineal gland, a distinctive pattern also found in the retina. This effort also identified previously unrecognized miRNAs and other small noncoding RNAs. Pineal miRNAs do not exhibit a marked night/day difference in abundance with few exceptions (e.g. 2-fold night/day differences in the abundance of miR-96 and miR-182); this contrasts sharply with the dynamic 24-h pattern that characterizes the pineal transcriptome. During development, the abundance of most pineal gland-enriched miRNAs increases; however, there is a marked decrease in at least one, miR-483. miR-483 is a likely regulator of melatonin synthesis, based on the following. It inhibits melatonin synthesis by pinealocytes in culture; it acts via predicted binding sites in the 3?-UTR of arylalkylamine N-acetyltransferase (Aanat) mRNA, the penultimate enzyme in melatonin synthesis, and it exhibits a developmental profile opposite to that of Aanat transcripts. Additionally, a miR-483 targeted antagonist increased melatonin synthesis in neonatal pinealocytes. These observations support the hypothesis that miR-483 suppresses Aanat mRNA levels during development and that the developmental decrease in miR-483 abundance promotes melatonin synthesis. PMID:22908386

  13. Pineal cyst: study with magnetic resonance

    International Nuclear Information System (INIS)

    The use of magnetic resonance (MR) as a diagnostic technique in central nervous system pathology has made possible the detection of structures that are hard to view with other diagnostic methods. In 21 patients in whom the existence of pineal cyst was detected by chance, we describe the study technique employed and present the MR characterization. In the absence of specific clinical symptoms and sings, the differential diagnosis of this pathology, with respect to other neoplastic formations located in the pineal gland, is based on its typical location behind the third ventricle, its size, which does not vary in the different serial studies, and its signal intensity. (author)

  14. Comparison of some peptidic and proteic ovine pineal fractions with a bovine pineal E5 fraction

    International Nuclear Information System (INIS)

    Using rather simple and mild extraction and separation methods, three ovine pineal fractions (XM 300R - PP 7.2, PP 7.2' and PP 7.2S) were obtained, which contain peptidic/proteic substances and which show fluorescence characteristics of indoles. The ovine fractions were compared with the bovine pineal E5-fraction. The ovine fractions are chemically sensitive to normal laboratory light and stable in red light (#betta# > 600 nm). Immunologically, these fractions and the bovine E5 fraction are stable. From the results of radioimmunological experiments it was concluded that the bovine pineal E5 fraction as well as the ovine pineal fraction XM 300R - PP 7.2 and PP 7.2S may contain (a) peptide(s) ending by the same carboxy terminal tripeptide Pro-Arg-Gly(NH2). (Author)

  15. Comparison of some peptidic and proteic ovine pineal fractions with a bovine pineal E5 fraction

    Energy Technology Data Exchange (ETDEWEB)

    Noteborn, H.P.; Ebels, I.; Salemink, C.A. (State Univ. of Utrecht, Utrecht (Netherlands). Department of Organic Chemistry); Pevet, P. (The Netherlands Institute for Brain Research, Amsterdam (Netherlands).); Reinharz, A.C. (Hopital Cantonal, Geneva (Switzerland). Department of Medicine, Division of Endocrinology); Neacsu, C. (Institute of Cellular Biology and Pathology, Bucharest (Romania).)

    1982-01-01

    Using rather simple and mild extraction and separation methods, three ovine pineal fractions (XM 300R - PP 7.2, PP 7.2' and PP 7.2S) were obtained, which contain peptidic/proteic substances and which show fluorescence characteristics of indoles. The ovine fractions were compared with the bovine pineal E5-fraction. The ovine fractions are chemically sensitive to normal laboratory light and stable in red light (..lambda.. > 600 nm). Immunologically, these fractions and the bovine E5 fraction are stable. From the results of radioimmunological experiments it was concluded that the bovine pineal E5 fraction as well as the ovine pineal fraction XM 300R - PP 7.2 and PP 7.2S may contain (a) peptide(s) ending by the same carboxy terminal tripeptide Pro-Arg-Gly(NH/sub 2/).

  16. Cytodiagnosis of extragonadal pure yolk sac tumor of sacrococcygeal region

    Directory of Open Access Journals (Sweden)

    Kavita Mardi

    2014-01-01

    Full Text Available Yolk sac tumors (YST are rare in extragonadal location. Cytologic diagnosis of YST in such instances may be a challenge to the pathologist. We studied Fine needle Aspiration (FNA material from a sacrococcygeal mass in a 18-month-old female child presenting with a progressively increasing sacrococcygeal mass. Cytologic features include large pleomorphic balls of tumor cells with high nuclear to cytoplasmic ratios, papillary or micro-glandular pattern of growth, cytoplasmic and intra-nuclear vacuoles, and prominent nucleoli. Per Iodic Acid Schiff (PAS positive intra-cytoplasmic as well as extracellular hyaline globules were also seen. The subsequent biopsy was consistent with the FNA diagnosis, and immuno-histochemically, the tumor cells were positive for Alpha Feto Protein (AFP supporting the diagnosis.

  17. Pineal cysts: an incidental MRI finding?

    OpenAIRE

    Di Costanzo, A; Tedeschi, G; Di Salle, F; Golia, F; Morrone, R.; Bonavita, V

    1993-01-01

    The incidence of pineal cysts (PC) in "standard" MRI was reviewed. Seven cases of PC were found from 400 consecutive MRI examinations. PC did not produce clinically relevant symptoms in any of the patients. Our data, as well as those emerging from a critical review of the literature, suggest that PC are often asymptomatic and represent an incidental MRI finding.

  18. MR-billeddiagnostik af corpus pineale

    DEFF Research Database (Denmark)

    Langevad, Line; Gøbel Madsen, Camilla; Siebner, Hartwig R.; Garde, Ellen

    2014-01-01

    Tilgængeligheden af højopløselige MR-teknikker har ført til større opmærksomhed på og nye spørgsmål vedrørende corpus pineales (CP) funktion og kliniske betydning. Dertil kommer en stigende interesse for hormonet melatonins kliniske betydning og relation til forandringer i CP. I denne statusartikel fokuseres der på ikkeneoplastiske forandringer i CP, aktuel viden fra patologi- og MR-studier samt skanningspraksis.

  19. MR imaging of pineal cyst. Gd-DTPA wall enhancement pattern

    International Nuclear Information System (INIS)

    We investigated the characteristic diagnostic imaging features of pineal cysts in 14 patients. Periodic MR images were obtained on all of them during the follow-up period of more than one year. Neurological deficits attributable to a pineal cyst were observed in only one patient, who had a convergence disturbance. the T1-and T2-weighted images were studied in all 14 cases, and to enhance contrast, Gd-DTPA was administered to all patients. The cysts had homogenous low intensity signals in T1-weighted images and there were homogenous high intensity regions in T2-weighted images. The margins were clear with little mass effect on the surrounding brain tissues. The results of Gd-DTPA enhancement of the cyst wall revealed the existence of three distinct patterns. They were: 1) A ring-like enhancement pattern seen in four cases, 2) an arcuate (partial) enhancement pattern observed in five patients, and 3) no enhancement, found in another five cases. The degree of enhancement was influenced by the relationship between thickness of the cyst wall and the spatial resolution of the MRI image. During the follow-up period no increase in the size of a given cyst was evident. These studies emphasize that follow-up MR imaging is necessary for determining changes in pineal cysts over time. Moreover, sagittal MR images are particularly useful for diagnosing pineal cysts and for understanding the relationship between the cyst and the surrounding tissues. (author)

  20. Pineal tumours: Experience of the French National Register and the Lyon School, results and considerations.

    Science.gov (United States)

    Mottolese, C; Beuriat, P A; Szathmari, A

    2015-01-01

    The experience of the French National Register of pineal tumours and the experience of the Lyon School are reported. Data were collected from 26 French neurosurgical centres from 1989 in Lyons and in other centres from 1997. For radiological and pathological studies, 517 cases were considered while only 452 with sufficient clinical and follow-up data were retained for further analysis. These data highlight the importance of the initial diagnosis for a therapeutic strategy that can be completely different in cases of pineal or germ cell tumours. As regards the latter, chemotherapy and radiotherapy can avoid surgery. Pineocytomas are benign lesions and their complete removal guarantees the cure. Pineal parenchymal tumours with intermediate differentiation (PTT-ID) require complete removal and complementary treatment in cases of histological abnormalities with approximately 66% of patients who remain alive. Pineoblastomas have a poor prognosis and the rate of survival in the French National Register is only 33% of cases. Germinomas can be treated with chemotherapy or radiotherapy alone and generally the indication for surgical removal is limited to residual tumours. The rate of survival is 64% at 10 years. For papillary tumours of the pineal region (PTPR) complete removal is a good prognostic factor. Radiotherapy seems to be effective in cases of residual tumours. The experience and results with radiosurgery treatment have been limited in the French national and Lyon experience. PMID:24933478

  1. MR imaging of pineal cyst. Gd-DTPA wall enhancement pattern

    Energy Technology Data Exchange (ETDEWEB)

    Satoh, Hideki; Uozumi, Tohru; Arita, Kazunori; Kurisu, Kaoru; Sumida, Masayuki; Migita, Keisuke [Hiroshima Univ. (Japan). School of Medicine; Kiya, Katsuzo; Ikawa, Fusao

    1994-12-01

    We investigated the characteristic diagnostic imaging features of pineal cysts in 14 patients. Periodic MR images were obtained on all of them during the follow-up period of more than one year. Neurological deficits attributable to a pineal cyst were observed in only one patient, who had a convergence disturbance. the T{sub 1}-and T{sub 2}-weighted images were studied in all 14 cases, and to enhance contrast, Gd-DTPA was administered to all patients. The cysts had homogenous low intensity signals in T{sub 1}-weighted images and there were homogenous high intensity regions in T{sub 2}-weighted images. The margins were clear with little mass effect on the surrounding brain tissues. The results of Gd-DTPA enhancement of the cyst wall revealed the existence of three distinct patterns. They were: (1) A ring-like enhancement pattern seen in four cases, (2) an arcuate (partial) enhancement pattern observed in five patients, and (3) no enhancement, found in another five cases. The degree of enhancement was influenced by the relationship between thickness of the cyst wall and the spatial resolution of the MRI image. During the follow-up period no increase in the size of a given cyst was evident. These studies emphasize that follow-up MR imaging is necessary for determining changes in pineal cysts over time. Moreover, sagittal MR images are particularly useful for diagnosing pineal cysts and for understanding the relationship between the cyst and the surrounding tissues. (author).

  2. FULLY AUTOMATED APPROACH TO IDENTIFY BRAIN TUMORS USING DYNAMIC REGION MERGING

    Directory of Open Access Journals (Sweden)

    ASHWINI JANGDE, NAVNEET SAHU

    2013-08-01

    Full Text Available : Image segmentation is a fundamental task of computer vision application. In this paper address the automatic image segmentation algorithum, which exploit the information obtain from deducting tumor in brain MRI. Many segmentation technic are used to deduct the tumor portion like Thresholding technic, Hybrid technic , Boundary based technic, and Region based technic but in this all technic should deducted the initial tumor tissue but when the secondary tumor present or more than one tumor are present in same brain image it is difficult to deducted the irregular tissue from the regular surrounding tissue to get real identification of involved and non involved area which help the surgeon to distinguish the total effected area covered by (primary & secondary tumor portion. The proposed method is DRM(dynamic region growingto deducted the tumor boundary in region merging style .In this paper two essential issue in a region merging algorithms : order of merging and stopping criteria.in the proposed method this two issued are solved by a novel predicates ,which is defined by a sequential probability ratio test (SPRTand minimum cost criterion. We also proved that the producedsegmentation satisfied certain global properties

  3. Mutation Screening in the Mitochondrial D-Loop Region of Tumoral and Non-tumoral Breast Cancer in Iranian Patients

    OpenAIRE

    Mansour Heidari; Samira Saee-Rad; Kazem Zendehdel; Reza Raoofian; Ramesh Omranipour; Cyrus Azimi; Babak Rahmani

    2012-01-01

    The mitochondrial DNA (mtDNA) mutations in mitochondrial coding and non coding regions seem to be important in carcinogenesis. The aim of this investigation was to evaluate coding region (mt-tRNAPhe and tRNAPro) and non-coding sequence, mitochondrial displacement loop (mtDNA D-loop), in the cancerous and non-cancerous lesions of Iranian patients with breast cancer (BC). Genomic DNA was extracted from 50 breast tumors and surrounding normal tissue pairs as well as from 50 unrelated normal brea...

  4. Induction of photosensitivity in neonatal rat pineal gland

    OpenAIRE

    Tosini, Gianluca; Doyle, Susan; Geusz, Mike; Menaker, Michael

    2000-01-01

    Pineal glands removed from neonatal rats at 5, 7, and 9 days of age and explanted into short-term culture, synthesized melatonin when stimulated with norepinephrine (NE); their melatonin synthesis could not be suppressed with bright white light. Dispersed pineal cell cultures or pineal explants prepared from 1-day-old neonates and held in culture for 7 or 9 days also synthesized melatonin when stimulated with NE, but in these cases melatonin synthesis was significantly...

  5. The reno-pineal axis: A novel role for melatonin

    OpenAIRE

    Kalra, Sanjay; Agrawal, Swati; Sahay, Manisha

    2012-01-01

    The pineal gland is a tiny endocrine gland whose physiologic role has been the focus of much research and much more speculation over the past century. This mini-review discusses recent findings which correlate melatonin and renal physiology, and postulates the presence of a “reno-pineal axis.” Drawing lessons from comparative endocrinology, while quoting human data, it advocates the need to study the “reno-pineal axis” in greater detail.

  6. Possible role of pineal allopregnanolone in Purkinje cell survival

    OpenAIRE

    Haraguchi, Shogo; Hara, Sakurako; Ubuka, Takayoshi; Mita, Masatoshi; Tsutsui, Kazuyoshi

    2012-01-01

    It is believed that neurosteroids are produced in the brain and other nervous systems. Here, we show that allopregnanolone (ALLO), a neurosteroid, is exceedingly produced in the pineal gland compared with the brain and that pineal ALLO acts on the Purkinje cell, a principal cerebellar neuron, to prevent apoptosis in the juvenile quail. We first demonstrated that the pineal gland is a major organ of neurosteroidogenesis. A series of experiments using molecular and biochemical techniques has fu...

  7. The reno-pineal axis: A novel role for melatonin

    Science.gov (United States)

    Kalra, Sanjay; Agrawal, Swati; Sahay, Manisha

    2012-01-01

    The pineal gland is a tiny endocrine gland whose physiologic role has been the focus of much research and much more speculation over the past century. This mini-review discusses recent findings which correlate melatonin and renal physiology, and postulates the presence of a “reno-pineal axis.” Drawing lessons from comparative endocrinology, while quoting human data, it advocates the need to study the “reno-pineal axis” in greater detail. PMID:22470854

  8. The reno-pineal axis: A novel role for melatonin

    Directory of Open Access Journals (Sweden)

    Sanjay Kalra

    2012-01-01

    Full Text Available The pineal gland is a tiny endocrine gland whose physiologic role has been the focus of much research and much more speculation over the past century. This mini-review discusses recent findings which correlate melatonin and renal physiology, and postulates the presence of a "reno-pineal axis." Drawing lessons from comparative endocrinology, while quoting human data, it advocates the need to study the "reno-pineal axis" in greater detail.

  9. Morphological studies of the pineal gland in the common gull (Larus canus) reveal uncommon features of pinealocytes.

    Science.gov (United States)

    Przybylska-Gornowicz, Barbara; Lewçzuk, Bogdan; Prusik, Magdalena; Kalicki, Miroslaw; Zió?kowska, Natalia

    2012-04-01

    The avian pineal is a directly photosensory organ taking part in the organization of the circadian and seasonal rhythms. It plays an important role in regulation of many behavior and physiological phenomena including migration. The aim of the study was to investigate morphology of the pineal organ in the common gull (Larus canus). The light and electron microscopic studies were performed on the pineals of juvenile birds living in natural conditions of the Baltic Sea coast, which have been untreatably injured during strong storms in autumn and qualified for euthanasia. The investigated pineals consisted of a wide, triangular, superficially localized distal part and a narrow, elongated proximal part, attached via the choroid plexus to the intercommissural region of the diencephalon. The accessory pineal tissue was localized caudally to the choroid plexus. Based on the histological criteria, the organ was classified as the solid-follicular type. Two types of cells of fotoreceptory line were distinguished: rudimentary-receptor pinealocytes and secretory pinealocytes. Both types of cells were characterized by unusual features, which have been not previously described in avian pinealocytes: the presence of paracrystalline structures in the basal processes and their endings, the storage of glycogen in the form of large accumulations and the arrangement of mitochondria in clusters. Further studies on other species of wild water birds dwelling in condition of cold seas are necessary to explain if the described features of pinealocytes are specific for genus Larus, family Laridae or a larger group of water birds living in similar environmental conditions. PMID:22262668

  10. Possible role of pineal allopregnanolone in Purkinje cell survival

    Science.gov (United States)

    Haraguchi, Shogo; Hara, Sakurako; Ubuka, Takayoshi; Mita, Masatoshi; Tsutsui, Kazuyoshi

    2012-01-01

    It is believed that neurosteroids are produced in the brain and other nervous systems. Here, we show that allopregnanolone (ALLO), a neurosteroid, is exceedingly produced in the pineal gland compared with the brain and that pineal ALLO acts on the Purkinje cell, a principal cerebellar neuron, to prevent apoptosis in the juvenile quail. We first demonstrated that the pineal gland is a major organ of neurosteroidogenesis. A series of experiments using molecular and biochemical techniques has further demonstrated that the pineal gland produces a variety of neurosteroids de novo from cholesterol in the juvenile quail. Importantly, ALLO was far more actively produced in the pineal gland than in the brain. Pinealectomy (Px) decreased ALLO concentration in the cerebellum and induced apoptosis of Purkinje cells, whereas administration of ALLO to Px quail chicks prevented apoptosis of Purkinje cells. We further found that Px significantly increased the number of Purkinje cells that expressed active caspase-3, a key protease in apoptotic pathway, and daily injection of ALLO to Px quail chicks decreased the number of Purkinje cells expressing active caspase-3. These results indicate that the neuroprotective effect of pineal ALLO is associated with the decrease in caspase-3 activity during the early stage of neuronal development. We thus provide evidence that the pineal gland is an important neurosteroidogenic organ and that pineal ALLO may be involved in Purkinje cell survival during development. This is an important function of the pineal gland in the formation of neuronal circuits in the developing cerebellum. PMID:23213208

  11. [Participation of pineal gland in antistressor activity of adaptogenic drugs].

    Science.gov (United States)

    Arushanian, É B; Be?er, É V

    2015-01-01

    Chronic stress produces some morphological changes in rats, including thymus weight reduction, adrenal hypertrophy, and peptic ulcers in stomach. Repeated administration of phytoadaptogenic drugs (ginseng and bilobil) decreased these stress-induced disorders. The antistressor activity of drugs was attenuated upon by removal of the pineal gland. Histochemical and morphometric investigation of pineal tissues in stressed animals showed that that the pharmacological effect was accompanied by increasing functional activity of the pineal gland. It is suggested that pineal mobilization may participate in antistressor activity of phytoadaptogenic drugs. PMID:25826867

  12. Recurrent giant cell tumor of bone with simultaneous regional lymph node and pulmonary metastases

    International Nuclear Information System (INIS)

    Giant cell tumors of bone are known for their unpredictable behavior characterized occasionally even by metastases. Most metastases lodge in the lungs but other rare sites are regional lymph nodes, mediastinum, skin, scalp and the pelvis. In this case report we document a case of giant cell tumor of the patella in which, associated with local recurrence, there were simultaneous metastases to lymph nodes and lungs. (orig.)

  13. Malignant extrarenal rhabdoid tumor of the pelvic paravertebral region: case report

    International Nuclear Information System (INIS)

    Malignant rhabdoid tumor (MRT) is a rare but distinctive neoplasm of unknown histogenesis, occurring primarily in children. It has a characteristic histologic pattern and aggressive clinical behavior, and was originally thought to be a malignant sarcomatous variant of Wilms tumor; numerous cases of MRT arising from extrarenal sites have, however, been reported. We describe the radiologic findings of two cases of malignant extrarenal rhabdoid tumor that arose in the pelvic paravertebral region of two children. Both were confirmed by surgical excision and pathologic examination

  14. Oxytalan fibres in the rat pineal gland.

    OpenAIRE

    Calvo, J; Boya, J.

    1983-01-01

    The present study shows the existence of oxytalan fibres in the connective tissue spaces of the rat pineal gland. The identification of these fibres with light microscopy is based on their ability to stain with aldehyde-fuchsin and orcein after oxidation with peracetic acid. Using the electron microscope, oxytalan fibres appear as bundles of fibrils of 12-15 nm without transverse striation. Oxytalan fibres increase with age, being most abundant in the old rat.

  15. Nitric oxide synthase in the pineal gland

    OpenAIRE

    Lopez-Figueroa, M.O.; Moller, M.

    1996-01-01

    The recent discovery of nitric oxide (NO) as a biological messenger molecule with unique characteristics has opened a new field in pineal research. This free radical gas is synthesized by the enzyme nitric oxide synthase (NOS) from L-arginine. The activation of adrenoreceptors in the membrane of the pinealocytes mediates the increase in NO through a mechanism that involves G proteins. In the pinealocyte, NO stimulates guanylyl cyclase resulting in an increased ...

  16. Pineal Function: Impact of Microarray Analysis

    OpenAIRE

    Klein, David C.; Bailey, Michael J.; Carter, David A.; Kim, Jong-So; SHI, QIONG; Ho, Anthony; Chik, Constance; Gaildrat, Pascaline; Morin, Fabrice; Ganguly, Surajit; Rath, Martin F.; Møller, Morten; Sugden, David; Rangel, Zoila G.; Munson, Peter J

    2009-01-01

    Microarray analysis has provided a new understanding of pineal function by identifying genes that are highly expressed in this tissue relative to other tissues and also by identifying over 600 genes that are expressed on a 24-hour schedule. This effort has highlighted surprising similarity to the retina and has provided reason to explore new avenues of study including intracellular signaling, signal transduction, transcriptional cascades, thyroid/retinoic acid hormone signaling, metal biology...

  17. Global daily dynamics of the pineal transcriptome

    DEFF Research Database (Denmark)

    Bustos, Diego M; Bailey, Michael J; Sugden, David; Carter, David A; Rath, Martin F; Møller, Morten; Coon, Steven L; Weller, Joan L; Klein, David C

    2011-01-01

    Transcriptome profiling of the pineal gland has revealed night/day differences in the expression of a major fraction of the genes active in this tissue, with two-thirds of these being nocturnal increases. A set of over 600 transcripts exhibit two-fold to >100-fold daily differences in abundance. These changes appear to be primarily attributable to adrenergic-cyclic-AMP-dependent mechanisms, which are controlled via a neural pathway that includes the suprachiasmatic nucleus, the master circadian ...

  18. Pineal function: impact of microarray analysis

    DEFF Research Database (Denmark)

    Klein, David C; Bailey, Michael J; Carter, David A; Kim, Jong-so; Shi, Qiong; Ho, Anthony K; Chik, Constance L; Gaildrat, Pascaline; Morin, Fabrice; Ganguly, Surajit; Rath, Martin F; Møller, Morten; Sugden, David; Rangel, Zoila G; Munson, Peter J; Weller, Joan L; Coon, Steven L

    2009-01-01

    Microarray analysis has provided a new understanding of pineal function by identifying genes that are highly expressed in this tissue relative to other tissues and also by identifying over 600 genes that are expressed on a 24-h schedule. This effort has highlighted surprising similarity to the retina and has provided reason to explore new avenues of study including intracellular signaling, signal transduction, transcriptional cascades, thyroid/retinoic acid hormone signaling, metal biology, RNA ...

  19. Histiocytosis mimicking a pineal gland tumour

    Energy Technology Data Exchange (ETDEWEB)

    Gizewski, E.R.; Forsting, M. [Dept. of Neuroradiology, Univ. of Essen (Germany)

    2001-08-01

    We report an unusual case of isolated Langerhans cell histiocytosis of the central nervous system. A 19-year-old man presented with an incomplete ocular palsy. MRI revealed a solitary mass in the pineal gland with marked contrast enhancement. Complete microsurgical excision was followed by local radiotherapy. Histological examination revealed histiocytosis. Unifocal brain involvement by histiocytosis X is rare with few cases in the literature; the most commonly involved areas are the hypothalamus and the pituitary gland. (orig.)

  20. Pineal cyst: study with magnetic resonance. Quistes pineales simples: estudio con resonancia magnetica

    Energy Technology Data Exchange (ETDEWEB)

    Paniagua, J.C.; Aleixandre, A.; Esteban, M.J.; Marti-Bomati, L.; Poyatos, C. (Hospital Universitario La Fe, Valencia (Spain))

    1992-01-01

    The use of magnetic resonance (MR) as a diagnostic technique in central nervous system pathology has made possible the detection of structures that are hard to view with other diagnostic methods. In 21 patients in whom the existence of pineal cyst was detected by chance, we describe the study technique employed and present the MR characterization. In the absence of specific clinical symptoms and sings, the differential diagnosis of this pathology, with respect to other neoplastic formations located in the pineal gland, is based on its typical location behind the third ventricle, its size, which does not vary in the different serial studies, and its signal intensity. (author)

  1. Secondary tumor to the sellar region: a case report

    International Nuclear Information System (INIS)

    Juxta-sellar metastases are uncommon complications and may be difficult to differentiate from pituitary adenoma. A case of a possible chiasmal and cranial nerve compression from metastatic lung cancer to the juxta-sellar region is presented and the differential diagnosis and the difficulties of this characterization are discussed. (author)

  2. Stereoscopic virtual reality models for planning tumor resection in the sellar region

    Directory of Open Access Journals (Sweden)

    Wang Shou-sen

    2012-11-01

    Full Text Available Abstract Background It is difficult for neurosurgeons to perceive the complex three-dimensional anatomical relationships in the sellar region. Methods To investigate the value of using a virtual reality system for planning resection of sellar region tumors. The study included 60 patients with sellar tumors. All patients underwent computed tomography angiography, MRI-T1W1, and contrast enhanced MRI-T1W1 image sequence scanning. The CT and MRI scanning data were collected and then imported into a Dextroscope imaging workstation, a virtual reality system that allows structures to be viewed stereoscopically. During preoperative assessment, typical images for each patient were chosen and printed out for use by the surgeons as references during surgery. Results All sellar tumor models clearly displayed bone, the internal carotid artery, circle of Willis and its branches, the optic nerve and chiasm, ventricular system, tumor, brain, soft tissue and adjacent structures. Depending on the location of the tumors, we simulated the transmononasal sphenoid sinus approach, transpterional approach, and other approaches. Eleven surgeons who used virtual reality models completed a survey questionnaire. Nine of the participants said that the virtual reality images were superior to other images but that other images needed to be used in combination with the virtual reality images. Conclusions The three-dimensional virtual reality models were helpful for individualized planning of surgery in the sellar region. Virtual reality appears to be promising as a valuable tool for sellar region surgery in the future.

  3. Tumor extragonadal de células germinales en mediastino: aportación de un caso / Extragonadal germ cell tumor in mediastinum: case report

    Scientific Electronic Library Online (English)

    A., Zavala Elizondo; R., Martínez Montelongo; J.E., González.

    2008-03-01

    Full Text Available Los tumores de células germinales de origen extragonadal son descritos infrecuentemente en la literatura, siendo menos de 1.000 casos. Los sitios de origen por orden de frecuencia son mediastino, retroperitoneo, región sacro coccígea y glándula pineal. Este caso es de un germinoma primario en medias [...] tino en un paciente de 27 años de edad. En los estudios de imagen se demostró una masa mediastinal, se tomo una biopsia para llegar al diagnóstico. Marcadores tumorales normales, el ultrasonido testicular reportó la presencia de microlitiasis bilateral. El paciente fue tratado con poliquimioterapia y resección de masa residual. La evolución fue satisfactoria con respuesta completa. Abstract in english The Germ Cell tumors of extragonadal origin are infrequent cases being described in literature less than 1000 cases. The frequent origin sites are mediastinum, retroperitoneum, sacrococcygeal region, and the pineal gland. There was a primary case of germinoma in mediastinum in a 27 years patient. In [...] the image studies a mediastinal mass was demonstrated, a biopsy was taken arriving at the diagnosis. Normal tumor markers, testicular ultrasonography reported the presence of bilateral microlitiasis. It was treating with polychemotherapy and later residual mass was dried. The evolution was satisfactory with complete answer.

  4. Human chorionic gonadotrophin secreting pineal germinoma and precocious puberty.

    OpenAIRE

    Ahmed, S. R.; Shalet, S.M.; Price, D.A.; Pearson, D.

    1983-01-01

    A 10 1/2 year old boy presented with raised intracranial pressure and precocious puberty caused by a human chorionic gonadotrophin (HCG) secreting pineal germinoma. After craniospinal irradiation he improved clinically and his HCG concentration fell to an undetectable value. Two years later he remains well. Pineal germinomas are highly radiosensitive obviating the need for difficult surgery associated with high mortality.

  5. A Texture based Tumor detection and automatic Segmentation using Seeded Region Growing Method

    Directory of Open Access Journals (Sweden)

    Mukesh Kumar

    2011-07-01

    Full Text Available Detection and segmentation of Brain tumor accurately is a challenging task in MRI. The MRI image is an image that produces a high contrast images indicating regular and irregular tissues that help to distinguish the overlapping in margin of each limb. All automatic seed finding methods may suffer with the problem if there is no growth of tumor and any small white part is there. But when the edges of tumor is not sharped then the segmentation results are not accurate i.e. segmentation may be over or under. This may be happened due to initial stage of the tumors [5]. So , in this paper a method of tumor detection based on texture of the MRI and if it is detected then to segment it automatically is proposed in this paper to separate the irregular from the regular surrounding tissue to get a real identification of involved and noninvolved area that help the surgeon to distinguish the involved area precisely. The method used in this paper is texture analysis and seeded region growing method and it was implemented using MATLAB 7.6.0.324 on 25 Magnetic Resonance Images having brain tumors and also on images without any abnormality to detect the tumor boundaries in 2D MRI for different cases.

  6. Two unique cases of calcifying cystic odontogenic tumor in the maxillary posterior region.

    Science.gov (United States)

    Chindasombatjaroen, Jira; Poomsawat, Sopee; Boonsiriseth, Kiatanant

    2014-10-01

    A calcifying cystic odontogenic tumor (CCOT) is an uncommon odontogenic tumor with a predilection for the anterior part of the jaws. We report on 2 cases of CCOT in the posterior maxilla involving the maxillary sinus. In the first case, conventional radiography found a well-defined unilocular lesion. Internal calcification was identified on cone beam computed tomography (CBCT) images. Radiographically, the second case showed 2 large locules with a large complex odontoma and an embedded third molar. By revealing the internal calcification of the lesion, CBCT was helpful in the differential diagnosis of the first case. In both cases, CBCT illustrated the tumor extension and the relationship of the tumor to the maxillary sinus. Therefore, CBCT was an important tool for developing effective treatment plans for lesions in the posterior maxillary region. PMID:25201118

  7. Regional cerebral blood flow alterations remote from the site of intracranial tumors

    DEFF Research Database (Denmark)

    Endo, H; Larsen, B

    1977-01-01

    Regional cerebral blood flow (rCBF) was investigated in 12 patients with brain tumors, using a 254-channel dynamic gamma camera. In nine of the 12 cases, hyperemic regions with loss of autoregulation were seen in sites remote from the tumor (the area around the tumor was in most cases also hyperemic). These remote rCBF abnormalities were found in the lower posterior part of the hemisphere in six cases, and in the frontal region in three. The location of the remote rCBF abnormality seemed to depend on the site of the tumor: cases with frontal and posterior fossa mass lesions had hyperemia in the lower part of the temporooccipital regions, cases with centroparietal mass lesions had hyperemia mostly in the frontal region. This may mean that the remote rCBF abnormality is due to local tissue compression against unyielding anatomical structures, namely, the tentorium and the falx. It is suggested that these abnormalities may constitute evidence of an early stage of a dangerous clinical condition: a state of preherniation.

  8. Morfología de la Glándula Pineal: Revisión de la Literatura / Pineal Gland Morphology: A Literature Review

    Scientific Electronic Library Online (English)

    Ignacio, Roa; Mariano, del Sol.

    2014-06-01

    Full Text Available La glándula pineal es una pequeña estructura ubicada en el techo del diencéfalo, su principal función es la de regular los ritmos circadianos, tales como sueño-vigilia, secretar melatonina, hormona con fuerte efecto sobre la acción gonadal, además de oncostática, geroprotectora y antioxidante. La pr [...] esente revisión tiene por objetivo conocer los aspectos morfológicos de la glándula pineal, desde su desarrollo a nivel embriológico como su descripción anatómica e histológica con el fin de comprender su función desde un punto de vista integral. Abstract in english Pineal gland is a small structure located on the roof of the diencephalon, and its principal function is to play an important role in circadian rhythm regulation, such as sleep/wake, besides secreting melatonin, a hormone with a strong effect on gonadal action, and playing oncostatic, geroprotector [...] and antioxidant roles. This review aims to know the morphological aspects of the pineal gland, from its embryological development, its anatomic and histological description, in order to understand its function from an integral view.

  9. Circadian rhythms in the pineal organ persist in zebrafish larvae that lack ventral brain

    Science.gov (United States)

    2011-01-01

    Background The mammalian suprachiasmatic nucleus (SCN), located in the ventral hypothalamus, is a major regulator of circadian rhythms in mammals and birds. However, the role of the SCN in lower vertebrates remains poorly understood. Zebrafish cyclops (cyc) mutants lack ventral brain, including the region that gives rise to the SCN. We have used cyc embryos to define the function of the zebrafish SCN in regulating circadian rhythms in the developing pineal organ. The pineal organ is the major source of the circadian hormone melatonin, which regulates rhythms such as daily rest/activity cycles. Mammalian pineal rhythms are controlled almost exclusively by the SCN. In zebrafish and many other lower vertebrates, the pineal has an endogenous clock that is responsible in part for cyclic melatonin biosynthesis and gene expression. Results We find that pineal rhythms are present in cyc mutants despite the absence of an SCN. The arginine vasopressin-like protein (Avpl, formerly called Vasotocin) is a peptide hormone expressed in and around the SCN. We find avpl mRNA is absent in cyc mutants, supporting previous work suggesting the SCN is missing. In contrast, expression of the putative circadian clock genes, cryptochrome 1b (cry1b) and cryptochrome 3 (cry3), in the brain of the developing fish is unaltered. Expression of two pineal rhythmic genes, exo-rhodopsin (exorh) and serotonin-N-acetyltransferase (aanat2), involved in photoreception and melatonin synthesis, respectively, is also similar between cyc embryos and their wildtype (WT) siblings. The timing of the peaks and troughs of expression are the same, although the amplitude of expression is slightly decreased in the mutants. Cyclic gene expression persists for two days in cyc embryos transferred to constant light or constant dark, suggesting a circadian clock is driving the rhythms. However, the amplitude of rhythms in cyc mutants kept in constant conditions decreased more quickly than in their WT siblings. Conclusion Our data suggests that circadian rhythms can be initiated and maintained in the absence of SCN and other tissues in the ventral brain. However, the SCN may have a role in regulating the amplitude of rhythms when environmental cues are absent. This provides some of the first evidence that the SCN of teleosts is not essential for establishing circadian rhythms during development. Several SCN-independent circadian rhythms have also been found in mammalian species. Thus, zebrafish may serve as a model system for understanding how vertebrate embryos coordinate rhythms that are controlled by different circadian clocks. PMID:21232144

  10. Circadian rhythms in the pineal organ persist in zebrafish larvae that lack ventral brain

    Directory of Open Access Journals (Sweden)

    Goldstein-Kral Lauren

    2011-01-01

    Full Text Available Abstract Background The mammalian suprachiasmatic nucleus (SCN, located in the ventral hypothalamus, is a major regulator of circadian rhythms in mammals and birds. However, the role of the SCN in lower vertebrates remains poorly understood. Zebrafish cyclops (cyc mutants lack ventral brain, including the region that gives rise to the SCN. We have used cyc embryos to define the function of the zebrafish SCN in regulating circadian rhythms in the developing pineal organ. The pineal organ is the major source of the circadian hormone melatonin, which regulates rhythms such as daily rest/activity cycles. Mammalian pineal rhythms are controlled almost exclusively by the SCN. In zebrafish and many other lower vertebrates, the pineal has an endogenous clock that is responsible in part for cyclic melatonin biosynthesis and gene expression. Results We find that pineal rhythms are present in cyc mutants despite the absence of an SCN. The arginine vasopressin-like protein (Avpl, formerly called Vasotocin is a peptide hormone expressed in and around the SCN. We find avpl mRNA is absent in cyc mutants, supporting previous work suggesting the SCN is missing. In contrast, expression of the putative circadian clock genes, cryptochrome 1b (cry1b and cryptochrome 3 (cry3, in the brain of the developing fish is unaltered. Expression of two pineal rhythmic genes, exo-rhodopsin (exorh and serotonin-N-acetyltransferase (aanat2, involved in photoreception and melatonin synthesis, respectively, is also similar between cyc embryos and their wildtype (WT siblings. The timing of the peaks and troughs of expression are the same, although the amplitude of expression is slightly decreased in the mutants. Cyclic gene expression persists for two days in cyc embryos transferred to constant light or constant dark, suggesting a circadian clock is driving the rhythms. However, the amplitude of rhythms in cyc mutants kept in constant conditions decreased more quickly than in their WT siblings. Conclusion Our data suggests that circadian rhythms can be initiated and maintained in the absence of SCN and other tissues in the ventral brain. However, the SCN may have a role in regulating the amplitude of rhythms when environmental cues are absent. This provides some of the first evidence that the SCN of teleosts is not essential for establishing circadian rhythms during development. Several SCN-independent circadian rhythms have also been found in mammalian species. Thus, zebrafish may serve as a model system for understanding how vertebrate embryos coordinate rhythms that are controlled by different circadian clocks.

  11. Epigenetic changes within the promoter region of the HLA-G gene in ovarian tumors

    Directory of Open Access Journals (Sweden)

    Matyunina Lilya V

    2008-05-01

    Full Text Available Abstract Background Previous findings have suggested that epigenetic-mediated HLA-G expression in tumor cells may be associated with resistance to host immunosurveillance. To explore the potential role of DNA methylation on HLA-G expression in ovarian cancer, we correlated differences in HLA-G expression with methylation changes within the HLA-G regulatory region in an ovarian cancer cell line treated with 5-aza-deoxycytidine (5-aza-dC and in malignant and benign ovarian tumor samples and ovarian surface epithelial cells (OSE isolated from patients with normal ovaries. Results A region containing an intact hypoxia response element (HRE remained completely methylated in the cell line after treatment with 5-aza-dC and was completely methylated in all of the ovarian tumor (malignant and benign samples examined, but only variably methylated in normal OSE samples. HLA-G expression was significantly increased in the 5-aza-dC treated cell line but no significant difference was detected between the tumor and OSE samples examined. Conclusion Since HRE is the binding site of a known repressor of HLA-G expression (HIF-1, we hypothesize that methylation of the region surrounding the HRE may help maintain the potential for expression of HLA-G in ovarian tumors. The fact that no correlation exists between methylation and HLA-G gene expression between ovarian tumor samples and OSE, suggests that changes in methylation may be necessary but not sufficient for HLA-G expression in ovarian cancer.

  12. Neuropeptide Y in the adult and fetal human pineal gland

    DEFF Research Database (Denmark)

    MØller, Morten; Phansuwan-Pujito, Pansiri

    2014-01-01

    Neuropeptide Y was isolated from the porcine brain in 1982 and shown to be colocalized with noradrenaline in sympathetic nerve terminals. The peptide has been demonstrated to be present in sympathetic nerve fibers innervating the pineal gland in many mammalian species. In this investigation, we show by use of immunohistochemistry that neuropeptide Y is present in nerve fibers of the adult human pineal gland. The fibers are classical neuropeptidergic fibers endowed with large boutons en passage and primarily located in a perifollicular position with some fibers entering the pineal parenchyma inside the follicle. The distance from the immunoreactive terminals to the pinealocytes indicates a modulatory function of neuropeptide Y for pineal physiology. Some of the immunoreactive fibers might originate from neurons located in the brain and be a part of the central innervation of the pineal gland. In a series of human fetuses, neuropeptide Y-containing nerve fibers was present and could be detected as early as in the pineal of four- to five-month-old fetuses. This early innervation of the human pineal is different from most rodents, where the innervation starts postnatally.

  13. Neuropeptide Y in the Adult and Fetal Human Pineal Gland

    Science.gov (United States)

    Møller, Morten; Phansuwan-Pujito, Pansiri

    2014-01-01

    Neuropeptide Y was isolated from the porcine brain in 1982 and shown to be colocalized with noradrenaline in sympathetic nerve terminals. The peptide has been demonstrated to be present in sympathetic nerve fibers innervating the pineal gland in many mammalian species. In this investigation, we show by use of immunohistochemistry that neuropeptide Y is present in nerve fibers of the adult human pineal gland. The fibers are classical neuropeptidergic fibers endowed with large boutons en passage and primarily located in a perifollicular position with some fibers entering the pineal parenchyma inside the follicle. The distance from the immunoreactive terminals to the pinealocytes indicates a modulatory function of neuropeptide Y for pineal physiology. Some of the immunoreactive fibers might originate from neurons located in the brain and be a part of the central innervation of the pineal gland. In a series of human fetuses, neuropeptide Y-containing nerve fibers was present and could be detected as early as in the pineal of four- to five-month-old fetuses. This early innervation of the human pineal is different from most rodents, where the innervation starts postnatally. PMID:24757681

  14. [Age-dependent morphology of human pineal gland: supravital study].

    Science.gov (United States)

    Ivanov, S V

    2007-01-01

    On the base of analysis of 5784 events of diagnostic magnetic-resonance tomography studies of the head of patients in radio diagnosis departments the database is formed. Only events (n=411) without cerebral, oncology, endocrine and other pathology are taken in database. The material was grouped to time and date of the study, sex and age in accordance with generally accepted categorization. Maximum linear sizes of pineal gland and hypophysis cerebri in sagittal, axial and coronar projection were measured in all events; volumes of the organs were calculated on the formula of a ball. It is defined that the volume of pineal gland increases from birth till 17-21 year age, gradually falls till the second mature age and is getting stable in old age. The normative factors of the volume of pineal gland and hypophysis cerebri for 8 age groups are determined. "Brain sand" and false cysts in pineal gland can be observed in all age groups. The petrification degree of pineal gland, as of computer tomography, varies from 30 to 277 ed. HV. For the factor of pineal gland volume and factor of cysts frequency in pineal gland a puberty "collapse" is typical, mainly in men. PMID:18306690

  15. MORPHOMETRIC CHARACTERISTICS OF THE PINEAL ACERVULI DURING THE HUMAN AGING

    Directory of Open Access Journals (Sweden)

    Dejan Zdravkovic

    2004-01-01

    Full Text Available Acervuli of 30 human pineal gland, were investigated during our research. They were collected during the autopsies at the Institut for forensic medicine of the Faculty of Medicine in Niš. Pineal tissue was processed with standard histologic procedure. Then, it was cut into 10 mm thick sections which were stained with HE, PAS, AB PAS and Mallory’s trichrome connective tissue stain. After that they were analyzed with light microscope. Morphometric analysis was performed by astereologic method. The B100 double square lattice test system was used. Average area, average perimeter, average diameter and contour index were calculated for the pineal acervuli of each age group. Obtained morphometric parameters were statisticaly analyzed. Acervuli were colored blue on HE stained sections. They were PAS and AB PAS positive structures which had red colored center and blue colored periphery on Mallory’s trichrome stained sections. Laminate structure was present, but it was not so concentric as it was in pineal capsula acervuli. Acervuli of the first age group had regular shape. They were localized at the pineal gland periphery. Acervuli of the second and the third age group obtained larger dimensions and more irregular shape, which finally led to mulberry structures formation in the core of the pineal gland. They were probably the result of the conglomeration of just formed with already formed ones. The increase of the average area, average parimeter, average diameter and contour index confirmed the increase of pineal acervuli dimensions and their shape irregularity during the aging process.Therefore, pineal acervuli show the increase of dimensions and shape irregularity. Finally, the process of conglomeration leads to mulberry like structures formation, in the second and the third age group which dominate pineal tissue in these age groups.

  16. HPV Types and Variants Among Cervical Cancer Tumors in Three Regions of Tunisia

    OpenAIRE

    KrennHrubec, Keris; Mrad, Karima; Sriha, Badreddine; Ben Ayed, Farhat; Bottalico, Danielle M.; Ostolaza, Janae; Smith, Benjamin; Tchaikovska, Tatyana; Amr S. Soliman; BURK, Robert D.

    2011-01-01

    Cervical cancer is the second most common cancer among Tunisian women, and the incidence rates vary by region. Three Tunisian registries report age-standardized rates of 6.3/105 in the central region, 5.4/105 in the north, and 2.7/105 in the south. High-risk human papillomavirus (HPV) types and their variants differ in carcinogenic potential and geographic distribution. The HPV type and variant distribution could be a factor in the differing rates between regions of Tunisia. Tumor tissue was ...

  17. Pineal gland calcification and defective sense of direction.

    OpenAIRE

    Bayliss, C R; Bishop, N L; Fowler, R C

    1985-01-01

    Calcification of the pineal gland is shown to be closely related to defective sense of direction. In a tricentre prospective study of 750 patients lateral skull radiographs showed that 394 had calcified pineal glands. Sense of direction was assessed by subjective questioning and objective testing and the results noted on a scale of 0-10 (where 10 equals perfect sense of direction). The average score for the 394 patients with pineal gland calcification was 3.7 (range 0-8), whereas the 356 pati...

  18. Diencephalic origin of the pineal gland of the chicken embryo.

    Science.gov (United States)

    Aige-Gil, V; Murillo-Ferrol, N

    1991-07-01

    In the present paper, the diencephalic origin of the chick pineal gland was analyzed by a series of experiments: prosencephalic substitution; in vitro culture of isolated diencephalons; and total or partial excission of the diencephalic roof. The results indicate that the differentiation of the chick pineal gland in the rooof of the third ventricle is not influenced by the neighbouring brain vesicles and is of diencephalic origin. Moreover, in order to obtain chick embryos with pineal agenesia, the whole diencephalic roof has to be removed. PMID:1810539

  19. Tumors in the region of the sella turcica; Tumoren der Sellaregion

    Energy Technology Data Exchange (ETDEWEB)

    Reith, W. [Universitaetsklinikum des Saarlandes, Klinik fuer Diagnostischeund Interventionelle Neuroradiologie, Homburg/Saar (Germany)

    2009-07-15

    Tumors of the pituitary gland can lead to limitation of hypophysis function (hypophysis insufficiency) or hypersecretion of different hormones (acromegaly, Cushing's syndrome, prolactinoma, TSH-secreting adenoma). The optic chiasma lies in close proximity to the pituitary gland and can be compressed by tumors leading to visual disturbances (bilateral hemianopsia). Tumors can be separated into hormone secreting and hormone inactive tumors, as well as into microadenoma with a diameter <10 mm and macroadenomas >10 mm. A rare group of tumors of the hypophysis region are craniopharyngiomas, meningiomas, germinomas, gliomas, metastases and granulomotous inflammations, such as sarcoidosis and tuberculosis. (orig.) [German] Bei Tumoren der Hypophysenregion kann es zu einer Einschraenkung der Hypophysenfunktion (Hypophyseninsuffizienz) kommen, aber auch zu einem Hypersekretionssyndrom (Akromegalie, Cushing-Syndrom, Prolaktinom, TSH-sezernierendes Adenom). Unmittelbar ueber der Hypophysenregion liegt das Chiasma opticum, wodurch es bei Tumoren der Hypophysenregion zur Beeintraechtigung des Sehens kommen kann, meist als Verschlechterung des Sehfeldes beider Augen nach lateral (bitemporale Hemianopsie). Man unterscheidet hormonaktive und -inaktive Tumoren. Es werden Mikroadenome mit einem Durchmesser bis 10 mm und Makroadenome, die groesser als 10 mm sind, unterschieden. Eine seltenere Gruppe von Tumoren der Hypophysenregion sind die Kraniopharyngeome, Meningeome, Germinome, Gliome, Metastasen und granulomatoese Entzuendungen (Sarkoidose, Tuberkulose). (orig.)

  20. The dielectric properties of human pineal gland tissue and RF absorption due to wireless communication devices in the frequency range 400-1850 MHz

    Energy Technology Data Exchange (ETDEWEB)

    Schmid, Gernot [Austrian Research Centers GmbH-ARC, ITM, A-2444 Seibersdorf (Austria); Ueberbacher, Richard [Austrian Research Centers GmbH-ARC, ITM, A-2444 Seibersdorf (Austria); Samaras, Theodoros [Department of Physics, Aristotle University of Thessaloniki, GR-54124 Thessaloniki (Greece); Tschabitscher, Manfred [Center of Anatomy and Cell Biology, Medical University of Vienna, A-1090 Vienna (Austria); Mazal, Peter R [Department of Clinical Pathology, Medical University Vienna, A-1090 Vienna (Austria)

    2007-09-07

    In order to enable a detailed analysis of radio frequency (RF) absorption in the human pineal gland, the dielectric properties of a sample of 20 freshly removed pineal glands were measured less than 20 h after death. Furthermore, a corresponding high resolution numerical model of the brain region surrounding the pineal gland was developed, based on a real human tissue sample. After inserting this model into a commercially available numerical head model, FDTD-based computations for exposure scenarios with generic models of handheld devices operated close to the head in the frequency range 400-1850 MHz were carried out. For typical output power values of real handheld mobile communication devices, the obtained results showed only very small amounts of absorbed RF power in the pineal gland when compared to SAR limits according to international safety standards. The highest absorption was found for the 400 MHz irradiation. In this case the RF power absorbed inside the pineal gland (organ mass 96 mg) was as low as 11 {mu}W, when considering a device of 500 mW output power operated close to the ear. For typical mobile phone frequencies (900 MHz and 1850 MHz) and output power values (250 mW and 125 mW) the corresponding values of absorbed RF power in the pineal gland were found to be lower by a factor of 4.2 and 36, respectively. These results indicate that temperature-related biologically relevant effects on the pineal gland induced by the RF emissions of typical handheld mobile communication devices are unlikely.

  1. The dielectric properties of human pineal gland tissue and RF absorption due to wireless communication devices in the frequency range 400-1850 MHz

    International Nuclear Information System (INIS)

    In order to enable a detailed analysis of radio frequency (RF) absorption in the human pineal gland, the dielectric properties of a sample of 20 freshly removed pineal glands were measured less than 20 h after death. Furthermore, a corresponding high resolution numerical model of the brain region surrounding the pineal gland was developed, based on a real human tissue sample. After inserting this model into a commercially available numerical head model, FDTD-based computations for exposure scenarios with generic models of handheld devices operated close to the head in the frequency range 400-1850 MHz were carried out. For typical output power values of real handheld mobile communication devices, the obtained results showed only very small amounts of absorbed RF power in the pineal gland when compared to SAR limits according to international safety standards. The highest absorption was found for the 400 MHz irradiation. In this case the RF power absorbed inside the pineal gland (organ mass 96 mg) was as low as 11 ?W, when considering a device of 500 mW output power operated close to the ear. For typical mobile phone frequencies (900 MHz and 1850 MHz) and output power values (250 mW and 125 mW) the corresponding values of absorbed RF power in the pineal gland were found to be lower by a factor of 4.2 and 36, respectively. These results indicate that temperature-related biologically relevant effects on the pineal gland induced by the RF emissions of typical handheld mobile communication devices are unlikely

  2. Pineal and cortical melatonin receptors MT1 and MT2 are decreased in Alzheimer’s disease

    Directory of Open Access Journals (Sweden)

    P Brunner

    2009-06-01

    Full Text Available The pineal hormone melatonin is involved in physiological transduction of temporal information from the light dark cycle to circadian and seasonal behavioural rhythms, as well as possessing neuroprotective properties. Melatonin and its receptors MT1 and MT2, which belong to the family of G protein- coupled receptors, are impaired in Alzheimer’s disease (AD with severe consequences to neuropathology and clinical symptoms. The present data provides the first immunohistochemical evidence for the cellular localization of the both melatonin receptors in the human pineal gland and occipital cortex, and demonstrates their alterations in AD.We localized MT1 and MT2 in the pineal gland and occipital cortex of 7 elderly controls and 11 AD patients using immunohistochemistry with peroxidase-staining. In the pineal gland both MT1 and MT2 were localized to pinealocytes, whereas in the cortex both receptors were expressed in some pyramidal and non-pyramidal cells. In patients with AD, parallel to degenerative tissue changes, there was an overall decrease in the intensity of receptors in both brain regions. In line with our previous findings, melatonin receptor expression in AD is impaired in two additional brain areas, and may contribute to disease pathology.

  3. Segmentation of Tumor Region in MRI Images of Brain using Mathematical Morphology

    Directory of Open Access Journals (Sweden)

    Ashwini Gade

    2014-06-01

    Full Text Available This paper introduces an efficient detection of brain tumor from cerebral MRI images. The methodology consists of two steps: enhancement and segmentation. To improve the quality of images and limit the risk of distinct regions fusion in the segmentation phase an enhancement process is applied. We applied mathematical morphology to increase the contrast in MRI images and to segment MRI images. Some of experimental results on brain images show the feasibility and the performance of the proposed approach.

  4. Rhythmic control of endocannabinoids in the rat pineal gland.

    Science.gov (United States)

    Koch, Marco; Ferreirós, Nerea; Geisslinger, Gerd; Dehghani, Faramarz; Korf, Horst-Werner

    2015-01-01

    Endocannabinoids modulate neuroendocrine networks by directly targeting cannabinoid receptors. The time-hormone melatonin synchronizes these networks with external light condition and guarantees time-sensitive and ecologically well-adapted behaviors. Here, the endocannabinoid arachidonoyl ethanolamide (AEA) showed rhythmic changes in rat pineal glands with higher levels during the light-period and reduced amounts at the onset of darkness. Norepinephrine, the essential stimulus for nocturnal melatonin biosynthesis, acutely down-regulated AEA and other endocannabinoids in cultured pineal glands. These temporal dynamics suggest that AEA exerts time-dependent autocrine and/or paracrine functions within the pineal. Moreover, endocananbinoids may be released from the pineal into the CSF or blood stream. PMID:26061461

  5. Asymptomatic intraventricular lipid leak from a primary pineal teratoma

    Energy Technology Data Exchange (ETDEWEB)

    Harrison, R.L.; Abernethy, L.J. [Royal Liverpool Children' s Hospital (United Kingdom)

    2001-02-01

    We present a case of pineal teratoma in a symptomatically stable 6-year-old child in which MRI revealed intraventricular lipid accumulation in the absence of any primary tumour growth, metastatic disease or tumour degeneration. (orig.)

  6. Intracranial tumors in children less than 2 years of age

    International Nuclear Information System (INIS)

    We analyzed the characteristic CT findings in twelve cases of intracranial tumors in children under 2 years of age. The histological classification of them was as follows: 2 were teratomas, 3 ependymoma and ependymoblastomas, 2 medulloblastomas, 2 craniopharyngiomas, and 3 were other gliomas, including a pontine glioma. 1. Ten cases were located along the central neural axis. The supratentorial/infratentorial ratio became nearly equal at each age before and after the first year. 2. With regard to tumor size, approximately 70 % out of the brain tumors were more than 5 cm in diameter; especially, four cases had diameters of more than 7 cm. In the case of the teratomas, the cranial cavity was filled with several nodular tumors of varying densities. On admission, an ependymoblastoma in the posterior fossa had already invaded the pineal region. 3. Hydrocephalus was a frequent finding except for the two craniopharyngiomas and the pontine glioma. Some demonstrated an eminent ventricular collapse and a displacement of the midline structures because of the large size of the tumor masses. 4. The malignant gliomas had less peritumoral edemas in proportion to the large sizes of the tumor masses. The prognosis of some brain tumors in our cases less than 2 years of age was extremely poor, but an aggressive approach to them with surgical treatment, irradiation, and adjuvant chemotherapy may improve their chances of survival. (author)

  7. Hypofractionation Results in Reduced Tumor Cell Kill Compared to Conventional Fractionation for Tumors With Regions of Hypoxia

    International Nuclear Information System (INIS)

    Purpose: Tumor hypoxia has been observed in many human cancers and is associated with treatment failure in radiation therapy. The purpose of this study is to quantify the effect of different radiation fractionation schemes on tumor cell killing, assuming a realistic distribution of tumor oxygenation. Methods and Materials: A probability density function for the partial pressure of oxygen in a tumor cell population is quantified as a function of radial distance from the capillary wall. Corresponding hypoxia reduction factors for cell killing are determined. The surviving fraction of a tumor consisting of maximally resistant cells, cells at intermediate levels of hypoxia, and normoxic cells is calculated as a function of dose per fraction for an equivalent tumor biological effective dose under normoxic conditions. Results: Increasing hypoxia as a function of distance from blood vessels results in a decrease in tumor cell killing for a typical radiotherapy fractionation scheme by a factor of 105 over a distance of 130 ?m. For head-and-neck cancer and prostate cancer, the fraction of tumor clonogens killed over a full treatment course decreases by up to a factor of ?103 as the dose per fraction is increased from 2 to 24 Gy and from 2 to 18 Gy, respectively. Conclusions: Hypofractionation of a radiotherapy regimen can result in a significant decrease in tumor cell killing compared to standard fractionation as a result of tumor hypoxia. There is a potential for large errors when calculating alternate fractionations using formalisms that do not account for tumor hypoxia.

  8. Clinical usefulness of computed tomography for evaluation of the effectiveness of radiation therapy of brain tumors

    International Nuclear Information System (INIS)

    In order to evaluate the effectiveness of radiation therapy for brain tumor, CT findings before, during, and after radiation therapy were studied in 48 patients with brain tumor (12 glioblastomas, 5 craniopharyngiomas, 4 pituitary adenomas, 2 medulloblastomas, 2 reticulum cell sarcomas, ependymoblastoma, oligodendroglioma, germinoma, squamous cell carcinoma, teratocarcinoma, meningioma, chordoma, 6 metastatic tumors, and 10 unbiopsied tumors). CT findings such as tumor size, mass effect, central lucency, and peripheral low density decreased in 69%, 63%, 65%, and 47%, respectively, after irradiation. Changes in tumor size correlated with clinical course in about 90% of the patients. Radiosensitivity of the brain tumors was assessed from the degree of decrease in tumor size demonstrated on CT. Radiosensitive tumors such as germinoma of pineal and suprasellar region could be diagnosed clinically without surgical biopsy since marked response to radiation was observed on serial CT scans during the course of radiation therapy. Thus, CT scan study can be considered to be highly useful for evaluating the effectiveness of radiation therapy for brain tumors. (author)

  9. Incidental pineal cysts in children who undergo 3-T MRI

    International Nuclear Information System (INIS)

    Pineal cysts, both simple and complex, are commonly encountered in children. More cysts are being detected with MR technology; however, nearly all pineal cysts are benign and require no follow-up. To discover the prevalence of pineal cysts in children at our institution who have undergone high-resolution 3-T MRI. We retrospectively reviewed 100 consecutive 3-T brain MRIs in children ages 1 month to 17 years (mean 6.8 ± 5.1 years). We evaluated 3-D volumetric T1-W imaging, axial T2-W imaging, axial T2-W FLAIR (fluid attenuated inversion recovery) and coronal STIR (short tau inversion recovery) sequences. Pineal parenchymal and cyst volumes were measured in three planes. Cysts were analyzed for the presence and degree of complexity. Pineal cysts were present in 57% of children, with a mean maximum linear dimension of 4.2 mm (range 1.5-16 mm). Of these cysts, 24.6% showed thin septations or fluid levels reflecting complexity. None of the cysts demonstrated complete T2/FLAIR signal suppression. No cyst wall thickening or nodularity was present. There was no significant difference between the ages of children with and without cysts. Cysts were more commonly encountered in girls than boys (67% vs. 52%; P = 0.043). There was a slight trend toward increasing pineal gland volume with age. Pineal cysts are often present in children and can be incidentally detected by 3-T MRI. Characteristic-appearing pineal cysts in children are benign, incidental findings, for which follow-up is not required if there are no referable symptoms or excessive size. (orig.)

  10. Temperature-compensated circadian clock in the pineal of Anolis.

    OpenAIRE

    Menaker, M; Wisner, S

    1983-01-01

    The pineal organ of the lizard Anolis carolinensis can be maintained for up to 10 days in superfused organ culture. During this time it synthesizes and releases melatonin into the medium flowing slowly over it. Collection of timed aliquots of medium and subsequent analysis for melatonin by radioimmunoassay reveal circadian rhythms of melatonin output by the isolated pineal. These rhythms persist for many cycles in constant darkness and at several constant ambient temperatures ranging from 22 ...

  11. Conservatively managed pineal apoplexy in an anticoagulated patient

    International Nuclear Information System (INIS)

    We present a case of pineal apoplexy in an anticoagulated and hypertensive 56-year-old Hispanic male. At presentation, the patient's international normalized ratio (INR) was 10.51 and his blood pressure was 200/130 mmHg. His presenting symptoms included acute onset of headache, chest pain, nausea, vomiting, vertigo, and visual disturbance. Neuroimaging demonstrated hemorrhage into a morphologically normal pineal gland. Under conservative management, the patient experienced gradual resolution of all symptoms excluding the disturbance of upward gaze

  12. The pineal neurohormone melatonin and its physiologic opiatergic immunoregulatory role

    OpenAIRE

    Georges J. M. Maestroni; Ario Conti; Walter Pierpaoli

    1987-01-01

    The pineal gland functions as a neuroendocrine transducer that coordinate the organism response to changing environmental stimuli such as light and temperature. The main and best known pineal neurohormone is melatonin that is synthesized and released in a circadian fashion with a peak during the night darkness hours. We have recently reported that melatonin exerts important immuno regulatory functions. Here we describe the astonishing property of exogenous melatonin which is able to counterac...

  13. Ganglioglioma da região da pineal: relato de caso

    OpenAIRE

    Fagundes-Pereyra Walter José; Sousa Larissa de; Carvalho Gervásio Teles de Cardoso; Sousa Atos Alves de

    2001-01-01

    Os gangliogliomas são neoplasias mistas, compostas de elementos gliais e neuronais, extremamente raros na região da glândula pineal. Na presente revisão da literatura foram encontrados oito casos publicados. Apresentamos o caso de paciente de 14 anos, masculino, com ganglioglioma da região da pineal, tratado cirurgicamente, com exérese total da lesão por via suboccipital transtentorial. O estudo histológico mostrou tratar-se de ganglioglioma grau I, confirmado por imuno-histoquímica. Conclui-...

  14. Tachykinins and tachykinin-receptors in the rat pineal gland

    DEFF Research Database (Denmark)

    Mukda, S; Chetsawang, B; Govitrapong, P; Schmidt, P T; Hay-Schmidt, Anders; Møller, M

    2005-01-01

    High-pressure liquid chromatography of extracts of rat pineal glands, followed by radio immunological analysis with antibodies against tachykinins, demonstrated the presence of substance P, neurokinin A and neurokinin B in the superficial rat pineal gland. Immunohistochemistry on perfusion-fixed rat brain sections showed substance P and neurokinin A to be present in nerve fibers located both in the perivascular spaces as well as intraparenchymally between the pinealocytes. After extracting total...

  15. Neuropeptide Y in the adult and fetal human pineal gland

    DEFF Research Database (Denmark)

    Møller, Morten; Phansuwan-Pujito, Pansiri; Badiu, Corin

    2014-01-01

    Neuropeptide Y was isolated from the porcine brain in 1982 and shown to be colocalized with noradrenaline in sympathetic nerve terminals. The peptide has been demonstrated to be present in sympathetic nerve fibers innervating the pineal gland in many mammalian species. In this investigation, we show by use of immunohistochemistry that neuropeptide Y is present in nerve fibers of the adult human pineal gland. The fibers are classical neuropeptidergic fibers endowed with large boutons en passage a...

  16. Incidental pineal cysts in children who undergo 3-T MRI

    Energy Technology Data Exchange (ETDEWEB)

    Whitehead, Matthew T. [University of Tennessee Health Science Center, Department of Radiology, Memphis, TN (United States); Le Bonheur Children' s Hospital, Le Bonheur Neuroscience Institute, Memphis, TN (United States); Le Bonheur Children' s Hospital, Department of Radiology, Memphis, TN (United States); Oh, Christopher C. [University of Tennessee Health Science Center, Department of Radiology, Memphis, TN (United States); Le Bonheur Children' s Hospital, Le Bonheur Neuroscience Institute, Memphis, TN (United States); Choudhri, Asim F. [University of Tennessee Health Science Center, Department of Radiology, Memphis, TN (United States); Le Bonheur Children' s Hospital, Le Bonheur Neuroscience Institute, Memphis, TN (United States); University of Tennessee Health Science Center, Department of Neurosurgery, Memphis, TN (United States)

    2013-12-15

    Pineal cysts, both simple and complex, are commonly encountered in children. More cysts are being detected with MR technology; however, nearly all pineal cysts are benign and require no follow-up. To discover the prevalence of pineal cysts in children at our institution who have undergone high-resolution 3-T MRI. We retrospectively reviewed 100 consecutive 3-T brain MRIs in children ages 1 month to 17 years (mean 6.8 {+-} 5.1 years). We evaluated 3-D volumetric T1-W imaging, axial T2-W imaging, axial T2-W FLAIR (fluid attenuated inversion recovery) and coronal STIR (short tau inversion recovery) sequences. Pineal parenchymal and cyst volumes were measured in three planes. Cysts were analyzed for the presence and degree of complexity. Pineal cysts were present in 57% of children, with a mean maximum linear dimension of 4.2 mm (range 1.5-16 mm). Of these cysts, 24.6% showed thin septations or fluid levels reflecting complexity. None of the cysts demonstrated complete T2/FLAIR signal suppression. No cyst wall thickening or nodularity was present. There was no significant difference between the ages of children with and without cysts. Cysts were more commonly encountered in girls than boys (67% vs. 52%; P = 0.043). There was a slight trend toward increasing pineal gland volume with age. Pineal cysts are often present in children and can be incidentally detected by 3-T MRI. Characteristic-appearing pineal cysts in children are benign, incidental findings, for which follow-up is not required if there are no referable symptoms or excessive size. (orig.)

  17. Diencephalic origin of the pineal gland of the chicken embryo

    OpenAIRE

    Aige-Gil, Vicente; Murillo-Ferrol, Narciso

    1991-01-01

    In the present paper, the diencephalic origin of the chick pineal gland was analyzed by a series of experiments: prosencephalic substitution; in vitro culture of isolated diencephalons; and total or partial excission of the diencephalic roof. The results indicate that the differentiation of the chick pineal gland in the rooof of the third ventricle is not influenced by the neighbouring brain vesicles and is of diencephalic origin. Moreover, in order to obtain c...

  18. Buschke-Lowenstein tumor of the inguinal region: A rare entity in a rarer location

    Directory of Open Access Journals (Sweden)

    Priyanka Aggarwal

    2015-02-01

    Full Text Available Buschke–Lowenstein tumor (BLT, also known as giant condyloma accuminata, first described in 1896 by Buschke, is a rare, slow?growing, locally invasive, mass lesion commonly affecting the anogenital region in immunocompromised males. This florid type of verrucous carcinoma is known for its high rate of recurrence as well as malignant conversion to squamous cell carcinoma. BLTs have been commonly reported to involve the penis, scrotum, bladder, vulva and perianal or anorectal regions. Our index case remains distinguished on the account of the rare anatomical location, causing a diagnostic dilemma, and once diagnosed managed adequately via surgery alone

  19. Is a neuronal chain between the pineal body and the retina in rats and hamsters? Transneural tracing studies.

    Science.gov (United States)

    Csáki, Ágnes; Vígh, Béla; Boldogk?i, Zsolt; Vereczki, Viktoria; Szél, Ágoston; Köves, Katalin

    2015-02-19

    Neuronal chains between the retina and the pineal body were investigated. Transneuronal tracers, retrograde spreading pseudorabies virus (labeled with green fluorescent protein, memGreen-RV) and virus spreading in both ante- and retrograde directions (labeled with red fluorescent protein, Ka-VHS-mCherry-A-RV) were injected into the right eye of vitreous body of intact or bilaterally sympathectomized Wistar male rats. Intact golden hamsters also received memGreen-RV into the eye and Ka-VHS-mCherry-A-RV into the pineal body. Four-five days later the animals were sacrificed. Frozen sections were prepared from the removed structures. In intact rats memGreen-RV resulted in green fluorescent labeling in the trigeminal and the superior cervical ganglia, the lateral horn of the spinal cord, the paraventricular and the suprachiasmatic nuclei, the perifornical region, the ventrolateral medulla, the locus ceruleus, and the raphe nuclei. In sympathectomized rats the labeling was missing from the brainstem but further existed in the hypothalamus. This observation indicates that the hypothalamic labeling is not mediated by the sympathetic system. One labeled neuron in the pineal body was only observed in 2/13 rats. It was independent from the sympathectomy. When the animals received Ka-VHS-mCherry-A-RV the distribution of the labeling was very similar to that of the intact group receiving retrograde virus. In golden hamsters the memGreen-RV labeled structures were seen in similar places as in rats, but virus labeled nerve cell bodies were always seen in the pineal body. Injection of Ka-VHS-mCherry-A-RV into the pineal body of hamsters resulted in labeling of the retina at both sides. It was concluded that the retinopetal neuronal chain in golden hamsters is always present but in rats it is stochastic. PMID:25543029

  20. Major chromosomal breakpoint intervals in breast cancer tumors co-localize with differentially methylated regions.

    Directory of Open Access Journals (Sweden)

    Man-Hung EricTang

    2012-12-01

    Full Text Available Solid tumors exhibit chromosomal rearrangements resulting in gain or loss of multiple loci (copy number variation and translocations that occasionally result in the creation of novel chimeric genes. In the case of breast cancer, although most individual tumors each have unique CNV landscape the breakpoints, as measured over large datasets, appear to be non-randomly distributed in the genome. Breakpoints show a significant regional concentration at genomic loci spanning perhaps several megabases. The proximal cause of these breakpoint concentrations is a subject of speculation but is, as yet, largely unknown. To shed light on this issue, we have performed a bio-statistical analysis on our previously published data for a set of 119 breast tumors and normal controls, where each sample has both high resolution CNV and methylation data. The method examined the distribution of closeness of breakpoint regions with differentially methylated regions, coupled with additional genomic parameters, such as repeat elements and designated fragile sites in the reference genome. Through this analysis, we have identified a set of 91 regional loci called breakpoint enriched differentially methylated regions (BEDMRs characterized by altered DNA methylation in cancer compared to normal cells that are associated with frequent breakpoint concentrations within a distance of 1Mb. BEDMR loci are further associated with local hypomethylation (66% concentrations of the Alu SINE repeats within 3Mb and tend to occur near a number of cancer related genes such as the protocadherins, AKT1, DUB3, GAB2. BEDMRs seem to deregulate members of the histone gene family and chromatin remodeling factors e.g JMJD1B which might affect the chromatin structure and disrupt coordinate signaling and repair. From this analysis we propose that preference for chromosomal breakpoints is related to genome structure coupled with alterations in DNA methylation and hence chromatin structure associated with tumorigenesis.

  1. HPV types and variants among cervical cancer tumors in three regions of Tunisia.

    Science.gov (United States)

    KrennHrubec, Keris; Mrad, Karima; Sriha, Badreddine; Ben Ayed, Farhat; Bottalico, Danielle M; Ostolaza, Janae; Smith, Benjamin; Tchaikovska, Tatyana; Soliman, Amr S; Burk, Robert D

    2011-04-01

    Cervical cancer is the second most common cancer among Tunisian women, and the incidence rates vary by region. Three Tunisian registries report age-standardized rates of 6.3/10(5) in the central region, 5.4/10(5) in the north, and 2.7/10(5) in the south. High-risk human papillomavirus (HPV) types and their variants differ in carcinogenic potential and geographic distribution. The HPV type and variant distribution could be a factor in the differing rates between regions of Tunisia. Tumor tissue was collected from 142 Tunisian cervical cancer patients. Demographic and reproductive characteristics of the patients were abstracted from cancer registry and hospital records. HPV type and variant analyses were performed using PCR-based Luminex and dot-blot hybridization assays. Eighty-three percent of tumors were infected with at least one HPV type. European variants of HPV16/18 were the most prevalent in tumors from all three regions, with all HPV18 infections and 64% of HPV16 infections being of European lineage. A higher frequency of HPV16 was present in Northern Tunisia (80%) than in Central (68%) or Southern Tunisia (50%) (P=0.02). HPV18/45 was significantly more common in adenocarcinomas (50%) than in squamous cell carcinomas (11%) (P=0.004). Frequent infection with European HPV variants most likely reflects the history of European migration to Tunisia. In addition to the importance of understanding the variants of HPV in Tunisia, behavioral and cultural attitudes towards screening and age-specific infection rates should be investigated to aid the development of future vaccination and HPV screening programs and policies. PMID:21328380

  2. Age-related incidence of pineal calcification detected by computed tomography

    International Nuclear Information System (INIS)

    The age-related incidence of detectable pineal calcification in 725 patients (age range, newborn-20 yrs) suggests that there is a relationship between calcification and the hormonal role played by the pineal gland in the regulation of sexual development. Pineal calcification (demonstrated by computed tomography [CT] on 8-mm-thick sections) in patients less than 6 years old should be looked upon with suspicion, and follow-up CT should be considered to exclude the possible development of a pineal neoplasm

  3. Age-related incidence of pineal calcification detected by computed tomography

    Energy Technology Data Exchange (ETDEWEB)

    Zimmerman, R.A.; Bilaniuk, L.T.

    1982-03-01

    The age-related incidence of detectable pineal calcification in 725 patients (age range, newborn-20 yrs) suggests that there is a relationship between calcification and the hormonal role played by the pineal gland in the regulation of sexual development. Pineal calcification (demonstrated by computed tomography (CT) on 8-mm-thick sections) in patients less than 6 years old should be looked upon with suspicion, and follow-up CT should be considered to exclude the possible development of a pineal neoplasm.

  4. Clonal T cell responses in tumor infiltrating lymphocytes from both regressive and progressive regions of primary human malignant melanoma.

    OpenAIRE

    thor Straten, P.; Becker, J. C.; Seremet, T; Bröcker, E B; Zeuthen, J.

    1996-01-01

    The T cell receptor (TCR) BV variable (V) gene repertoire of tumor infiltrating lymphocytes (TIL) found in progressive and regressive regions of the same primary human melanomas were characterized by reverse transcription coupled polymerase chain reaction (RT-PCR). After surgery, the tumors were divided into different parts which were judged as regressive or progressive regions by visual inspection. Subsequently this diagnosis was confirmed by histology. From a total of four primary melanomas...

  5. Combined autofluorescence and Raman spectroscopy method for skin tumor detection in visible and near infrared regions

    Science.gov (United States)

    Zakharov, V. P.; Bratchenko, I. A.; Artemyev, D. N.; Myakinin, O. O.; Khristoforova, Y. A.; Kozlov, S. V.; Moryatov, A. A.

    2015-07-01

    The combined application of Raman and autofluorescence spectroscopy in visible and near infrared regions for the analysis of malignant neoplasms of human skin was demonstrated. Ex vivo experiments were performed for 130 skin tissue samples: 28 malignant melanomas, 19 basal cell carcinomas, 15 benign tumors, 9 nevi and 59 normal tissues. Proposed method of Raman spectra analysis allows for malignant melanoma differentiating from other skin tissues with accuracy of 84% (sensitivity of 97%, specificity of 72%). Autofluorescence analysis in near infrared and visible regions helped us to increase the diagnostic accuracy by 5-10%. Registration of autofluorescence in near infrared region is realized in one optical unit with Raman spectroscopy. Thus, the proposed method of combined skin tissues study makes possible simultaneous large skin area study with autofluorescence spectra analysis and precise neoplasm type determination with Raman spectroscopy.

  6. One millisecond of light suffices to suppress nighttime pineal melatonin synthesis in rats

    OpenAIRE

    Vollrath, Lutz; Seidel, A.; Huesgen, A.; Manz, B.; Pollow, Kunhard; Leiderer, Paul

    1989-01-01

    The effcct of a single high-intensity light pulse with a duration of 1 ms on nighttime pineal activity of male Sprague-Dawley rats was investigated. 10 minutes after light exposure pineal N-actyltransferase activity and melatonin content were significantly reduced. These results show that the rat pineal is capable of responding to very short light flashes of high intensity.

  7. Nuances in the Treatment of Malignant Tumors of the Clival and Petroclival Region

    Scientific Electronic Library Online (English)

    Ahmed, Mohyeldin; Daniel M., Prevedello; Ali O., Jamshidi; Leo F.S. Ditzel, Filho; Ricardo L., Carrau.

    Full Text Available Introduction Malignancies of the clivus and petroclival region are mainly chordomas and chondrosarcomas. Although a spectrum of malignancies may present in this area, a finite group of commonly encountered malignant pathologies will be the focus of this review, as they are recognized to be formida [...] ble pathologies due to adjacent critical neurovascular structures and challenging surgical approaches. Objectives The objective is to review the literature regarding medical and surgical management of malignant tumors of the clival and petroclival region with a focus on clinical presentation, diagnostic identification, and associated adjuvant therapies. We will also discuss our current treatment paradigm using endoscopic, open, and combined approaches to the skull base. Data Synthesis A literature review was conducted, searching for basic science and clinical evidence from PubMed, Medline, and the Cochrane Database. The selection criteria encompassed original articles including data from both basic science and clinical literature, case series, case reports, and review articles on the etiology, diagnosis, treatment, and management of skull base malignancies in the clival and petroclival region. Conclusions The management of petroclival malignancies requires a multidisciplinary team to deliver the most complete surgical resection, with minimal morbidity, followed by appropriate adjuvant therapy. We advocate the combination of endoscopic and open approaches (traditional or minimally invasive) as required by the particular tumor followed by radiation therapy to optimize oncologic outcomes.

  8. Morphologic study of the pineal gland of the dog/ Estudo morfológico da glândula pineal do cão

    Directory of Open Access Journals (Sweden)

    Francisco Xavier Hernandez Blazquez

    2008-08-01

    Full Text Available Following the discovery of the melatonin by Lerner et al. (1958, new research and perspectives were developed in order to improve the knowledge regarding the pineal gland. This hormone is not only related to the circadian control but also influences other behavioral functions such as the reproductive cycle and thermoregulation. In this study the morphology of the pineal gland (epiphysis cerebri from 20 dogs were analyzed by means of macroscopic and microscopic evaluation. The shape of the gland ranged from conic to “tongue-like shape” (in relation to human tongue. The gland color ranged from beige to gray-brownish and it had a gelatinous consistency. The width and length of the glands ranged from 1.38 to 2.39 mm and 1.53 to 2.96 mm, respectively. Capsule, septa, pinealocytes, glial cells and pigment granules were microscopically found in all glands. No calcareous concretions were observed.Após a descoberta da melatonina por Lerner et al. (1958, novas pesquisas e perspectivas surgiram tornando a pineal uma estrutura mais estudada. Além disso, sabe-se que este hormônio está relacionado com o controle circadiano e outras funções comportamentais fisiológicas como o ciclo reprodutivo e termorregulação. Neste trabalho, foram utilizados 20 cães e estudamos a morfologia das glândulas, empregando uma análise macroscópica e microscópica. O formato das pineais variou de cônico a glossóide (em relação à língua humana; cor entre bege e marrom-acinzentado e apresentaram consistência gelatinosa. A largura e o comprimento das glândulas variaram respectivamente de 1,38 a 2,39 mm e de 1,53 a 2,96 mm. Quanto à microscopia, utilizamos coloração de eosina-hematoxilina (HE, e em todas as pineais observamos a presença dos seguintes componentes: cápsula; septos ou trabéculas pinealócitos; células da glia; grânulos de pigmentos, e não foram notadas concreções calcáreas.

  9. Expression of the Otx2 homeobox gene in the developing mammalian brain: embryonic and adult expression in the pineal gland

    DEFF Research Database (Denmark)

    Rath, Martin F; Muñoz, Estela; Ganguly, Surajit; Morin, Fabrice; Shi, Qiong; Klein, David C; Møller, Morten

    2006-01-01

    Otx2 is a vertebrate homeobox gene, which has been found to be essential for the development of rostral brain regions and appears to play a role in the development of retinal photoreceptor cells and pinealocytes. In this study, the temporal expression pattern of Otx2 was revealed in the rat brain, with special emphasis on the pineal gland throughout late embryonic and postnatal stages. Widespread high expression of Otx2 in the embryonic brain becomes progressively restricted in the adult to the ...

  10. 3D high-content screening for the identification of compounds that target cells in dormant tumor spheroid regions

    Energy Technology Data Exchange (ETDEWEB)

    Wenzel, Carsten; Riefke, Björn; Gründemann, Stephan; Krebs, Alice; Christian, Sven; Prinz, Florian; Osterland, Marc; Golfier, Sven; Räse, Sebastian [Bayer Pharma AG, Global Drug Discovery, Muellerstrasse 178, 13353 Berlin (Germany); Ansari, Nariman [Physical Biology Group, Buchmann Institute for Molecular Life Sciences (BMLS), Goethe University Frankfurt (Germany); Esner, Milan; Bickle, Marc [Max Planck Institute of Molecular Cell Biology and Genetics, High-Throughput Technology Development Studio (TDS), Dresden (Germany); Pampaloni, Francesco; Mattheyer, Christian; Stelzer, Ernst H. [Physical Biology Group, Buchmann Institute for Molecular Life Sciences (BMLS), Goethe University Frankfurt (Germany); Parczyk, Karsten; Prechtl, Stefan [Bayer Pharma AG, Global Drug Discovery, Muellerstrasse 178, 13353 Berlin (Germany); Steigemann, Patrick, E-mail: Patrick.Steigemann@bayer.com [Bayer Pharma AG, Global Drug Discovery, Muellerstrasse 178, 13353 Berlin (Germany)

    2014-04-15

    Cancer cells in poorly vascularized tumor regions need to adapt to an unfavorable metabolic microenvironment. As distance from supplying blood vessels increases, oxygen and nutrient concentrations decrease and cancer cells react by stopping cell cycle progression and becoming dormant. As cytostatic drugs mainly target proliferating cells, cancer cell dormancy is considered as a major resistance mechanism to this class of anti-cancer drugs. Therefore, substances that target cancer cells in poorly vascularized tumor regions have the potential to enhance cytostatic-based chemotherapy of solid tumors. With three-dimensional growth conditions, multicellular tumor spheroids (MCTS) reproduce several parameters of the tumor microenvironment, including oxygen and nutrient gradients as well as the development of dormant tumor regions. We here report the setup of a 3D cell culture compatible high-content screening system and the identification of nine substances from two commercially available drug libraries that specifically target cells in inner MCTS core regions, while cells in outer MCTS regions or in 2D cell culture remain unaffected. We elucidated the mode of action of the identified compounds as inhibitors of the respiratory chain and show that induction of cell death in inner MCTS core regions critically depends on extracellular glucose concentrations. Finally, combinational treatment with cytostatics showed increased induction of cell death in MCTS. The data presented here shows for the first time a high-content based screening setup on 3D tumor spheroids for the identification of substances that specifically induce cell death in inner tumor spheroid core regions. This validates the approach to use 3D cell culture screening systems to identify substances that would not be detectable by 2D based screening in otherwise similar culture conditions. - Highlights: • Establishment of a novel method for 3D cell culture based high-content screening. • First reported high-content screen for the identification of compounds that target cells in dormant tumor spheroid regions. • Metabolite profiling by NMR spectroscopy on 3D tumor spheroids. • Identification of respiratory chain inhibitors to specifically induce cell death in inner tumor spheroid regions. • Respiratory chain inhibitors enhance cytostatic based therapy in vitro.

  11. 3D high-content screening for the identification of compounds that target cells in dormant tumor spheroid regions

    International Nuclear Information System (INIS)

    Cancer cells in poorly vascularized tumor regions need to adapt to an unfavorable metabolic microenvironment. As distance from supplying blood vessels increases, oxygen and nutrient concentrations decrease and cancer cells react by stopping cell cycle progression and becoming dormant. As cytostatic drugs mainly target proliferating cells, cancer cell dormancy is considered as a major resistance mechanism to this class of anti-cancer drugs. Therefore, substances that target cancer cells in poorly vascularized tumor regions have the potential to enhance cytostatic-based chemotherapy of solid tumors. With three-dimensional growth conditions, multicellular tumor spheroids (MCTS) reproduce several parameters of the tumor microenvironment, including oxygen and nutrient gradients as well as the development of dormant tumor regions. We here report the setup of a 3D cell culture compatible high-content screening system and the identification of nine substances from two commercially available drug libraries that specifically target cells in inner MCTS core regions, while cells in outer MCTS regions or in 2D cell culture remain unaffected. We elucidated the mode of action of the identified compounds as inhibitors of the respiratory chain and show that induction of cell death in inner MCTS core regions critically depends on extracellular glucose concentrations. Finally, combinational treatment with cytostatics showed increased induction of cell death in MCTS. The data presented here shows for the first time a high-content based screening setup on 3D tumor spheroids for the identification of substances that specifically induce cell death in inner tumor spheroid core regions. This validates the approach to use 3D cell culture screening systems to identify substances that would not be detectable by 2D based screening in otherwise similar culture conditions. - Highlights: • Establishment of a novel method for 3D cell culture based high-content screening. • First reported high-content screen for the identification of compounds that target cells in dormant tumor spheroid regions. • Metabolite profiling by NMR spectroscopy on 3D tumor spheroids. • Identification of respiratory chain inhibitors to specifically induce cell death in inner tumor spheroid regions. • Respiratory chain inhibitors enhance cytostatic based therapy in vitro

  12. Microstructural analysis of pineal volume using trueFISP imaging

    Science.gov (United States)

    Bumb, Jan M; Brockmann, Marc A; Groden, Christoph; Nolte, Ingo

    2013-01-01

    AIM: To determine the spectrum of pineal microstructures (solid/cystic parts) in a large clinical population using a high-resolution 3D-T2-weighted sequence. METHODS: A total of 347 patients enrolled for cranial magnetic resonance imaging were randomly included in this study. Written informed consent was obtained from all patients. The exclusion criteria were artifacts or mass lesions prohibiting evaluation of the pineal gland in any of the sequences. True-FISP-3D-imaging (1.5-T, isotropic voxel 0.9 mm) was performed in 347 adults (55.4 ± 18.1 years). Pineal gland volume (PGV), cystic volume, and parenchyma volume (cysts excluded) were measured manually. RESULTS: Overall, 40.3% of pineal glands were cystic. The median PGV was 54.6 mm3 (78.33 ± 89.0 mm3), the median cystic volume was 5.4 mm3 (15.8 ± 37.2 mm3), and the median parenchyma volume was 53.6 mm3 (71.9 ± 66.7 mm3). In cystic glands, the standard deviation of the PGV was substantially higher than in solid glands (98% vs 58% of the mean). PGV declined with age (r = -0.130, P = 0.016). CONCLUSION: The high interindividual volume variation is mainly related to cysts. Pineal parenchyma volume decreased slightly with age, whereas gender-related effects appear to be negligible. PMID:23671752

  13. LHRH incorporation in normal and denervated pineal gland, and in pineal gland of rats with constant estrous-anovulatory syndrome: a preliminary study

    International Nuclear Information System (INIS)

    Pineal gland and superior sympathetic cervical ganglia accumulated intravenously injected 3H-LHRH in an amount significantly higher than anterior and posterior hypothalamus, cerebral cortex and pituitary gland, the latter a specific target for LHRH. The prior administration of unlabelled LHRH significantly decreased the 3H-LHRH incorporation only in pineal and pituitary gland. Autoradiography showed that the radiolabel was localized at the level of the pinealocytes, with a seemingly, prevalent distribution of grains on the cellular contours. Pineal incorporation of LHRH was not significantly modified by either acute or chronic bilateral cervical ganglionectomy, although acute ganglioectomy resulted in a slight decrease in LHRH accumulation by pineal gland. Constant estrous anovulatory syndromes induced by either frontal hypothalamic deafferentation, or continuous illumination or neonatal androgenization did not appear to modify the LHRH incorporation in either pineal gland or cervical ganglia. Basing on these results, the pineal gland is supposed to be a target organ for LHRH. (author)

  14. Global daily dynamics of the pineal transcriptome

    DEFF Research Database (Denmark)

    Bustos, Diego M; Bailey, Michael J

    2011-01-01

    Transcriptome profiling of the pineal gland has revealed night/day differences in the expression of a major fraction of the genes active in this tissue, with two-thirds of these being nocturnal increases. A set of over 600 transcripts exhibit two-fold to >100-fold daily differences in abundance. These changes appear to be primarily attributable to adrenergic-cyclic-AMP-dependent mechanisms, which are controlled via a neural pathway that includes the suprachiasmatic nucleus, the master circadian oscillator. In addition to melatonin synthesis, night/day differences in gene expression impact genes associated with several specialized functions, including the immune/inflammation response, photo-transduction, and thyroid hormone/retinoic acid biology. The following nonspecialized cellular features are also affected: adhesion, cell cycle/cell death, cytoskeleton, DNA modification, endothelium, growth, RNA modification, small molecule biology, transcription factors, vesicle biology, signaling involving Ca(2+), cyclic nucleotides, phospholipids, mitogen-activated protein kinases, the Wnt signaling pathway, and protein phosphorylation.

  15. Tumor Teratóide Rabdóide Atípico Num Adulto / Atypical Teratoid Rhabdoid Tumor in an Adult

    Scientific Electronic Library Online (English)

    Cláudia, Caeiro; Isabel, Augusto; Teresa, Jaraquemada; Cristina, Sarmento; Margarida, Damasceno.

    Full Text Available O tumor teratóide rabdóide atípico (TTRA) é uma neoplasia rara e agressiva, mais comum na infância e de mau prognóstico. Apenas 23 casos foram descritos em adultos. Permanece por estabelecer uma estratégia terapêutica, mas com ressecção macroscopicamente completa (RMC), radioterapia (RT) e quimioter [...] apia baseada em platinos e agentes alquilantes parecem obter-se os melhores resultados. Descreve-se o caso de uma mulher de 39 anos que iniciou um quadro de cefaleias, vertigens, perturbações visuais e ataxia. A RMN mostrou hidrocefalia relacionada com uma massa na região pineal. O tratamento consistiu em RMC, RT e 3 ciclos do esquema ICE. A doente permanece sem evidência de doença 30 meses após o diagnóstico. A propósito deste caso, procedeu-se a uma revisão da literatura. Abstract in english Atypical teratoid rhabdoid tumor (AT/RT) is a rare and aggressive malignancy, which is more common in early childhood and carries a poor prognosis. Only 23 cases have been described in adults. A treatment strategy is yet to be established but gross total resection (GTR), early radiotherapy (RT) and [...] platinum and alkylator-based chemotherapy seem to be associated with better outcome. We report on a 39 year-old female who presented with headache, vertigo, blurry vision and ataxia. The MRI revealed hydrocephalus related to a mass at the pineal region. The treatment consisted of GTR, RT and 3 cycles of an outpatient-based ICE regimen. The patient remains disease-free 30 months after diagnosis. Following this case, a review of the literature is undertaken.

  16. The influence of sex steroids on pineal enzymes

    International Nuclear Information System (INIS)

    The influence of the gonadal sex steroids namely, estradiol, progesterone and testosterone on the two major enzymes responsible for the synthesis of melatonin in the pineal gland was investigated. These enzymes are Serotonin-N-acetyltransferase (SNAT) and Hydroxyindole-O-methyltransferase (H10MT). Testosterone was found to be the only sex steroid capable of influencing SNAT activity whereas all three of the sex steroids were found to influence H10MT activity in a biphasic dose-dependent manner. The influence of these sex steroids on radiolabelled serotonin metabolism by pineals in organ culture was also investigated. Ovariectomy, castration and the sex steroids were all found to alter the pattern of the radiolabelled serotonin metabolism by these pineal glands in organ culture

  17. Pineal-specific agouti protein regulates teleost background adaptation

    Science.gov (United States)

    Zhang, Chao; Song, Youngsup; Thompson, Darren A.; Madonna, Michael A.; Millhauser, Glenn L.; Toro, Sabrina; Varga, Zoltan; Westerfield, Monte; Gamse, Joshua; Chen, Wenbiao; Cone, Roger D.

    2010-01-01

    Background adaptation is used by teleosts as one of a variety of camouflage mechanisms for avoidance of predation. Background adaptation is known to involve light sensing by the retina and subsequent regulation of melanophore dispersion or contraction in melanocytes, mediated by ?-melanocyte–stimulating hormone and melanin-concentrating hormone, respectively. Here, we demonstrate that an agouti gene unique to teleosts, agrp2, is specifically expressed in the pineal and is required for up-regulation of hypothalamic pmch and pmchl mRNA and melanosome contraction in dermal melanocytes in response to a white background. floating head, a mutant with defective pineal development, exhibits defective up-regulation of mch mRNAs by white background, whereas nrc, a blind mutant, exhibits a normal response. These studies identify a role for the pineal in background adaptation in teleosts, a unique physiological function for the agouti family of proteins, and define a neuroendocrine axis by which environmental background regulates pigmentation. PMID:20980662

  18. CN-12PINEAL PARENCHYMAL TUMOUR OF INTERMEDIATE DIFFERENTIATION: CASE SERIES FROM A SINGLE INSTITUTE

    Science.gov (United States)

    Mahtab, Najibah; Ramamurthy, Sindhu; Willis, Nick; Lewis, Joanne; Lethbridge, Emma

    2014-01-01

    INTRODUCTION: Pineal parenchymal tumours of intermediate differentiation (PPTID) are a group of rare tumours with intermediate malignant potential between pineocytoma and pineoblastoma, for which there is currently no standard treatment paradigm. METHODS: Between 2001 and 2014, five patients with PPTID were treated at our institute. We retrospectively evaluated clinical outcomes. Patient demographics, presentation, staging, surgery, radiotherapy (RT) technique, late toxicities and any chemotherapy administered were noted from the hospital electronic data base. RESULTS: Patient age range 20-74 years. Common presenting symptom was headache and visual disturbance and neurological sign was diplopia. All had ventriculostomy plus or minus ventriculo-peritoneal shunt to relieve hydrocephalus. Two patients had biopsy only and three patients had excision of pineal tumour. Three patients underwent whole brain RT with boost to pineal region [35.07Gy in 21 fractions - whole brain, average boost dose- 17.81Gy (16.7- 20.04 Gy) at 1.67Gy/fraction]. Two patients had limited field RT to the pineal region (54Gy and 39.6 Gy delivered in 1.8 Gy/fraction). Four patients had complete radiological response on MRI post-RT. One patient had partial radiological response. Two patients recurred after an average disease free survival period of 54.5 months from diagnosis: one recurred locally and was retreated with radiosurgery; the other developed disseminated leptomeningeal disease and received platinum based palliative chemotherapy. Four patients are alive to date. Average overall survival including relapsed patients is 102.5 months. Median DFS and OS are 41 and 100 months respectively. All patients developed mild cognitive impairment. The patient who received platinum chemotherapy developed severe neuropathy. CONCLUSION: Patients with PPTID in this case series survived medium term and four remain on follow up. A prospective multi institutional study is recommended due to the potential for late adverse effects. However, because this entity is rare, the difficulties in achieving this are recognised therefore cases should be collated at centres for review.

  19. A Two Dimensional Infinite Element Model to Study Temperature Distribution in Human Dermal Regions due to Tumors

    Directory of Open Access Journals (Sweden)

    K. R. pardasani

    2005-01-01

    Full Text Available In this study, a two dimensional infinite element model has been developed to study thermal effect in human dermal regions due to tumors. This model incorporates the effect of blood mass flow rate, metabolic heat generation and thermal conductivity of the tissues.The dermal region is divided into three natural layers, namely, epidermis, dermis and subdermal tissues. A uniformly perfused tumor is assumed to be present in the dermis. The domain is assumed to be finite along the depth and infinite along the breadth. The whole dermis region involving tumor is modelled with the help of triangular finite elements to incorporate the geometry of the region. These elements are surrounded by infinite domain elements along the breadth. Appropriate boundary conditions has been incorporated. A computer program has been developed to obtain the numerical results.

  20. Brain tumors in children; Hirntumoren beim Kind

    Energy Technology Data Exchange (ETDEWEB)

    Harting, I.; Seitz, A. [Universitaetsklinikum Heidelberg (Germany). Abt. Neuroradiologie

    2009-06-15

    Brain tumors are common in children; in Germany approximately 400 children are diagnosed every year. In the posterior fossa, cerebellar neoplasms outnumber brainstem gliomas. In contrast to their rarity in adults, brainstem gliomas are not uncommon in children. Supratentorial tumors can be subdivided by location into neoplasms of the cerebral hemispheres, suprasellar and pineal tumors. Astrocytoma is the most common pediatric brain tumor followed by medulloblastoma, ependymoma and craniopharyngeoma. The combination of imaging morphology, tumor localisation and patient age at manifestation form the basis of the neuroradiological differential diagnosis. (orig.)

  1. Primary (Poorly Differentiated Sclerosing Liposarcoma of Temporal Region. An Uncommon Tumor in a Rare Site: A Case Report

    Directory of Open Access Journals (Sweden)

    Anuradha CK Rao

    2015-02-01

    Full Text Available Liposarcoma (LS in the head and neck region is a rare tumor. The sclerosing variant of LS is a subtype of well-differentiated LS characterized by areas of conventional LS admixed with hypocellular areas of stromal sclerosis that show atypical lipomatous cells. The (poorly differentiated sclerosing LS, on the other hand, is more cellular with atypical, pleomorphic and often bizarre giant tumor cells admixed with atypical lipoblasts. We report a case of poorly differentiated sclerosing LS of temporal region in a 49-year-old man. Radiologically, the tumor was dumbbell shaped with intra and extra cranial extension. In this case, we discuss the clinico-radiological and pathological findings of an unusual tumor in a rare location. [J Interdiscipl Histopathol 2015; 3(1.000: 33-35

  2. Protein phosphorylation in rat pineal gland and its regulation in supersensitive and subsensitive states

    Energy Technology Data Exchange (ETDEWEB)

    Cimino, M.; Benfenati, F.; Farabegoli, C.; Cattabeni, F.; Agnati, L.F.

    1987-04-01

    The phosphorylation of specific proteins in pineal homogenate was analyzed by sodium dodecyl sulfate-polyacrylamide gel electrophoresis and autoradiography. Cyclic AMP had the capacity to stimulate in a dose-dependent manner the incorporation of /sup 32/P in protein bands of apparent molecular weights 59K, 56K, and 35K with a maximal effect at 1 microM. On the other hand, calcium alone did not induce a marked increase in /sup 32/P incorporation with the exception of a dose-dependent phosphorylation of a 46K protein with a peak effect at 0.2 mM calcium concentration. The addition of exogenous calmodulin enhanced /sup 32/P incorporation in proteins migrating in the 62K and 52K regions, an effect that was antagonized by the calmodulin inhibitor trifluoperazine. However, also under these conditions, the stimulation of pineal protein phosphorylation was rather weak compared to that observed in other brain areas. In an attempt to investigate the functional changes of these biochemical processes during environmental lighting and adrenergic stimulation, it was found that the administration of (-)-isoproterenol (5 mg/kg, s.c.), a beta-receptor agonist, induced a clear-cut enhancement of /sup 32/P incorporation into the cyclic AMP-sensitive 59K and 56K proteins only in animals exposed for 18 h to the light, whereas it was almost ineffective in those kept in the dark for the same period. This effect was antagonized by (-)-propranolol pretreatment (20 mg/kg), suggesting that the changes in cyclic AMP-dependent protein phosphorylation observed in supersensitive pineals may represent a beta-receptor mediated process.

  3. Presence of P2-purinoceptors in the rat pineal gland.

    OpenAIRE

    Ferreira, Z. S.; Cipolla-Neto, J.; R.P. Markus

    1994-01-01

    1. The effects of noradrenaline, ATP, adenylyl-imidodiphosphate (AMP-PNP), adenosine, alpha,beta-methylene-ATP and the P2-purinoceptor antagonist, suramin on N'-acetyl-5-hydroxytryptamine production were studied in cultured denervated rat pineal glands. 2. Noradrenaline (3 nM-1 microM) increased N'-acetyl-5-hydroxytryptamine production as measured both in the gland and the culture medium. 3. In noradrenaline (10 nM)-stimulated pineal glands, ATP (0.03 nM-1 mM) or AMP-PNP (0.1 microM-1 mM) inc...

  4. Conservatively managed pineal apoplexy in an anticoagulated patient

    Energy Technology Data Exchange (ETDEWEB)

    Werder, Gabriel M. [William Beaumont Hospital, Department of Radiology, 3600 West Thirteen Mile Road, Royal Oak, MI 48073 (United States); St Christopher Iba Mar Diop College of Medicine, Luton (United Kingdom)], E-mail: gabriel_werder@yahoo.com; Razdan, Rahul S.; Gagliardi, Joseph A.; Chaddha, Shashi K.B. [St Vincent' s Medical Center, Bridgeport, CT (United States)

    2008-02-15

    We present a case of pineal apoplexy in an anticoagulated and hypertensive 56-year-old Hispanic male. At presentation, the patient's international normalized ratio (INR) was 10.51 and his blood pressure was 200/130 mmHg. His presenting symptoms included acute onset of headache, chest pain, nausea, vomiting, vertigo, and visual disturbance. Neuroimaging demonstrated hemorrhage into a morphologically normal pineal gland. Under conservative management, the patient experienced gradual resolution of all symptoms excluding the disturbance of upward gaze.

  5. Immune Monitoring of the Circulation and the Tumor Microenvironment in Patients with Regionally Advanced Melanoma Receiving Neoadjuvant Ipilimumab

    OpenAIRE

    Tarhini, Ahmad A.; Edington, Howard; Butterfield, Lisa H.; LIN Yan; Shuai, Yongli; Tawbi, Hussein; Sander, Cindy; YIN, YAN; Holtzman, Matthew; Johnson, Jonas; Rao, Uma N.M.; Kirkwood, John M.

    2014-01-01

    We evaluated neoadjuvant ipilimumab in patients with surgically operable regionally advanced melanoma in order to define markers of activity in the blood and tumor as assessed at baseline (before ipilimumab) and early on-treatment. Patients were treated with ipilimumab (10 mg/kg intravenously every 3 weeks ×2 doses) bracketing surgery. Tumor and blood biospecimens were obtained at baseline and at surgery. Flow cytometry and immunohistochemistry for select biomarkers were performed. Thirty fiv...

  6. Fully Automated Approach to Identify Brain Tumors in 2D MRI Using Thresholding and Region Growing Method?

    OpenAIRE

    Yogesh Dewangan; Aakanksha S. Choubey?

    2014-01-01

    Automated brain tumor segmentation and detection are vastly important in medical diagnostics because it provides information related to anatomical structures as well as potential abnormal tissue necessary to delineate appropriate surgical planning. As the segmentation of anatomical regions of the brain is the basic problem in medical image analysis. Segmentation of Brain tumor appropriately is a difficult task in MRI. The MRI image is an image that produces a high contrast images ...

  7. Cytogenetic analysis of tumoral thyroid tissues of thyroid glands of people from Gomel region as against Brest one

    International Nuclear Information System (INIS)

    The analysis in vivo of histologically normal and tumoral thyroid tissues has shown that in organism of examined patients with thyroid cancer mutation process taken place not only in tumor but in histologically normal tissue. As a result of investigations pursued a significant increase in the level of aberrant cells in thyroid cell populations was revealed in people from Gomel regions as against Brest one

  8. Controladores del Tiempo y el Envejecimiento: Núcleo Supraquiasmático y Glándula Pineal / Aging Process Entrainment: Suprachiasmatic Nucleus and Pineal Gland

    Scientific Electronic Library Online (English)

    Parménides, Guadarrama-Ortiz; Ricardo, Ramírez-Aguilar; Alejandro, Madrid-Sánchez; Carlos, Castillo-Rangel; Diana, Carrasco-Alcántara; Raúl, Aguilar-Roblero.

    2014-06-01

    Full Text Available El núcleo supraquiasmático (NSQ) es el principal reloj biológico de los mamíferos y sincroniza la actividad de la glándula pineal al ciclo luz-oscuridad a través de una vía polisináptica. El efecto de asa de retroalimentación neuroendocrina se lleva a cabo por la melatonina. El presente trabajo pret [...] ende demostrar que la glándula pineal modula la sensibilidad a la luz en el NSQ. Se utilizaron ratas Wistar, y se asignaron a 3 grupos: grupo A (falsa pinealectomía -sham-, sin luz), grupo B (falsa pinealectomía -sham- + luz) y grupo C al cual se le realizó la pinealectomía + luz, después de la manipulación se sacrifican para realizar inmunohistoquímica para c-Fos y al final conteo celular por técnica de estereología. Se obtuvo una reducción del 46,8% del promedio de células inmunorreactivas a c-Fos en el grupo C en comparación del grupo B. Este trabajo muestra que la sensibilidad a la luz está modulada por la actividad de la glándula pineal. Abstract in english The suprachiasmatic nucleus (SCN) is the main and major biological clock in mammals and is responsible for the synchronization of the pineal gland to the light/darkness cycle through a polysynaptic pathway. The neuroendocrine feedback loop effect is carried out by melatonin. This study was carried o [...] ut to demonstrate that the pineal gland adjusts the sensibility to light in the suprachiasmatic nucleus. Wistar rats were allocated in 3 groups: Group A (sham pinalectomy, without light), group B (sham pinealectomy + light) and group C which underwent real pinalectomy + light. After the intervention the animals were slain to perform immunohistochemistry for c-Fos and cell counting by stereology technique. A 46.8% average reduction in c-Fos immunoreactive cells was achieved in-group C as compared with group B. The present work shows that sensibility to the light is modulate by the activity of the pineal gland.

  9. Contrast enhancement and morphological findings of hematopoietic regions of bone marrow on MR imaging. Comparative study with spondylitis and vertebral tumors

    Energy Technology Data Exchange (ETDEWEB)

    Amano, Yasuo; Hayashi, Hiromitsu; Matsuura, Maki; Watari, Jun; Kumazaki, Tatsuo [Nippon Medical School, Tokyo (Japan)

    1995-06-01

    The enhanced MR findings of hematopoietic regions in aplastic anemia were compared with those of spondylitis, metastatic vertebral tumors and hematologic neoplasms. The enhanced MR images showed hematopoietic regions to homogeneously enhance and occupy the margin of vertebral bodies, while spondylitis and metastatic tumors appeared as round, inhomogeneously enhancing lesions. MR images of leukemia and myelodysplastic syndrome showed homogeneous enhancement at the margins of vertebrae that was difficult to differentiate from hematopoietic regions. Enhanced MR images were useful in detecting the hematopoietic areas in marrow and differentiating them from spondylitis and metastatic tumors, although further experience is needed to distinguish between tumorous hyperplastic regions and benign hematopoietic regions in marrow. (author).

  10. Structural and functional characterization of the acidic region from the RIZ tumor suppressor.

    Science.gov (United States)

    Sun, Yizhi; Stine, Jessica M; Atwater, Daniel Z; Sharmin, Ayesha; Ross, J B Alexander; Briknarová, Klára

    2015-02-17

    RIZ (retinoblastoma protein-interacting zinc finger protein), also denoted PRDM2, is a transcriptional regulator and tumor suppressor. It was initially identified because of its ability to interact with another well-established tumor suppressor, the retinoblastoma protein (Rb). A short motif, IRCDE, in the acidic region (AR) of RIZ was reported to play an important role in the interaction with the pocket domain of Rb. The IRCDE motif is similar to a consensus Rb-binding sequence LXCXE (where X denotes any amino acid) that is found in several viral Rb-inactivating oncoproteins. To improve our understanding of the molecular basis of binding of Rb to RIZ, we investigated the interaction between purified recombinant AR and the pocket domain of Rb using nuclear magnetic resonance spectroscopy, isothermal titration calorimetry, and fluorescence anisotropy experiments. We show that AR is intrinsically disordered and that it binds the pocket domain with submicromolar affinity. We also demonstrate that the interaction between AR and the pocket domain is mediated primarily by the short stretch of residues containing the IRCDE motif and that the contribution of other parts of AR to the interaction with the pocket domain is minimal. Overall, our data provide clear evidence that RIZ is one of the few cellular proteins that can interact directly with the LXCXE-binding cleft on Rb. PMID:25640033

  11. Induction of cancer cell death by proton beam in tumor hypoxic region

    International Nuclear Information System (INIS)

    Proton beam has been applied to treat various tumor patients in clinical studies. However, it is still undefined whether proton radiation can inhibit the blood vessel formation and induce the cell death in vascular endothelial cells in growing organs. The aim of this study are first, to develop an optimal animal model for the observation of blood vessel development with low dose of proton beam and second, to investigate the effect of low dose proton beam on the inhibition of blood vessel formation induced by hypoxic conditions. In this study, flk1-GFP transgenic zebrafish embryos were used to directly visualize and determine the inhibition of blood vessels by low dose (1, 2, 5 Gy) of proton beam with spread out Bragg peak (SOBP). And we observed cell death by acridine orange staining at 96 hours post fertilization (hpf) stage of embryos after proton irradiation. We also compared the effects of proton beam with those of gamma-ray. An antioxidant, N-acetyl cystein (NAC) was used to investigate whether reactive oxygen species (ROS) were involved in the cell deaths induced by proton irradiation. Irradiated flk-1-GFP transgenic embryos with proton beam irradiation (35 MeV, spread out Bragg peak, SOBP) demonstrated a marked inhibition of embryonic growth and an altered fluorescent blood vessel development in the trunk region. When the cells with DNA damage in the irradiated zebrafish were stained with acridine orange, green fluorescent cell death spots were increased in trunk regions compared to non-irradiated control embryos. Proton beam also significantly increased the cell death rate in human umbilical vein endothelial cells (HUVEC), but pretreatment of N-acetyl cystein (NAC), an antioxidant, recovered the proton-induced cell death rate (p<0.01). Moreover, pretreatment of NAC abrogated the effect of proton beam on the inhibition of trunk vessel development and malformation of trunk truncation. From this study, we found that proton radiation therapy can inhibit the blood vessel growth which is probably induced in hypoxic region in vivo in zebrafish embryos. The inhibition of blood vessel formation by proton beam might be caused by vascular cell death through the increased ROS generation. Therefore, proton therapy can be applied to treat tumor angiogenesis as well as abnormal vessel formation developing in hypoxic region

  12. Induction of cancer cell death by proton beam in tumor hypoxic region

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Y. M.; Heo, T. R.; Lee, K. B.; Jang, K. H.; Kim, H. N.; Lee, S. H.; Jeong, M. H. [Kyungpook National University, Daegu (Korea, Republic of)

    2008-04-15

    Proton beam has been applied to treat various tumor patients in clinical studies. However, it is still undefined whether proton radiation can inhibit the blood vessel formation and induce the cell death in vascular endothelial cells in growing organs. The aim of this study are first, to develop an optimal animal model for the observation of blood vessel development with low dose of proton beam and second, to investigate the effect of low dose proton beam on the inhibition of blood vessel formation induced by hypoxic conditions. In this study, flk1-GFP transgenic zebrafish embryos were used to directly visualize and determine the inhibition of blood vessels by low dose (1, 2, 5 Gy) of proton beam with spread out Bragg peak (SOBP). And we observed cell death by acridine orange staining at 96 hours post fertilization (hpf) stage of embryos after proton irradiation. We also compared the effects of proton beam with those of gamma-ray. An antioxidant, N-acetyl cystein (NAC) was used to investigate whether reactive oxygen species (ROS) were involved in the cell deaths induced by proton irradiation. Irradiated flk-1-GFP transgenic embryos with proton beam irradiation (35 MeV, spread out Bragg peak, SOBP) demonstrated a marked inhibition of embryonic growth and an altered fluorescent blood vessel development in the trunk region. When the cells with DNA damage in the irradiated zebrafish were stained with acridine orange, green fluorescent cell death spots were increased in trunk regions compared to non-irradiated control embryos. Proton beam also significantly increased the cell death rate in human umbilical vein endothelial cells (HUVEC), but pretreatment of N-acetyl cystein (NAC), an antioxidant, recovered the proton-induced cell death rate (p<0.01). Moreover, pretreatment of NAC abrogated the effect of proton beam on the inhibition of trunk vessel development and malformation of trunk truncation. From this study, we found that proton radiation therapy can inhibit the blood vessel growth which is probably induced in hypoxic region in vivo in zebrafish embryos. The inhibition of blood vessel formation by proton beam might be caused by vascular cell death through the increased ROS generation. Therefore, proton therapy can be applied to treat tumor angiogenesis as well as abnormal vessel formation developing in hypoxic region

  13. Fgf signaling governs cell fate in the zebrafish pineal complex

    Science.gov (United States)

    Clanton, Joshua A.; Hope, Kyle D.; Gamse, Joshua T.

    2013-01-01

    Left-right (L-R) asymmetries in neuroanatomy exist throughout the animal kingdom, with implications for function and behavior. The molecular mechanisms that control formation of such asymmetries are beginning to be understood. Significant progress has been made by studying the zebrafish parapineal organ, a group of neurons on the left side of the epithalamus. Parapineal cells arise from the medially located pineal complex anlage and migrate to the left side of the brain. We have found that Fgf8a regulates a fate decision among anterior pineal complex progenitors that occurs just prior to the initiation of leftward migration. Cell fate analysis shows that in the absence of Fgf8a a subset of cells in the anterior pineal complex anlage differentiate as cone photoreceptors rather than parapineal neurons. Fgf8a acts permissively to promote parapineal fate in conjunction with the transcription factor Tbx2b, but might also block cone photoreceptor fate. We conclude that this subset of anterior pineal complex precursors, which normally become parapineal cells, are bipotential and require Fgf8a to maintain parapineal identity and/or prevent cone identity. PMID:23250206

  14. Testicular seminoma in a patient with pineal germinoma.

    OpenAIRE

    Peat, D. S.; Trowell, J E

    1994-01-01

    A case is reported of a 30 year old man with a testicular seminoma. He had presented 16 years previously with a pineal germinoma, followed two years later by intracranial metastases. This is an unusual occurrence of double pathology in the germ cell line.

  15. Once in a lifetime: a case of a pineal tumour

    OpenAIRE

    Perkins, Peter D.

    1986-01-01

    This paper describes the case of a 14-year-old boy who presented to his general practitioner with a history of headaches and visual problems. Investigations subsequently revealed that he had a pineal tumour. The management of the patient is described and this rare condition discussed.

  16. 3H-retinol derived photopigment in chick pineal membranes

    International Nuclear Information System (INIS)

    Pineal glands display a day-night rhythm in the synthesis and secretion of melatonin. Dispersed chick pinealocytes retain their ability to respond to light in vitro for at least a week. Pinealocytes incubated overnight with 3H-retinol in the dark incorporate radioactivity predominantly into retinyl esters. To identify the chick pineal photopigment, SDS-PAGE was performed on radiolabelled preparations of pinealocytes and (intraocularly injected) rat retina. When intact cells or membrane preparations of cultured cells were incubated with NaCNBH3, in the dark, a single radioactive peak with an apparent molecular weight of 32,000 daltons was observed. Rat retina preparations revealed a major peak at approximately 40,000 daltons. Protease inhibitors were present in the workup, and radioactivity corresponding to the smaller peak from pineal was not observed in retina. There was no radioactive peak when NaCNBH3 was omitted. When samples were boiled in SDS the radioactivity shifted to the origin. These data suggest a protein in pinealocyte membranes which binds retinoid via a Schiff's base. Exposure to light of deoxycholate solubilized pineal membranes reduced the radioactivity associated with the protein. These findings raise the possibility that this protein is the pinealocyte's photopigment. Photopigments smaller than those observed in mammals have been reported in invertebrates

  17. Cloning, Sequencing and Analysis of Melatonin Receptor Subtype MT1 in Hypothalamus-Pituitary-Gonadal Axis and Pineal of Female Bactrian Camel

    Directory of Open Access Journals (Sweden)

    Zhang Hairong

    2012-01-01

    Full Text Available It is well known that melatonin is a coordinating signal for mammalian reproduction. In order to confirm the presence of melatonin receptors in hypothalamus-pituitary-gonadal axis and pineal of female Bactrian camel, the researchers used a Reverse Transcriptase-Polymerase Chain Reaction (RT-PCR procedure to examine receptor MT1 expression. The length of MT1 gene was 452 bp. RT-PCR assaying revealed the presence of the mt1 (Mel1a melatonin receptor subtype in reproduction axis and pineal which were obtained from the slaughterhouse in the Ningxia Autonomous Region, China. Sequence has been confirmed a high identity (above 85% with melatonin receptor MT1 of other mammal known in GenBank. Comparing with other tissue’s sequences, one base substitution changed the 108th TTC codon (encoding Phenylalanine to TAC (Tyrosine on hypothalamus. Although, there are base substitutions in pineal’s gene, encoded amino acid are coincident with pituitary and ovary. The current results, the expression of MT1 receptor mRNA in brain and ovary, suggest that melatonin regulate reproduction function through not only neuroendocrine but also directly acting on the ovary in Bactrian camel.

  18. Age-related Histological Findings in the Pineal Gland of Crl:CD(SD) Rats

    Science.gov (United States)

    Tomonari, Yuki; Sato, Junko; Wako, Yumi; Tsuchitani, Minoru

    2012-01-01

    To provide background data as the pathologic basis, the pineal glands of 190 male and 193 female Crl:CD(SD) rats at ages of 0–7, 51–58, 70–85 and 111 weeks were examined histologically in this study. Mineralization and fibrosis were common findings in the aged rats, whereas they were rarely found in the young ones; mineralization was present in 7, 44, 67 and 79% of males and in 0, 32, 67 and 79% in females, and fibrosis was present in 0, 29, 48 and 44% of males and 0, 18, 40 and 35% of females at ages of 0–7, 51–58, 70–85 and 111 weeks, respectively. Striated muscle fiber appeared regularly in the fibrosis region from 51–58 weeks of age when fibrosis increased, while the origin of this fiber remained unclear. Vacuolation of pineal cells also increased with age in both sexes, though the total incidence was low. There was a low incidence of lymphocytic infiltration in both sexes, but this was not related to age. PMID:23345933

  19. Yoga Therapy in Treating Patients With Malignant Brain Tumors

    Science.gov (United States)

    2015-07-27

    Adult Anaplastic Astrocytoma; Adult Anaplastic Ependymoma; Adult Anaplastic Meningioma; Adult Anaplastic Oligodendroglioma; Adult Brain Stem Glioma; Adult Choroid Plexus Tumor; Adult Diffuse Astrocytoma; Adult Ependymoblastoma; Adult Ependymoma; Adult Giant Cell Glioblastoma; Adult Glioblastoma; Adult Gliosarcoma; Adult Grade II Meningioma; Adult Medulloblastoma; Adult Meningeal Hemangiopericytoma; Adult Mixed Glioma; Adult Oligodendroglioma; Adult Papillary Meningioma; Adult Pineal Gland Astrocytoma; Adult Pineoblastoma; Adult Pineocytoma; Adult Supratentorial Primitive Neuroectodermal Tumor (PNET); Recurrent Adult Brain Tumor

  20. Circadian genomics of the chick pineal gland in vitro

    Directory of Open Access Journals (Sweden)

    Thomas Terry L

    2008-05-01

    Full Text Available Abstract Background Chick pinealocytes exhibit all the characteristics of a complete circadian system, comprising photoreceptive inputs, molecular clockworks and an easily measured rhythmic output, melatonin biosynthesis. These properties make the in vitro pineal a particularly useful model for exploring circadian control of gene transcription in a pacemaker tissue, as well as regulation of the transcriptome by primary inputs to the clock (both photic and noradrenergic. Results We used microarray analysis to investigate the expression of approximately 8000 genes within cultured pinealocytes subjected to both LD and DD. We report that a reduced subset of genes was rhythmically expressed in vitro compared to those previously published in vivo, and that gene expression rhythms were lower in amplitude, although the functional distribution of the rhythmic transcriptome was largely similar. We also investigated the effects of 6-hour pulses of light or of norepinephrine on gene expression in free-running cultures during both subjective day and night. As expected, both light and norepinephrine inhibited melatonin production; however, the two treatments differentially enhanced or suppressed specific sets of genes in a fashion that was dependent upon time of day. Conclusion Our combined approach of utilizing a temporal, photic and pharmacological microarray experiment allowed us to identify novel genes linking clock input to clock function within the pineal. We identified approximately 30 rhythmic, light-responsive, NE-insensitive genes with no previously known clock function, which may play a role in circadian regulation of the pineal. These are candidates for future functional genomics experiments to elucidate their potential role in circadian physiology. Further, we hypothesize that the pineal circadian transcriptome is reduced but functionally conserved in vitro, and supports an endogenous role for the pineal in regulating local rhythms in metabolism, immune function, and other conserved pathways.

  1. The pineal gland: a comparative MR imaging study in children and adults with respect to normal anatomical variations and pineal cysts

    International Nuclear Information System (INIS)

    This study was undertaken to evaluate the variations in appearance of the normal pineal gland. The findings of 1000 consecutive MR imaging examinations obtained at 0.5 T were studied. The age of the patients ranged from 1 day to 83 years, and findings in children and adults were compared. In all age groups the pineal gland appeared mainly in three forms: (1) nodule-like, (2) crescent-like and (3) ring-like. Overall prevalences of these forms were 52 %, 26 % and 22 %, respectively. Apparent differences in frequencies were evident in children and adults with respect to the crescent-and ring-like types. Cystiform pineal lesions 5 mm or larger in one diameter (anteroposterior, sagittal or transverse) were taken to be true pineal cysts, when compared with the gland's ring-like appearance (less than 5 mm). Pineal cysts had a prevalence of 0.6 % in children and 2.6 % in adults. No symptomatic pineal cyst with mass effect on the lamina tecti was detected in the series. Besides identifying the three anatomical types of the pineal gland as seen on MR imaging and addressing the potential significance of differences in their frequencies in children and adults, the author tries to explain the previous discrepancy between the MR imaging and autopsy series findings with respect to frequencies of the pineal cysts. (orig.)

  2. The pineal gland: a comparative MR imaging study in children and adults with respect to normal anatomical variations and pineal cysts

    Energy Technology Data Exchange (ETDEWEB)

    Sener, R.N. [Dept. of Radiology, Ege Univ. Hospital, Izmir (Turkey)

    1995-06-01

    This study was undertaken to evaluate the variations in appearance of the normal pineal gland. The findings of 1000 consecutive MR imaging examinations obtained at 0.5 T were studied. The age of the patients ranged from 1 day to 83 years, and findings in children and adults were compared. In all age groups the pineal gland appeared mainly in three forms: (1) nodule-like, (2) crescent-like and (3) ring-like. Overall prevalences of these forms were 52 %, 26 % and 22 %, respectively. Apparent differences in frequencies were evident in children and adults with respect to the crescent-and ring-like types. Cystiform pineal lesions 5 mm or larger in one diameter (anteroposterior, sagittal or transverse) were taken to be true pineal cysts, when compared with the gland`s ring-like appearance (less than 5 mm). Pineal cysts had a prevalence of 0.6 % in children and 2.6 % in adults. No symptomatic pineal cyst with mass effect on the lamina tecti was detected in the series. Besides identifying the three anatomical types of the pineal gland as seen on MR imaging and addressing the potential significance of differences in their frequencies in children and adults, the author tries to explain the previous discrepancy between the MR imaging and autopsy series findings with respect to frequencies of the pineal cysts. (orig.)

  3. Buschke-Löwenstein tumor: Squamous cell carcinoma of the anogenital region

    Directory of Open Access Journals (Sweden)

    Turkalj Ivan

    2014-01-01

    Full Text Available Introduction. Buschke-Lcwenstein tumor (BLT, as a rare form of condylomata acuminatum, was firstly described by Buschke in 1886 as a "carcinoma-like condyloma acuminatum of the penis”. BLT is generally considered to be a low-grade variant of squamous cell carcinoma of the anogenital region. Case Outline. We describe a case of BLT in a 56-year-old male patient who was referred to our institute due to a large defect in the gluteal region. The biopsy of the lesion was performed and the diagnosis of BLT was made on histopathological examination. Magnetic resonance imaging of the pelvis showed the extensive vegetant lesion that significantly infiltrated pelvic organs accompanied with an enlargement of para-iliac lymph nodes. Sygmoidostomy for fecal diversion was done and chemotherapy with 5-fluorouracil and cisplatin was initiated. Unfortunately, the patient’s severe condition caused fatal outcome. Conclusion. Our case points out that BLT should be treated at the initial stage in order to prevent untreatable condition which happened in our patient. Therefore, early diagnostics and staging of the disease using modern technologies are crucial in order to treat patients effectively.

  4. The CI findings of 6 cases of the pineal cyst. Consideration on neuroradiological images and the mechanism of occurrence of pineal cysts in childhood

    International Nuclear Information System (INIS)

    In comparison to adult individuals over the age of 50, pineal cysts do rarely occur in children and adolescents. Here we report on four young patients who had pineal cysts in combination with hypophyseal dwarfism. We studied an 8-year-old girl with chiasmal germinoma, an 8-year-old boy with epilepsy, a 17-year-old male with spontaneous hypophyseal dwarfism and a 11-year-old female with craniopharyngioma. We also investigated a 29-year-old man with pontine glioma and a 48-year-old women with prolactinoma. The comparison of neuroimaging the pineal cysts in children and adults revealed the characteristics of their location in the pineal gland and the presence of residual normal gland. The etiology of pineal cysts in combination with pituitary dwarfism is unclear. However, our cases would suggest that they may be related to endocrinological disorders of the hypothalamus and the pituitary gland. (author)

  5. The CI findings of 6 cases of the pineal cyst. Consideration on neuroradiological images and the mechanism of occurrence of pineal cysts in childhood

    Energy Technology Data Exchange (ETDEWEB)

    Nakajou, Takahito; Kurisaka, Masahiro; Mori, Koreaki [Kochi Medical School, Nankoku (Japan)

    1995-03-01

    In comparison to adult individuals over the age of 50, pineal cysts do rarely occur in children and adolescents. Here we report on four young patients who had pineal cysts in combination with hypophyseal dwarfism. We studied an 8-year-old girl with chiasmal germinoma, an 8-year-old boy with epilepsy, a 17-year-old male with spontaneous hypophyseal dwarfism and a 11-year-old female with craniopharyngioma. We also investigated a 29-year-old man with pontine glioma and a 48-year-old women with prolactinoma. The comparison of neuroimaging the pineal cysts in children and adults revealed the characteristics of their location in the pineal gland and the presence of residual normal gland. The etiology of pineal cysts in combination with pituitary dwarfism is unclear. However, our cases would suggest that they may be related to endocrinological disorders of the hypothalamus and the pituitary gland. (author).

  6. Prevention and treatment of the effects of radiation treatment of tumors in the oral and maxillo-facial regions

    International Nuclear Information System (INIS)

    The headings of this book are: Indications for and therapeutic value of radiotherapy or radiochemotherapy of head and neck tumors; literature review of radiation injuries and side effects of radiotherapy in the orofacial region; peri-radiotherapeutic regimen; radiation induced caries; radiation induced xerostomia; radiation induced changes of the jaw and osteoradionecrosis

  7. Sagittal MR images of normal pineal glands after Gd-DTPA injection

    International Nuclear Information System (INIS)

    We evaluated normal pineal glands on Gd-DTPA enhanced MR images on a 1.5 Tesla superconducting unit. On enhanced sagittal MR images with a 3-mm slice thickness, pineal glands were identified as solid or cystic structures. The solid and cystic pineal glands were divided into two subgroups according to the degree of enhancement. The solid pineal glands showed diffuse or subtle enhancement and cystic ones showed peripheral enhancement either completely or incompletely. Of the 50 patients, 19 (38%) had solid pineal glands and 31 (62%) had cystic ones. In male, 7 out of 12 (63%) showed solid pineal glands and in female, 27 out of 39 (70%) showed cystic ones. (author)

  8. Sagittal MR images of normal pineal glands after Gd-DTPA injection

    Energy Technology Data Exchange (ETDEWEB)

    Saiwai, Shigeo; Fukuda, Haruyuki; Ishikawa, Mari; Ohnishi, Mitsuhide; Nakajima, Hideyuki; Miyamoto, Takeshi (Kobe City General Hospital, Hyogo (Japan)); Inoue, Yuichi

    1990-12-01

    We evaluated normal pineal glands on Gd-DTPA enhanced MR images on a 1.5 Tesla superconducting unit. On enhanced sagittal MR images with a 3-mm slice thickness, pineal glands were identified as solid or cystic structures. The solid and cystic pineal glands were divided into two subgroups according to the degree of enhancement. The solid pineal glands showed diffuse or subtle enhancement and cystic ones showed peripheral enhancement either completely or incompletely. Of the 50 patients, 19 (38%) had solid pineal glands and 31 (62%) had cystic ones. In male, 7 out of 12 (63%) showed solid pineal glands and in female, 27 out of 39 (70%) showed cystic ones. (author).

  9. Depression of nocturnal pineal serotonin N-acetyltransferase activity in castrate male rats

    International Nuclear Information System (INIS)

    Pineal serotonin N-acetyltransferase (NAT) activity was examined in intact rats, castrated rats, and in rats that had been castrated and had received testosterone proprionate. Castration resulted in significantly depressing nocturnal levels of pineal NAT (p<0.05) when compared to enzyme activity in intact rats. Testosterone proprionate administration restored plasma LH levels to normal values in castrate rats but did not induce nocturnal pineal enzyme activity to levels seen in the pineal glands of intact rats. The data substantiate the existence of a feedback control of pineal biosynthetic activity by the hypophyseal-gonadal system, but the identity of the hormone(s) responsible for regulation of pineal NAT activity is not known. (author)

  10. Radiologic and laboratory diagnosis of the pineal gland state in some neuroendocrinal syndromes in women

    International Nuclear Information System (INIS)

    Radiological and functional examinations of the pineal gland state and changes of bones of the vault and base of the skull are performed in 114 women. The data on melatonin excretion, calcification frequency of the pineal gland in different syndromes, signs of endocrinopathy, endocraniosis, intracranial hypertension in the observed persons of all groups are given. It is suggested that the retardation of calcification of the pineal gland is connected with humoral and hormonal status disorder

  11. The perivascular phagocyte of the mouse pineal gland: An antigen-presenting cell

    DEFF Research Database (Denmark)

    Møller, Morten; Rath, Martin F; Klein, David C

    2006-01-01

    The perivascular space of the rat pineal gland is known to contain phagocytic cells that are immunoreactive for leukocyte antigens, and thus they appear to belong to the macrophage/microglial cell line. These cells also contain MHC class II proteins. We investigated this cell type in the pineal gland of mice. Actively phagocytosing cells with a prominent lysosomal system were found in the pericapillary spaces of the mouse pineal gland following intravenous injection of horseradish peroxidase. Th...

  12. The modulatory effect of substance P on rat pineal norepinephrine release and melatonin secretion

    DEFF Research Database (Denmark)

    Mukda, Sujira; Ebadi, Manuchair; Govitrapong, Piyarat; Møller, Morten

    2009-01-01

    Secretion of melatonin by the mammalian pineal gland is primarily regulated by the release of norepinephrine (NE) from sympathetic nerve terminals that originate from the superior cervical ganglia. Peptidergic nerves that originate in the perikarya located in the sensory trigeminal ganglia also innervate the pineal gland. Some of these peptidergic nerve fibers contain substance P. Previously, we have characterized neurokinin 1 type substance P receptors in the pineal gland. However, the function...

  13. The Lhx9 homeobox gene controls pineal gland development and prevents postnatal hydrocephalus

    DEFF Research Database (Denmark)

    Yamazaki, Fumiyoshi; Møller, Morten; Fu, Cong; Clokie, Samuel J; Zykovich, Artem; Coon, Steven L; Klein, David C; Rath, Martin F

    2015-01-01

    Lhx9 is a member of the LIM homeobox gene family. It is expressed during mammalian embryogenesis in the brain including the pineal gland. Deletion of Lhx9 results in sterility due to failure of gonadal development. The current study was initiated to investigate Lhx9 biology in the pineal gland. Lhx9 is highly expressed in the developing pineal gland of the rat with transcript abundance peaking early in development; transcript levels decrease postnatally to nearly undetectable levels in the adult...

  14. Electrical stimulation of the hypothalamic nucleus paraventricularis mimics the effects of light on pineal melatonin synthesis

    International Nuclear Information System (INIS)

    In an attempt to clarify further the role of the hypothalamic paraventricular nuclei (PVN) in the control of pineal function, the effects of 2 min electrical stimulation of these nuclei were investigated in acutely blinded, adult, male Sprague-Dawley rats. Pineal serotonin-N-acetyltransferase (NAT) activity, melatonin content and catecholamine levels were measured by means of radio-enzymatic, radioimmunoassay and high-performance liquid-chromatography methods, respectively. All three pineal parameters underwent significant declines following brief PVN stimulation during the night time. These observations lend credence to the view that the neural pathways transmitting light information to the sympathetic innervation controlling pineal melatonin synthesis. 22 references, 1 figure

  15. Electrical stimulation of the hypothalamic nucleus paraventricularis mimics the effects of light on pineal melatonin synthesis

    Energy Technology Data Exchange (ETDEWEB)

    Olcese, J.; Reuss, S.; Steinlechner, S.

    1987-02-02

    In an attempt to clarify further the role of the hypothalamic paraventricular nuclei (PVN) in the control of pineal function, the effects of 2 min electrical stimulation of these nuclei were investigated in acutely blinded, adult, male Sprague-Dawley rats. Pineal serotonin-N-acetyltransferase (NAT) activity, melatonin content and catecholamine levels were measured by means of radio-enzymatic, radioimmunoassay and high-performance liquid-chromatography methods, respectively. All three pineal parameters underwent significant declines following brief PVN stimulation during the night time. These observations lend credence to the view that the neural pathways transmitting light information to the sympathetic innervation controlling pineal melatonin synthesis. 22 references, 1 figure.

  16. Leptin Modulates Norepinephrine-Mediated Melatonin Synthesis in Cultured Rat Pineal Gland

    Science.gov (United States)

    Peliciari-Garcia, Rodrigo Antonio; Andrade-Silva, Jéssica; Cipolla-Neto, José; Carvalho, Carla Roberta de Oliveira

    2013-01-01

    Pineal melatonin synthesis can be modulated by many peptides, including insulin. Because melatonin appears to alter leptin synthesis, in this work we aimed to investigate whether leptin would have a role on norepinephrine- (NE-)mediated melatonin synthesis in cultured rat pineal glands. According to our data, cultured rat pineal glands express leptin receptor isoform b (Ob-Rb). Pineal expression of Ob-Rb mRNA was also observed in vivo. Administration of leptin (1?nM) associated with NE (1?µM) reduced melatonin content as well as arylalkylamine-N-acetyl transferase (AANAT) activity and expression in cultured pineal glands. Leptin treatment per se induced the expression of STAT3 in cultured pineal glands, but STAT3 does not participate in the leptin modulation of NE-mediated pineal melatonin synthesis. In addition, the expression of inducible cAMP early repressor (ICER) was further induced by leptin challenge when associated with NE. In conclusion, leptin inhibition of pineal melatonin synthesis appears to be mediated by a reduction in AANAT activity and expression as well as by increased expression of Icer mRNA. Peptidergic signaling within the pineal gland appears to be one of the most important signals which modulates melatonin synthesis; leptin, as a member of this system, is not an exception. PMID:23936817

  17. Cyst or tumor in the buccomaxillary region: Review of literature and a case report.

    Science.gov (United States)

    Raheel, Syed Ahmed; Kujan, Omar Bashar; Dwedary, Hisham Mohammed Najeeb; Sikander, Mohammed Hilal; Mankar, Sunil; Amrin, M Nidha

    2015-08-01

    Odontogenic tumors (OTs) include entities of a hamartomatous nature, such as odontoma, benign neoplasms like an adenomatoid odontogenic tumor (AOT), some benign neoplasms are aggressive as in the case of ameloblastoma. The AOT is a rare odontogenic tumor constituting only 3% of all the OT and very often misdiagnosed as an odontogenic cyst. We report a case of an intra-osseous type of AOT occurred in a young 16-year-old female located in the anterior maxilla along with the clinical, radiological, histological features, and literature review related to the tumor affecting the patient. PMID:26538960

  18. Numerical model for RF capacitive regional deep hyperthermia in pelvic tumors.

    Science.gov (United States)

    D'Ambrosio, Valentina; Dughiero, Fabrizio

    2007-05-01

    A numerical model based on Finite Element Method (FEM) for the prediction of power density distribution and temperature during RF-capacitive hyperthermia treatment has been presented in the paper and the results are discussed. In particular the models are related to the treatment of pelvic tumors where it is more difficult to localize and focus heat in deep regions. The geometrical and physical model of the patient is reconstructed with a segmentation procedure by means of dedicated software. The geometrical meshed model has been used as input for the solution of coupled electromagnetic and thermal problems. A deep analysis of different configurations derived from specific scientific literature of the last years has been presented in the paper and discussed. The results obtained by FEM analyses have demonstrated the suitability of this method for the prediction of power and temperature distribution during RF capacitive hyperthermia and that the calculation procedure is an efficient mean to evaluate the efficacy of the heating system. PMID:17372778

  19. Tumores de células germinativas intracranianos na infância: avaliação de 14 casos / Primary intracranial germ cell tumors in children: evaluation of fourteen cases

    Scientific Electronic Library Online (English)

    Patrícia Imperatriz Porto, Rondinelli; Carlos Alberto Martinez, Osório; Luís Fernando, Lopes.

    2005-09-01

    Full Text Available Este estudo avalia o diagnóstico, a terapia e a sobrevida de 14 pacientes com tumor de células germinativas intracraniano durante o período entre 1991 e 2001. Onze pacientes eram do sexo masculino e três do feminino. A média de idade do grupo foi 12,5 anos (20 dias-18 anos). Na admissão, os mais com [...] uns sintomas foram cefaléia (10/14), vômitos (6/14) e visuais (6/14). Os tumores estavam localizados em região hipotalâmica/hipofisária em 10 casos, suprasselar em 3 casos e intraparenquimatosa em 1 caso. Histologicamente, havia 1 caso de carcinoma embrionário, 5 de germinomas, 2 de teratoma maduro, 1 de teratoma imaturo e 5 de tumores mistos. O tratamento foi variável, dependendo da histologia da lesão. Três pacientes morreram após a progressão tumoral ou recidiva e um paciente morreu devido causa não relacionada ao tumor. Os demais estão vivos e sem doença. Abstract in english This study evaluates the diagnosis, therapy and survival of 14 patients with primary intracranial germ cell tumors during the period from 1991 to 2001. There were 11 males and 3 females. Mean age was 12.2 years old (20 days-18 years). On admission, the most common symptoms were headache (10/14), vom [...] iting (6/14) and visual (6/14). The tumor was in pineal and hypothalamic region in 10 cases, suprasellar in 3 cases, and in the cerebral parenchyma in 1 case. Histologically there were 1 embryonal carcinoma, 5 germinomas, 2 mature teratomas, 1 immature teratoma and 5 mixed germ cell tumors. Treatment differed among the patients according to the type of tumor. Three patients died after tumor progression or relapse and one patient died from another condition. The remaining patients are alive and without disease.

  20. Development and regeneration of the pineal region of the diencephalon

    OpenAIRE

    Liu, J.

    2014-01-01

    Organizer is a group of cells that induces and patterns surrounding tissues during embryo development. Previous studies of organizers were mainly based on transplantation of various pieces of tissues. This project first aimed to find out putative organizers using a novel method, which was to characterize organizers based on patterns of syn-expression genes. The differential microarray assays selected a list of gene that are enriched or depleted in three known organizers (Hensen’s node, notoch...

  1. The pineal neurohormone melatonin and its physiologic opiatergic immunoregulatory role

    Scientific Electronic Library Online (English)

    Georges J. M., Maestroni; Ario, Conti; Walter, Pierpaoli.

    Full Text Available The pineal gland functions as a neuroendocrine transducer that coordinate the organism response to changing environmental stimuli such as light and temperature. The main and best known pineal neurohormone is melatonin that is synthesized and released in a circadian fashion with a peak during the nig [...] ht darkness hours. We have recently reported that melatonin exerts important immuno regulatory functions. Here we describe the astonishing property of exogenous melatonin which is able to counteract completely the depressive effect of anxiety-restraint stress and/or of corticosterone on thymus weight, andibody production and antiviral responses. This effect seems to be mediated by antigen-activated T cells via an opiatergic mechanism.

  2. The pineal neurohormone melatonin and its physiologic opiatergic immunoregulatory role

    Directory of Open Access Journals (Sweden)

    Georges J. M. Maestroni

    1987-01-01

    Full Text Available The pineal gland functions as a neuroendocrine transducer that coordinate the organism response to changing environmental stimuli such as light and temperature. The main and best known pineal neurohormone is melatonin that is synthesized and released in a circadian fashion with a peak during the night darkness hours. We have recently reported that melatonin exerts important immuno regulatory functions. Here we describe the astonishing property of exogenous melatonin which is able to counteract completely the depressive effect of anxiety-restraint stress and/or of corticosterone on thymus weight, andibody production and antiviral responses. This effect seems to be mediated by antigen-activated T cells via an opiatergic mechanism.

  3. A glândula pineal e o metabolismo de carboidratos

    Scientific Electronic Library Online (English)

    Patrícia Monteiro, Seraphim; Doris Hissako, Sumida; Fabiana Tumi, Nishide; Fábio Bessa, Lima; José, Cipolla Neto; Ubiratan Fabres, Machado.

    2000-08-01

    Full Text Available A influência da glândula pineal sobre o metabolismo de carboidratos vem sendo investigada há décadas. Entretanto, resultados contraditórios não esclarecem, até o momento, o verdadeiro papel da melatonina sobre a homeostasia dos carboidratos. Através de estudos recentes, contribuímos de maneira ineqü [...] ívoca para a caracterização do papel da glândula pineal como moduladora do metabolismo de carboidratos. Além disso, à luz dos conhecimentos atuais, demonstramos quais passos do mecanismo de ação da insulina estão envolvidos nessa modulação. Nossos estudos revelaram que a pinealectomia promove um quadro de resistência à insulina, sem obesidade. A captação máxima de 2-deoxi-glicose, estimulada por insulina, em adipócitos isolados está diminuída, sem entretanto modificar a capacidade da insulina ligar-se ao seu receptor e estimular a fosforilação dos substratos intracelulares representados pela pp 185. Por outro lado, em vários tecidos sensíveis à insulina, observou-se uma diminuição no conteúdo da proteína transportadora de glicose GLUT4, mas diminuição no mRNA do GLUT4 apenas em alguns desses tecidos, sugerindo uma regulação tecido-específica. Adicionalmente, foi demonstrado que a regulação da glândula pineal sobre o metabolismo de carboidratos é mediado pela melatonina: o hormônio aumentou a sensibilidade à insulina de adipócitos isolados e o tratamento de reposição com melatonina restaurou o conteúdo de GLUT4 no tecido adiposo branco. Em síntese, os estudos aqui relatados evidenciam um importante papel da glândula pineal na modulação da homeostasia de carboidratos. Essa regulação é dependente da melatonina e pode ser resumida, até o presente momento, como um aumento da sensibilidade tecidual à insulina, que envolve alterações na expressão gênica do GLUT4. Abstract in english For decades, the influence of the pineal gland on carbohydrate metabolism has been investigated. However, contradictory results have not yet elucidated the role played by melatonin in carbohydrate homeostasis. In our recent studies, we have contributed to characterize the role of the pineal gland as [...] a modulator of carbohydrate metabolism. In addition, based on present-day knowledge, we have demonstrated the steps of insulin action mechanism involved in this modulation. Our studies reveal that pinealectomy causes a condition of obesity-free insulin resistance. The maximum uptake of 2-deoxi-glucose prompted by insulin in isolated adipocytes is diminished, without however changing the insulin capacity to bind to its receptor, and to stimulate the phosphorilation of intracellular substrates represented by pp 185. Conversely, in several insulin-sensitive tissues, our studies detected a decrease in the amount of glucose transporter protein GLUT4, and a decrease in GLUT4 mRNA in only some of these tissues, suggesting a tissue-specific regulation. Additionally, it was demonstrated that the pineal gland regulation influences carbohydrate metabolism through melatonin, by our demonstration that the hormone increased insulin sensitivity of isolated adipocytes, and that melatonin replacement therapy restored the amount of GLUT4 in white adipose tissue. In summary, the studies reported here evidence an important role played by the pineal gland in the modulation of carbohydrate homeostasis. This regulation seems to be melatonin-dependent and can be described, so far, as an increase in tissue sensitivity to insulin, which involves changes in GLUT4 gene expression.

  4. A glândula pineal e o metabolismo de carboidratos

    Directory of Open Access Journals (Sweden)

    Patrícia Monteiro Seraphim

    2000-08-01

    Full Text Available A influência da glândula pineal sobre o metabolismo de carboidratos vem sendo investigada há décadas. Entretanto, resultados contraditórios não esclarecem, até o momento, o verdadeiro papel da melatonina sobre a homeostasia dos carboidratos. Através de estudos recentes, contribuímos de maneira ineqüívoca para a caracterização do papel da glândula pineal como moduladora do metabolismo de carboidratos. Além disso, à luz dos conhecimentos atuais, demonstramos quais passos do mecanismo de ação da insulina estão envolvidos nessa modulação. Nossos estudos revelaram que a pinealectomia promove um quadro de resistência à insulina, sem obesidade. A captação máxima de 2-deoxi-glicose, estimulada por insulina, em adipócitos isolados está diminuída, sem entretanto modificar a capacidade da insulina ligar-se ao seu receptor e estimular a fosforilação dos substratos intracelulares representados pela pp 185. Por outro lado, em vários tecidos sensíveis à insulina, observou-se uma diminuição no conteúdo da proteína transportadora de glicose GLUT4, mas diminuição no mRNA do GLUT4 apenas em alguns desses tecidos, sugerindo uma regulação tecido-específica. Adicionalmente, foi demonstrado que a regulação da glândula pineal sobre o metabolismo de carboidratos é mediado pela melatonina: o hormônio aumentou a sensibilidade à insulina de adipócitos isolados e o tratamento de reposição com melatonina restaurou o conteúdo de GLUT4 no tecido adiposo branco. Em síntese, os estudos aqui relatados evidenciam um importante papel da glândula pineal na modulação da homeostasia de carboidratos. Essa regulação é dependente da melatonina e pode ser resumida, até o presente momento, como um aumento da sensibilidade tecidual à insulina, que envolve alterações na expressão gênica do GLUT4.For decades, the influence of the pineal gland on carbohydrate metabolism has been investigated. However, contradictory results have not yet elucidated the role played by melatonin in carbohydrate homeostasis. In our recent studies, we have contributed to characterize the role of the pineal gland as a modulator of carbohydrate metabolism. In addition, based on present-day knowledge, we have demonstrated the steps of insulin action mechanism involved in this modulation. Our studies reveal that pinealectomy causes a condition of obesity-free insulin resistance. The maximum uptake of 2-deoxi-glucose prompted by insulin in isolated adipocytes is diminished, without however changing the insulin capacity to bind to its receptor, and to stimulate the phosphorilation of intracellular substrates represented by pp 185. Conversely, in several insulin-sensitive tissues, our studies detected a decrease in the amount of glucose transporter protein GLUT4, and a decrease in GLUT4 mRNA in only some of these tissues, suggesting a tissue-specific regulation. Additionally, it was demonstrated that the pineal gland regulation influences carbohydrate metabolism through melatonin, by our demonstration that the hormone increased insulin sensitivity of isolated adipocytes, and that melatonin replacement therapy restored the amount of GLUT4 in white adipose tissue. In summary, the studies reported here evidence an important role played by the pineal gland in the modulation of carbohydrate homeostasis. This regulation seems to be melatonin-dependent and can be described, so far, as an increase in tissue sensitivity to insulin, which involves changes in GLUT4 gene expression.

  5. Fgf signaling governs cell fate in the zebrafish pineal complex

    OpenAIRE

    Clanton, Joshua A.; Hope, Kyle D.; Gamse, Joshua T

    2013-01-01

    Left-right (L-R) asymmetries in neuroanatomy exist throughout the animal kingdom, with implications for function and behavior. The molecular mechanisms that control formation of such asymmetries are beginning to be understood. Significant progress has been made by studying the zebrafish parapineal organ, a group of neurons on the left side of the epithalamus. Parapineal cells arise from the medially located pineal complex anlage and migrate to the left side of the brain. We have found that Fg...

  6. Postnatal evolution of the rat pineal gland: light microscopy.

    OpenAIRE

    Calvo, J; Boya, J.

    1984-01-01

    The postnatal development and morphology of the adult albino rat pineal gland was studied from one day up to ten months of age. During postnatal life there was a marked increase in gland and pinealocyte volume, more intense during the first 45 days. After ten days, the differences in nuclear morphology of parenchymal cells showed two different types of pinealocyte. The characteristic adult arrangement of pinealocytes in cords and pseudo-rosettes was observed after 15-20 days. After 75 days th...

  7. Ultrastructure of the pineal gland in the adult rat.

    OpenAIRE

    Calvo, J; Boya, J.

    1984-01-01

    The ultrastructure of the rat pineal gland was studied from 75 days until 10 months of age. Type I pinealocytes of young adults showed nuclei with dispersed chromatin, numerous infoldings of the nuclear envelope and well developed nucleoli. The cytoplasm displayed many mitochondria and clusters of smooth endoplasmic reticulum. With increasing age, there was a clear increase in the number of dense bodies or lysosomes in the Type I pinealocyte. The changes in the Type II pinealocytes with age w...

  8. Cellular proliferation in the rat pineal gland during postnatal development

    OpenAIRE

    Carvajal, J.C.; Carbajo, S.; Gómez Esteban, M.B.; Alvarez-Morujo Suárez, A.J.; Muñoz Barragan, L.

    1998-01-01

    To establish a possible correlation between the rate of cellular proliferation and already documented functional and morphological characteristics of the rat pineal gland during postnatal development, the bromodeoxyuridine labelling method was used to evaluate the fraction of cells at the S phase of the cell cycle in paraffin sections from I-, 7-, 14- and 28-day-old rats. Numerical density, taken as an indirect measure of cell hypertrophy, was also evaluated. D...

  9. Circadian genomics of the chick pineal gland in vitro

    OpenAIRE

    Thomas Terry L; Bailey Michael J; Beremand Phillip D; Kumar Vinod; Karaganis Stephen P; Cassone Vincent M

    2008-01-01

    Abstract Background Chick pinealocytes exhibit all the characteristics of a complete circadian system, comprising photoreceptive inputs, molecular clockworks and an easily measured rhythmic output, melatonin biosynthesis. These properties make the in vitro pineal a particularly useful model for exploring circadian control of gene transcription in a pacemaker tissue, as well as regulation of the transcriptome by primary inputs to the clock (both photic and noradrenergic). Results We used micro...

  10. Pineal-specific agouti protein regulates teleost background adaptation

    OpenAIRE

    Zhang, Chao; Song, Youngsup; Thompson, Darren A.; Madonna, Michael A.; Millhauser, Glenn L.; Toro, Sabrina; Varga, Zoltan; Westerfield, Monte; Gamse, Joshua; Chen, Wenbiao; Cone, Roger D

    2010-01-01

    Background adaptation is used by teleosts as one of a variety of camouflage mechanisms for avoidance of predation. Background adaptation is known to involve light sensing by the retina and subsequent regulation of melanophore dispersion or contraction in melanocytes, mediated by ?-melanocyte–stimulating hormone and melanin-concentrating hormone, respectively. Here, we demonstrate that an agouti gene unique to teleosts, agrp2, is specifically expressed in the pineal and is required for up-regu...

  11. Wound healing and the effect of pineal gland and melatonin

    OpenAIRE

    Jacek Drobnik

    2012-01-01

    Wound healing is a complex phenomenon that is controlled by local and general regulatory mechanisms. The aim of the paper is to analyze recently-published data devoted to the regulation of wound repair by melatonin. The effect of melatonin has been reported in different wound types healed with various mechanisms. The action of the pineal indoleamine is dependent on the used dose, time of application and target organ. Moreover, melatonin influences different phases of wound repair such as infl...

  12. Growth patterns for acervuli in human pineal gland

    OpenAIRE

    Kim, JinKyung; Kim, Hyun-wook; Chang, Soeun; Kim, Jee Woong; Je, Jung Ho; Rhyu, Im Joo

    2012-01-01

    Acervuli are calcified concretions in the pineal gland (PG). Particularly interesting are their incidence and size, which are believed to affect neurological disorders and many physiological functions of PG such as regulating circadian rhythm. Despite long investigations for a century, detailed growth mechanism of acervuli has yet to be studied. Here we study the growth morphology of acervuli in human PGs by a direct visualization in 3-dimension (3-D) using a synchrotron X-ray imaging method....

  13. Development of a novel cyclic RGD peptide for multiple targeting approaches of liposomes to tumor region.

    Science.gov (United States)

    Amin, Mohamadreza; Mansourian, Mercedeh; Koning, Gerben A; Badiee, Ali; Jaafari, Mahmoud Reza; Ten Hagen, Timo L M

    2015-12-28

    Liposomes containing cytotoxic agents and targeted with Arg-Gly-Asp based peptides have frequently been used against ?v?3 integrin on tumor neovasculature. However, like many other ligand modified liposomes these preparations suffered from enhanced uptake by the reticulo endothelial system (RES) and off-targeted interaction with integrin receptors vastly expressed in normal organs causing poor biodistribution and toxic effects. Here we mainly focus on development of a RGD-modified liposomal delivery system to enhance both targeting selectivity and tumor uptake. First, sterically stabilized liposomal doxorubicin (SSLD) prepared and decorated with cRGDfK and RGDyC peptides differ in their physical properties. Stability assessments as well as in vitro and in vivo studies revealed that increasing the peptide hydrophobicity promotes the therapeutic efficacy of RGD-SSLD in a C-26 tumor model due to decreased recognition by RES and opsonization and limited off-targeted interactions. Then a novel N-methylated RGD peptide was designed and its capability in targeting integrin presenting cells was comprehensively assessed both in vitro and in vivo. RGDf[N-methyl]C promotes the liposome internalization by HUVEC via integrin mediated endocytosis. Intravital microscopy in window chamber bearing mice illustrated the capability of RGDf[N-methyl]C-liposomes in targeting both tumor vasculature and tumor cells in murine B16F0 and human BLM tumor models. Quantitative biodistribution in mice bearing B16F0 tumor revealed its high affinity to tumor with no considerable affinity to normal organs. Treatment by high dose of RGDf[N-methyl]C-SSLD was found more effective than non-targeted SSLD and no toxic side effect was observed. In conclusion, the RGDf[N-methyl]C-liposome was found promising in targeting tumor vasculature as well as other cells inside the tumor. PMID:26526970

  14. Radiation-induced vasculopathy implicated by depressed blood flow and metabolism in a pineal glioma

    Energy Technology Data Exchange (ETDEWEB)

    Mineura, K.; Sasajima, T.; Kowada, M. (Akita University Hospital (Japan). Neurosurgical Service); Saitoh, H. (Oodate Municipal Hospital (Japan). Dept. of Neurosurgery); Shishido, F. (Research Inst. of Brain and Blood Vessels, Akita (Japan))

    1993-08-01

    A case of radiation-induced vasculopathy of a pineal glioma was presented with haemodynamic and metabolic changes before and after radiotherapy. After radiation of 60 Gy with conventional fractionation (1.8-2.0 Gy daily, 5 days per week), regional blood flow, oxygen extraction fraction, metabolic rate of oxygen, kinetic metabolic rate of glucose and the rate constants (K2, K3) were markedly depressed (20% or greater) compared with the pre-irradiated study. 7 months after radiotherapy, the patient developed transient episodes of both right and left upper limb convulsion, terminating in generalized convulsion. When she developed status epilepticus, computed tomography showed extensive low density areas in the territory supplied by the right middle cerebral and the right posterior cerebral arteries. (author).

  15. A Texture based Tumor detection and automatic Segmentation using Seeded Region Growing Method

    OpenAIRE

    Mukesh Kumar,; Kamal K. Mehta

    2011-01-01

    Detection and segmentation of Brain tumor accurately is a challenging task in MRI. The MRI image is an image that produces a high contrast images indicating regular and irregular tissues that help to distinguish the overlapping in margin of each limb. All automatic seed finding methods may suffer with the problem if there is no growth of tumor and any small white part is there. But when the edges of tumor is not sharped then the segmentation results are not accurate i.e. segmentation may be ...

  16. Automatic Diagnosis of Abnormal Tumor Region from Brain Computed Tomography Images Using Wavelet Based Statistical Texture Features

    CERN Document Server

    Padma, A

    2011-01-01

    The research work presented in this paper is to achieve the tissue classification and automatically diagnosis the abnormal tumor region present in Computed Tomography (CT) images using the wavelet based statistical texture analysis method. Comparative studies of texture analysis method are performed for the proposed wavelet based texture analysis method and Spatial Gray Level Dependence Method (SGLDM). Our proposed system consists of four phases i) Discrete Wavelet Decomposition (ii) Feature extraction (iii) Feature selection (iv) Analysis of extracted texture features by classifier. A wavelet based statistical texture feature set is derived from normal and tumor regions. Genetic Algorithm (GA) is used to select the optimal texture features from the set of extracted texture features. We construct the Support Vector Machine (SVM) based classifier and evaluate the performance of classifier by comparing the classification results of the SVM based classifier with the Back Propagation Neural network classifier(BPN...

  17. Minimally Invasive-Endoscopic Intraventricular Neurosurgery

    Medline Plus

    Full Text Available ... for taking out tumors such as colloid cysts, pineal region tumors. And then lastly we're now ... about the seed of the soul being the pineal gland. And Dr. Souweidane is always lucky enough ...

  18. Homeobox genes in the rodent pineal gland: roles in development and phenotype maintenance

    Science.gov (United States)

    Rath, Martin F.; Rohde, Kristian; Klein, David C.; Møller, Morten

    2012-01-01

    The pineal gland is a neuroendocrine gland responsible for nocturnal synthesis of melatonin. During early development of the rodent pineal gland from the roof of the diencephalon, homeobox genes of the orthodenticle homeobox (Otx)- and paired box (Pax)-families are expressed and are essential for normal pineal development consistent with the well-established role that homeobox genes play in developmental processes. However, the pineal gland appears to be unusual because strong homeobox gene expression persists in the pineal gland of the adult brain. Accordingly, in addition to developmental functions, homeobox genes appear to be key regulators in postnatal phenotype maintenance in this tissue. In this paper, we review ontogenetic and phylogenetic aspects of pineal development and recent progress in understanding the involvement of homebox genes in rodent pineal development and adult function. A working model is proposed for understanding the sequential action of homeobox genes in controlling development and mature circadian function of the mammalian pinealocyte based on knowledge from detailed developmental and daily gene expression analyses in rats, the pineal phenotypes of homebox gene-deficient mice and studies on development of the retinal photoreceptor; the pinealocyte and retinal photoreceptor share features not seen in other tissues and are likely to have evolved from the same ancestral photodetector cell. PMID:23076630

  19. Frequency and position of pineal gland calcification in a Japanese population

    Energy Technology Data Exchange (ETDEWEB)

    Hattori, Fumio; Ishimaru, Toranosuke; Russell, W.J.; Kogure, Takashi

    1964-04-23

    A review of all skull roentgenograms of 525 normal patients was conducted to determine the incidence of pineal gland and habenular nucleus calcification, and to compile normal values for pineal gland calcification in a Japanese population. These data are presented as tables and graphs for use in roentgenological interpretation. 17 references, 2 figures, 5 tables.

  20. Stereotactic gamma radiosurgery of brain tumors

    International Nuclear Information System (INIS)

    One thousand cases with various head and neck diseases have been treated by gamma radiosurgery at Komaki City Hospital since May 1991. Five hundred and sixty-eight out of 1,000 cases were neoplastic lesions which consisted of 173 cases of neurinoma, 108 of metastatic tumors, 103 of meningioma, 69 of gliomas, 27 of pituitary adenoma, 26 of craniopharyngioma, 13 of pineal tumors, 11 of chordoma, 6 of malignant lymphoma, 5 of hemangioblastoma and so on. The most effective result has been shown in metastatic brain tumors. The complete response (disappearance of the lesion) was obtained in more than 50% of the treated lesions, and the control rate of 85% was maintained for more than 12 months. Next effective results were shown in craniopharyngioma, malignant pineal tumors and malignant lymphoma. There was a group which showed moderate response but no tumor disappearance. Those were pituitary adenoma, acoustic neurinoma, meningioma and chordoma. Gliomas showed less response and even progression of tumor at relatively higher rate. It has been found that malignant gliomas showed difficult control of the tumor and progression rate of 70%, while benign gliomas showed the control rate of more than 90%. Besides intracranial lesions, malignant skull base tumors such as chordoma, naso-pharyngeal cancer, adenoid cystic cancer showed better response to gamma radiosurgery and higher control rate for longer period of time with high QOL compaired to conventional irradiation. (author)d to conventional irradiation. (author)

  1. Effects of acute ethanol administration on nocturnal pineal serotonin N-acetyltransferase activity

    International Nuclear Information System (INIS)

    The effect of acute ethanol administration on pineal serotonin N-acetyltransferase (NAT) activity, norepinephrine and indoleamine content was examined in male rats. When ethanol was administered in two equal doses (2 g/kg body weight) over a 4 hour period during the light phase, the nocturnal rise in NAT activity was delayed by seven hours. The nocturnal pineal norepinephrine content was not altered by ethanol except for a delay in the reduction of NE with the onset of the following light phase. Although ethanol treatment led to a significant reduction in nocturnal levels of pineal serotonin content, there was no significant effect upon pineal content of 5-hydroxyindoleacetic acid (5-HIAA). The data indicate that ethanol delays the onset of the rise of nocturnal pineal NAT activity

  2. Distinct effects of the serotonin-noradrenaline reuptake inhibitors milnacipran and venlafaxine on rat pineal monoamines.

    Science.gov (United States)

    Muneoka, Katsumasa; Kuwagata, Makiko; Ogawa, Tetsuo; Shioda, Seiji

    2015-06-17

    Monoamine systems are involved in the pathology and therapeutic mechanism of depression. The pineal gland contains large amounts of serotonin as a precursor for melatonin, and its activity is controlled by noradrenergic sympathetic nerves. Pineal diurnal activity and its release of melatonin are relevant to aberrant states observed in depression. We investigated the effects on pineal monoamines of serotonin-noradrenaline reuptake inhibitors, which are widely used antidepressants. Four days of milnacipran treatment led to an increase in noradrenaline and serotonin levels, whereas 4 days of venlafaxine treatment reduced 5-hydroxyindoleacetic acid levels; both agents induced an increase in dopamine levels. Our data suggest that milnacipran increases levels of the precursor for melatonin synthesis by facilitating the noradrenergic regulation of pineal activity and that venlafaxine inhibits serotonin reuptake into noradrenergic terminals on the pineal gland. PMID:26016648

  3. Effect of low dose radiation on cell cycle of pineal gland

    International Nuclear Information System (INIS)

    Objective: In the present study the authors observed the effect of low dose radiation (LDR) on cell cycle of pineal gland in mice. Methods: The distribution in the phase of the cell cycle was analyzed by flow cytometry after staining of pineal gland with prospidium iodine (PI) after WBI with 75 mGy X-rays. Results: It was shown that the percentage of G0/G1 phase and G2 + M phase of pineal gland cells decreased after irradiation (P < 0.05), and meanwhile the percentage of S-phase of pineal gland cells increased after irradiation (P < 0.01). Conclusion: These results indicated that WBI with LDR could promote DNA synthesis of pineal gland cells in mice

  4. Effects of acute ethanol administration on nocturnal pineal serotonin N-acetyltransferase activity

    Energy Technology Data Exchange (ETDEWEB)

    Creighton, J.A.; Rudeen, P.K.

    1988-01-01

    The effect of acute ethanol administration on pineal serotonin N-acetyltransferase (NAT) activity, norepinephrine and indoleamine content was examined in male rats. When ethanol was administered in two equal doses (2 g/kg body weight) over a 4 hour period during the light phase, the nocturnal rise in NAT activity was delayed by seven hours. The nocturnal pineal norepinephrine content was not altered by ethanol except for a delay in the reduction of NE with the onset of the following light phase. Although ethanol treatment led to a significant reduction in nocturnal levels of pineal serotonin content, there was no significant effect upon pineal content of 5-hydroxyindoleacetic acid (5-HIAA). The data indicate that ethanol delays the onset of the rise of nocturnal pineal NAT activity.

  5. Morphologic Changes in Rat's Pineal Gland After Eliminating Retinal Photic Stimulation Cambios Morfológicos en la Glándula Pineal de Ratas Luego de la Eliminación de la Estimulación Fótica Retiniana

    OpenAIRE

    Ignacio Roa Henriquez; Iván Suazo Galdames; Mario Cantín López; Daniela Zavando Matamata

    2008-01-01

    Melatonin secretion from mammalian pineal glands is regulated by light stimulation by means of a complex neuroanatomical pathway that includes the retina, hypothalamic suprachiasmatic nucleus, intermediolateral nucleus of the thoracic spinal cord, and finally, the superior cervical ganglia. The purpose of this study was to analyze the changes in the pinealocytes and the blood vessel density of the pineal gland after eliminating photic stimulation in rats. Thirteen adult Sprague-Dawley rats we...

  6. The role of miR-182 in regulating pineal CLOCK expression after hypoxia-ischemia brain injury in neonatal rats.

    Science.gov (United States)

    Ding, Xin; Sun, Bin; Huang, Jian; Xu, Lixiao; Pan, Jian; Fang, Chen; Tao, Yanfang; Hu, Shukun; Li, Ronghu; Han, Xing; Miao, Po; Wang, Ying; Yu, Jian; Feng, Xing

    2015-03-30

    Circadian rhythm disorder is a common neurological deficit caused by neonatal hypoxic-ischemic brain damage (HIBD). However, little is known about its underlying mechanisms. Our previous studies revealed a significant elevation of clock genes at the protein, but not mRNA, levels in the pineal gland after neonatal HIBD. To investigate the mechanisms of post-transcriptional regulation on clock genes, we screened changes of miRNA levels in the pineal gland after neonatal HIBD using high-throughput arrays. Within the miRNAs whose expression was significantly down-regulated, we identified one miRNA (miR182) that targeted the 3'-untranslated region (3'-UTR) of Clock, a key component of clock genes, and played a crucial role in regulating CLOCK expression after oxygen-glucose deprivation in primarily cultured pinealocytes. Our findings therefore provide new insight on studies of therapeutic targets for circadian rhythm disturbance after neonatal HIBD. PMID:25684245

  7. Circadian Dynamics of the Cone-Rod Homeobox (CRX) Transcription Factor in the Rat Pineal Gland and Its Role in Regulation of Arylalkylamine N-Acetyltransferase (AANAT)

    DEFF Research Database (Denmark)

    Rohde, Kristian; Rovsing, Louise; Ho, Anthony K; Møller, Morten; Rath, Martin Fredensborg

    2014-01-01

    The cone-rod homeobox (Crx) gene encodes a transcription factor in the retina and pineal gland. Crx deficiency influences the pineal transcriptome, including a reduced expression of arylalkylamine N-acetyltransferase (Aanat), a key enzyme in nocturnal pineal melatonin production. However, previous functional studies on pineal Crx have been performed in melatonin-deficient mice. In this study, we have investigated the role of Crx in the melatonin-proficient rat pineal gland. The current study sho...

  8. SU-C-9A-01: Parameter Optimization in Adaptive Region-Growing for Tumor Segmentation in PET

    International Nuclear Information System (INIS)

    Purpose: To design a reliable method to determine the optimal parameter in the adaptive region-growing (ARG) algorithm for tumor segmentation in PET. Methods: The ARG uses an adaptive similarity criterion m - f? ? I-PET ? m + f?, so that a neighboring voxel is appended to the region based on its similarity to the current region. When increasing the relaxing factor f (f ? 0), the resulting volumes monotonically increased with a sharp increase when the region just grew into the background. The optimal f that separates the tumor from the background is defined as the first point with the local maximum curvature on an Error function fitted to the f-volume curve. The ARG was tested on a tumor segmentation Benchmark that includes ten lung cancer patients with 3D pathologic tumor volume as ground truth. For comparison, the widely used 42% and 50% SUVmax thresholding, Otsu optimal thresholding, Active Contours (AC), Geodesic Active Contours (GAC), and Graph Cuts (GC) methods were tested. The dice similarity index (DSI), volume error (VE), and maximum axis length error (MALE) were calculated to evaluate the segmentation accuracy. Results: The ARG provided the highest accuracy among all tested methods. Specifically, the ARG has an average DSI, VE, and MALE of 0.71, 0.29, and 0.16, respectively, better than the absolute 42% thresholding (DSI=0.67, VE= 0.57, and MALE=0.23), the relative 42% thresholding (DSI=0.62, VE= 0.41, and MALE=0.23), the absolute 50% thresholding (DSI=0.62, VE=0.48, and MALE=0.21), the relative 50% thresholding (DSI=0.48, VE=0.54, and MALE=0.26), OTSU (DSI=0.44, VE=0.63, and MALE=0.30), AC (DSI=0.46, VE= 0.85, and MALE=0.47), GAC (DSI=0.40, VE= 0.85, and MALE=0.46) and GC (DSI=0.66, VE= 0.54, and MALE=0.21) methods. Conclusions: The results suggest that the proposed method reliably identified the optimal relaxing factor in ARG for tumor segmentation in PET. This work was supported in part by National Cancer Institute Grant R01 CA172638; The dataset is provided by AAPM TG211

  9. Putative tumor-suppressor gene regions responsible for radiation lymphomagenesis in F1 mice with different p53 status

    International Nuclear Information System (INIS)

    Regions of allelic loss on chromosomes in many tumors of human and some experimental animals are generally considered to harbor tumor-suppressor genes involved in tumorigenesis. Allelotype analyses have greatly improved our understanding of the molecular mechanism of radiation lymphomagenesis. Previously, we and others found frequent loss of heterozygosity (LOH) on chromosomes 4, 11, 12, 16 and 19 in radiation-induced lymphomas from several F1 hybrid mice. To examine possible contributions of individual tumor-suppressor genes to tumorigenesis in p53 heterozygous deficiency, we investigated the genome-wide distribution and status of LOH in radiation-induced lymphomas from F1 mice with different p53 status. In this study, we found frequent LOH (more than 20%) on chromosomes 4 and 12 and on chromosomes 11, 12, 16 and 19 in radiation-induced lymphomas from (STS/A X MSM/Ms)F1 mice and (STS/A X MSM/Ms)F1-p53KO/+ mice, respectively. Low incidences of LOH (10-20%) were also observed on chromosomes 11 in mice with wild-type p53, and chromosomes 1, 2, 9, 17 and X in p53 heterozygous-deficient mice. The frequency of LOH on chromosomes 9 and 11 increased in the (STS/A X MSM/Ms)F1-p53KO/+ mice. Preferential losses of the STS-derived allele on chromosome 9 and wild-type p53 allele on chromosome 11 were also found in the p53 heterozygous-deficient mice. Thus, the putative tumor-suppressor gene regions responsible for lymphomaganesis might considerably differ due to the p53 status. (author)

  10. Immune monitoring of the circulation and the tumor microenvironment in patients with regionally advanced melanoma receiving neoadjuvant ipilimumab.

    Science.gov (United States)

    Tarhini, Ahmad A; Edington, Howard; Butterfield, Lisa H; Lin, Yan; Shuai, Yongli; Tawbi, Hussein; Sander, Cindy; Yin, Yan; Holtzman, Matthew; Johnson, Jonas; Rao, Uma N M; Kirkwood, John M

    2014-01-01

    We evaluated neoadjuvant ipilimumab in patients with surgically operable regionally advanced melanoma in order to define markers of activity in the blood and tumor as assessed at baseline (before ipilimumab) and early on-treatment. Patients were treated with ipilimumab (10 mg/kg intravenously every 3 weeks ×2 doses) bracketing surgery. Tumor and blood biospecimens were obtained at baseline and at surgery. Flow cytometry and immunohistochemistry for select biomarkers were performed. Thirty five patients were enrolled; IIIB (3; N2b), IIIC (32; N2c, N3), IV (2). Worst toxicities included Grade 3 diarrhea/colitis (5; 14%), hepatitis (2; 6%), rash (1; 3%), elevated lipase (3; 9%). Median follow up was 18 months: among 33 evaluable patients, median progression free survival (PFS) was 11 months, 95% CI (6.2-19.2). There was a significant decrease in circulating myeloid derived suppressor cells (MDSC). Greater decrease in circulating monocyte gate MDSC Lin1-/HLA-DR-/CD33?/CD11b? was associated with improved PFS (p?=?0.03). There was a significant increase in circulating regulatory T cells (Treg; CD4?CD25hi?Foxp3?) that, unexpectedly, was associated with improved PFS (HR?=?0.57; p?=?0.034). Baseline evidence of fully activated type I CD4? and CD8? antigen-specific T cell immunity against cancer-testis (NY-ESO-1) and melanocytic lineage (MART-1, gp100) antigens was detected and was significantly potentiated after ipilimumab. In tumor, there was a significant increase in CD8? T cells after ipilimumab (p?=?0.02). Ipilimumab induced increased tumor infiltration by fully activated (CD69?) CD3?/CD4? and CD3?/CD8? T cells with evidence of induction/potentiation of memory T cells (CD45RO?). The change in Treg observed within the tumor showed an inverse relationship with clinical benefit and greater decrease in tumor MDSC subset Lin1-/HLA-DR-/CD33?/CD11b? was associated with improved PFS at one year. Neoadjuvant evaluation revealed a significant immunomodulating role for ipilimumab on Treg, MDSC and effector T cells in the circulation and tumor microenvironment that warrants further pursuit in the quest for optimizing melanoma immunotherapy. PMID:24498358

  11. Circadian changes in long noncoding RNAs in the pineal gland

    OpenAIRE

    Coon, Steven L.; Munson, Peter J; Cherukuri, Praveen F.; Sugden, David; Rath, Martin F.; Møller, Morten; Clokie, Samuel J. H.; Fu, Cong; Olanich, Mary E.; Rangel, Zoila; Werner, Thomas; Mullikin, James C; Klein, David C.; Benjamin, Betty; Blakesley, Robert

    2012-01-01

    Long noncoding RNAs (lncRNAs) play a broad range of biological roles, including regulation of expression of genes and chromosomes. Here, we present evidence that lncRNAs are involved in vertebrate circadian biology. Differential night/day expression of 112 lncRNAs (0.3 to >50 kb) occurs in the rat pineal gland, which is the source of melatonin, the hormone of the night. Approximately one-half of these changes reflect nocturnal increases. Studies of eight lncRNAs with 2- to >100-fold daily rhy...

  12. Case of hemorrhagic pineal cyst: MR/CT correlation

    Energy Technology Data Exchange (ETDEWEB)

    Osborn, R.E.; Deen, H.G.; Kerber, C.W.; Glass, R.F.

    1989-05-01

    A 30-year-old male had headache pain for one month and was evaluated with both computed tomography (CT) and magnetic resonance (MR). These scans demonstrated an obstructing pineal cyst containing layered acute and subacute blood products by MR criteria. The concurrent scans allowed correlation between CT and MR findings in this rare complication of an unusual entity, explained his headache (and the development of later upward gaze paresis), provided a precise surgical/anatomic approach, and gave a good final clinical result. The report illustrates appropriate CT and MR images and pathological specimen.

  13. Postnatal development of cell types in the rat pineal gland.

    OpenAIRE

    Calvo, J; Boya, J.

    1983-01-01

    The morphological development of the rat pineal gland has been studied from 1 to 60 days of age. During the first days, undifferentiated cells (pinealoblasts) with scanty cytoplasm and frequent mitotic figures were observed. The differentiation of cell types (Types I and II pinealocytes) began on the third day after birth and was completed by days 15-20. At 3 days of age, nerve fibres were first observed, both in the connective spaces and in the parenchyma. After 5 days, an important hypertro...

  14. Circadian changes in long noncoding RNAs in the pineal gland

    DEFF Research Database (Denmark)

    Coon, Steven L; Munson, Peter J; Cherukuri, Praveen F; Sugden, David; Rath, Martin Fredensborg; Møller, Morten; Clokie, Samuel J H; Fu, Cong; Olanich, Mary E; Rangel, Zoila; Werner, Thomas; Mullikin, James C; Klein, David C

    2012-01-01

    Long noncoding RNAs (lncRNAs) play a broad range of biological roles, including regulation of expression of genes and chromosomes. Here, we present evidence that lncRNAs are involved in vertebrate circadian biology. Differential night/day expression of 112 lncRNAs (0.3 to >50 kb) occurs in the rat pineal gland, which is the source of melatonin, the hormone of the night. Approximately one-half of these changes reflect nocturnal increases. Studies of eight lncRNAs with 2- to >100-fold daily rhythm...

  15. The frequency of pineal calcification during the first 18 years of life

    International Nuclear Information System (INIS)

    There are sparse or contradictory data on frequency and pathological significance of pineal calcifications in childhood. This is particularly so for children younger than 6 years of age. We therefore looked for pineal gland calcifications in 1044 consecutive a.p. and lateral skull films. Pineal calcification was diagnosed, if accepted by both authors, and if the calcified spot fitted into at least 2 of 4 localisation methods. 80 patients with pineal calcifications were detected using this method. In 40 of these patients CCT confirmed the calcification. The frequency of pineal calcification was 3% in the first 12 months of life rising gradually to 7.1% in children of 10 years of age. From 10 years onwards, there is a marked increase of frequency of calcifications of the pineal gland up to 33% in the group of children of 18 years of age. In contrast to some statements in literature, pineal calcifications seem to be physiological in a limited percentage even below the age of 6 years. (orig.)

  16. A radiologic study by CT scan of pineal size in cancer patients

    International Nuclear Information System (INIS)

    Alterations in size of the pineal body and melatonin secretion have been observed in cancer patients. The present study was carried out to evaluate pineal dimension in a group of cancer patients and their relation to melatonin blood levels. The study included 70 oncologic patients. As controls, 41 patients with acute or chronic disease other than cancer entered the study. Melatonin serum levels were measured by radioimmunoassay on venous blood samples collected at 9:00 a.m. Pineal size was determined by brain CT scan, by considering the product of the two longest perpendicular diameters, multiplied by the thickness of the stratum. The volume of the pineal body was found to be enlarged in 12/70 (17%) cancer patients, and its mean value was significantly higher than that observed in controls. Melatonin levels were also significantly higher in oncologic patients than in controls. However, there was no correlation between melatonin levels and pineal size in cancer patients. Finally, cancer patients did not show a higher degree of pineal calcifications than controls. The clinical significance of pineal enlargement in cancer patients remains to be understood

  17. Factors other than light affecting the pineal gland: hypophysectomy, testosterone, dihydrotestosterone, estradiol, cryptorchidism, and stress

    Energy Technology Data Exchange (ETDEWEB)

    Urry, R.L.; Dougherty, K.A.; Frehn, J.L.; Ellis, L.C.

    1976-01-01

    The article reviews those factors other than light that affect the activity of the pineal gland. Both testosterone and dihydroterosterone were shown to have tissue-specific inhibitory effects on pineal MAO activity concomitant with an increased activity of the gland. The effect also was tissue-specific. Bilateral and unilateral experimental cryptorchidism also decreased pineal MAO activity 3 to 4 weeks after surgery. Acute stresses appear to increase adrenal catecholamine output (epinephrine and norepinephrine) as well as to stimulate local adrenergic pathways, while chronic stress, such as starvation, appears to act through the adrenal corticosteroids by decreasing pineal MAO activity thereby indirectly increasing melatonin synthesis. Thus, both components of the adrenal gland appear to act in concert to increase effectively melatonin synthesis by the pineal function----the latter specifically inhibits HIOMT activity. These observations indicate that many factors other than light affect pineal morphology and melatonin synthesis. The pineal appears to be a true neuroendocrine organ that is affected by hypophysectomy and is responsive to feedback and control from other organs within the mammalian organism. (auth)

  18. Frequency of pineal calcification during the first 18 years of life

    Energy Technology Data Exchange (ETDEWEB)

    Helmke, K.; Winkler, P.

    1986-02-01

    There are sparse or contradictory data on frequency and pathological significance of pineal calcifications in childhood. This is particularly so for children younger than 6 years of age. We therefore looked for pineal gland calcifications in 1044 consecutive a.p. and lateral skull films. Pineal calcification was diagnosed, if accepted by both authors, and if the calcified spot fitted into at least 2 of 4 localisation methods. 80 patients with pineal calcifications were detected using this method. In 40 of these patients CCT confirmed the calcification. The frequency of pineal calcification was 3% in the first 12 months of life rising gradually to 7.1% in children of 10 years of age. From 10 years onwards, there is a marked increase of frequency of calcifications of the pineal gland up to 33% in the group of children of 18 years of age. In contrast to some statements in literature, pineal calcifications seem to be physiological in a limited percentage even below the age of 6 years.

  19. Pineal Photoreceptor Cells Are Required for Maintaining the Circadian Rhythms of Behavioral Visual Sensitivity in Zebrafish

    Science.gov (United States)

    Li, Xinle; Montgomery, Jake; Cheng, Wesley; Noh, Jung Hyun; Hyde, David R.; Li, Lei

    2012-01-01

    In non-mammalian vertebrates, the pineal gland functions as the central pacemaker that regulates the circadian rhythms of animal behavior and physiology. We generated a transgenic zebrafish line [Tg(Gnat2:gal4-VP16/UAS:nfsB-mCherry)] in which the E. coli nitroreductase is expressed in pineal photoreceptor cells. In developing embryos and young adults, the transgene is expressed in both retinal and pineal photoreceptor cells. During aging, the expression of the transgene in retinal photoreceptor cells gradually diminishes. By 8 months of age, the Gnat2 promoter-driven nitroreductase is no longer expressed in retinal photoreceptor cells, but its expression in pineal photoreceptor cells persists. This provides a tool for selective ablation of pineal photoreceptor cells, i.e., by treatments with metronidazole. In the absence of pineal photoreceptor cells, the behavioral visual sensitivity of the fish remains unchanged; however, the circadian rhythms of rod and cone sensitivity are diminished. Brief light exposures restore the circadian rhythms of behavioral visual sensitivity. Together, the data suggest that retinal photoreceptor cells respond to environmental cues and are capable of entraining the circadian rhythms of visual sensitivity; however, they are insufficient for maintaining the rhythms. Cellular signals from the pineal photoreceptor cells may be required for maintaining the circadian rhythms of visual sensitivity. PMID:22815753

  20. Technical realization of a systematized radiation therapy, founded on the TNM system, of tumors in the regions of the head and neck

    International Nuclear Information System (INIS)

    Modern radiation therapy of tumors within the regions of the head and neck regards not only the concept of the target volume but also the probability of affection to the lymphatic chains. Frequency of spread to lymph nodes depends on the size of the primary tumor, and thus the extent of radiotherapeutic practical measures can be conformed to the TNM system. A radiation therapy planned in view of the TNM classification may be termed, therefore, as a systematized radiation therapy. From the standpoint of these considerations irradiation techniques using a telecobalt therapy unit and a betatron have been examined considering the application to individual tumor sites and tumor volumes in the regions of the head and neck. The techniques being most appropriate for tumors of the head and neck, with regard to the various sites or volumes, and taking into account the target volume as well as the lymphatic chains concerned are here presented. (orig.)

  1. Nonamyloid tumoral light-chain-deposition disease (aggregoma) of the paraspinal region.

    Science.gov (United States)

    Singh, Ayushi; Okonkwo, Linda; Hoffmann, Jason C; Mazzie, Joseph P; Baadh, Amanjit S

    2015-12-01

    Aggregomas are rare localized masses of monoclonal nonamyloid immunoglobulin light-chain deposits. To date, there have been only a few reports of isolated aggregomas, with the majority detailing renal, lymph node and brain deposition. We present a rare case of paraspinal aggregoma in a 67-year-old female who presented with a complaint of cough and chest pain. Imaging demonstrated a left-sided paravertebral mass extending from T7-T10. Pathological analysis showed lamellar deposition of extracellular eosinophilic material with an associated lymphoplasmacytic nonamyloid infiltrate. To our knowledge, this is the first report of a paraspinal aggregoma. While exceedingly rare, this tumor can be included in the radiologic differential diagnosis of paravertebral soft tissue tumors in adults. The observation of our case adds to the limited understanding of the etiology, pathogenesis, natural history, and treatment of nonamyloid light-chain depositions. PMID:26253133

  2. The projection of the calcified pineal gland on slightly rotated AP films as a reliable landmark

    International Nuclear Information System (INIS)

    The projection of the pineal gland between the two outer tables of the skull in the AP film has been reconstructed on the basis of the CT print of the head, with and without lateral rotation. In this experimental approach it is proven that rotation up to 50 does not influence the position of the pineal gland on the AP film. The range of the normal position of the pineal in the frontal plane is defined and the normal distribution is given. (orig.) 891 AJ/orig. 892 MB

  3. Effect of low dose radiation on cGMP levels of pineal gland in mice

    International Nuclear Information System (INIS)

    The change of cGMP of pineal gland in mice were observed with low dose radiation (LDR). The time-course changes of cGMP were detected by radioimmunoassay after WBI with 75 mGy X rays. It was shown that the levels of cGMP of pineal gland in mice began to decrease and reached its lowest peak at 18 h (p < 0.01) after WBI. And began to increase at 24 h and reached its highest peak at 72 h (p < 0.05). These results indicated that WBI with LDR could reduce to the cGMP levels of pineal gland cells in mice

  4. A multi-region algorithm for markerless beam's-eye view lung tumor tracking

    International Nuclear Information System (INIS)

    Methods that allow online lung tumor tracking during radiotherapy are desirable for a variety of applications that have the potential to vastly improve treatment accuracy, dose conformity and sparing of healthy tissue. Several publications have proposed the use of an on-board kV x-ray imager to assess the tumor location during treatment. However, there is some concern that this strategy may expose the patient to a significant amount of additional dose over the course of a typical radiotherapy treatment. In this paper we present an algorithm that utilizes the on-board portal imager of the treatment machine to track lung tumors. This does not expose the patient to additional dose, but is somewhat more challenging as the quality of portal images is inferior when compared to kV x-ray images. To quantify the performance of the proposed algorithm we retrospectively applied it to portal image sequences retrieved from a dynamic chest phantom study and an SBRT treatment performed at our institution. The results were compared to manual tracking by an expert. For the phantom data the tracking error was found to be smaller than 1 mm and for the patient data smaller than 2 mm, which was in the same range as the uncertainty of the gold standard.

  5. Value of the region of interest technique in the scintigraphic diagnosis of primary bone tumors

    International Nuclear Information System (INIS)

    Employing ROI-technique, a ratio Q was obtained from relating accumulation of 99sup(m)Tc-MDP at the site of the bone lesion (n = 150) with that of contralateral non-involved osseous areas. Values of Q were correlated with histologic tumor diagnosis, its dignity and frequency. Values of Q of greater than 3.0 were found in 95% of all sarcomas, in 100% of the osteosarcomas but in only 3.8% of all benign bone tumors. Values ranging from 1.0 to 1.2 were exclusively measured in benign tumors (e.g., in 52% of juvenile bone cysts and in 67% of non-ossifing fibromas). Since the threshold - separating benign from malignant lesions - at Q = 3.0 was blurred by tumorlike lesions, metastases and especially by Paget's disease, this method does not precisely predict dignity. However, this method may complement radiographic evaluation with low values supporting the diagnosis of a benign lesion. The combined findings of radiography and these rations gained by nuclear imaging may help determine the pathway of a patient through further diagnosis and treatment. (orig.)

  6. Posttranscriptional regulation of pineal melatonin synthesis in Octodon degus

    Science.gov (United States)

    Lee, Soo Jung; Liu, Tiecheng; Chattoraj, Asamanja; Zhang, Samantha L.; Wang, Lijun; Lee, Theresa M.; Wang, Michael M.; Borjigin, Jimo

    2010-01-01

    Small laboratory animals have provided significant information about melatonin regulation, yet most of these organisms are nocturnal and regulate melatonin synthesis by mechanisms that diverge from those of humans. For example, in all rodents examined, melatonin secretion occurs with a time lag of several hours after the onset of darkness; in addition, arylalkylamine N-acetyltransferase (AANAT), the key enzyme in melatonin synthesis, displays dynamic transcriptional activation specifically at night in all rodents studied to date. In ungulates and primates including humans, on the other hand, melatonin secretion occurs immediately during the early night and is controlled by circadian posttranscriptional regulation of AANAT. We hypothesize that the diurnal Octodon degus (an Hystricognath rodent) could serve as an improved experimental model for studies of human melatonin regulation. To test this, we monitored melatonin production in degus using pineal microdialysis and characterized the regulation of melatonin synthesis by analyzing degu Aanat. Degu pineal melatonin rises with little latency at night, as in ungulates and primates. In addition, degu Aanat mRNA expression displays no detectable diurnal variation, suggesting that, like ungulates and primates, melatonin in this species is regulated by a posttranscriptional mechanism. Compared with AANAT from all rodents examined to date, the predicted amino acid sequence of degu AANAT is phylogenetically more closely related to ungulate and primate AANAT. These data suggest that Octodon degus may provide an ideal model system for laboratory investigation of mechanisms of melatonin synthesis and secretion in diurnal mammals. PMID:19538336

  7. Tachykinins and tachykinin-receptors in the rat pineal gland

    DEFF Research Database (Denmark)

    Mukda, S; Chetsawang, B

    2005-01-01

    High-pressure liquid chromatography of extracts of rat pineal glands, followed by radio immunological analysis with antibodies against tachykinins, demonstrated the presence of substance P, neurokinin A and neurokinin B in the superficial rat pineal gland. Immunohistochemistry on perfusion-fixed rat brain sections showed substance P and neurokinin A to be present in nerve fibers located both in the perivascular spaces as well as intraparenchymally between the pinealocytes. After extracting total RNA, followed by reverse transcription and polymerase chain reaction amplification with primers specific for NK1-, NK2- and NK3-receptors, agarose gel analysis of the reaction products showed the presence of mRNA encoding all three neurokinin receptors. Immunohistochemical analysis showed NK1 receptor to be located in the interstitial cells of the gland. This location was confirmed by use of in situ hybridization using radioactively labeled antisense oligonucleotide probes. Double immunohistochemical stainings showed that the NK1-immunoreactive cells were not a part of the macrophages or antigen-presenting cells of the gland. Our study suggests that tachykinins, after release from intrapineal nerve fibers, are involved in an up to now unknown function, different from that of melatonin synthesis.

  8. Role of magnetic resonance imaging for evaluation of tumors in the cardiac region.

    Science.gov (United States)

    Kaminaga, Tatsuro; Takeshita, Thoru; Kimura, Izumi

    2003-12-01

    The aim of this study was to review the role of MRI in the assessment of heart neoplasm, 25 cases with heart neoplasm (10 myxoma, 6 rhabdomyoma, 5 angiosarcoma, 2 mesothelioma, 1 lymphoma, and 1 fibroma) were examined with MRI and echocardiography. Multislice T1- and T2-weighted spin-echo images and static gradient-echo images were taken in appropriate directions with electrocardiogram gating. Gadolinium enhancement was performed in 21 cases. Transthoracic echocardiography was performed in all cases. Except for the 5 patients with rhabdomyoma, the pathological diagnosis was obtained. MRI proved to be useful for tissue characterization of myxoma, angiosarcoma, mesothelioma, and fibroma in cases with tuberous sclerosis. MRI also proved to be useful for detection of the tumor, depiction of contour, relation with other cardiac structures, in cases with myxoma, angiosarcoma, mesothelioma, lymphoma, and fibroma. In the differential diagnosis, MRI provided important information in cases with myxoma, rhabdomyoma, angiosarcoma, and fibroma. In cases with tumors expanding into the mediastinum, such as mesothelioma and fibroma in this report, MRI was useful in determining the location and border. In cases with tumors adjacent to pericardium, MRI was useful in detecting pericardial invasion. Gadolinium enhancement added useful information in cases with myxoma, rhabdomyoma, angiosarcoma, and mesothelioma. The role of MRI with and without Gd enhancement differs somewhat in individual types of heart neoplasm, and adaptation must be considered in each kind of neoplasm. On the other hand, MRI is an essential examination in all cases with a cardiac mass, which has not been diagnosed, since it may provide useful information for the differential diagnosis. PMID:16440217

  9. Role of magnetic resonance imaging for evaluation of tumors in the cardiac region

    International Nuclear Information System (INIS)

    The aim of this study was to review the role of MRI in the assessment of heart neoplasm, 25 cases with heart neoplasm (10 myxoma, 6 rhabdomyoma, 5 angiosarcoma, 2 mesothelioma, 1 lymphoma, and 1 fibroma) were examined with MRI and echocardiography. Multislice T1- and T2-weighted spin-echo images and static gradient-echo images were taken in appropriate directions with electrocardiogram gating. Gadolinium enhancement was performed in 21 cases. Transthoracic echocardiography was performed in all cases. Except for the 5 patients with rhabdomyoma, the pathological diagnosis was obtained. MRI proved to be useful for tissue characterization of myxoma, angiosarcoma, mesothelioma, and fibroma in cases with tuberous sclerosis. MRI also proved to be useful for detection of the tumor, depiction of contour, relation with other cardiac structures, in cases with myxoma, angiosarcoma, mesothelioma, lymphoma, and fibroma. In the differential diagnosis, MRI provided important information in cases with myxoma, rhabdomyoma, angiosarcoma, and fibroma. In cases with tumors expanding into the mediastinum, such as mesothelioma and fibroma in this report, MRI was useful in determining the location and border. In cases with tumors adjacent to pericardium, MRI was useful in detecting pericardial invasion. Gadolinium enhancement added useful information in cases with myxoma, rhabdomyoma, angiosarcoma, and mesothelioma. The role of MRI with and without Gd enhancement differs somewhat in individual types of heart neoplasm, and adaptation must be considered in each kind of neoplasm. On the other hand, MRI is an essential examination in all cases with a cardiac mass, which has not been diagnosed, since it may provide useful information for the differential diagnosis. (orig.)

  10. Role of magnetic resonance imaging for evaluation of tumors in the cardiac region

    Energy Technology Data Exchange (ETDEWEB)

    Kaminaga, T.; Takeshita, T.; Kimura, I. [Dept. of Radiology/Pathology, Teikyo Univ. Medical School, Tokyo (Japan)

    2003-12-01

    The aim of this study was to review the role of MRI in the assessment of heart neoplasm, 25 cases with heart neoplasm (10 myxoma, 6 rhabdomyoma, 5 angiosarcoma, 2 mesothelioma, 1 lymphoma, and 1 fibroma) were examined with MRI and echocardiography. Multislice T1- and T2-weighted spin-echo images and static gradient-echo images were taken in appropriate directions with electrocardiogram gating. Gadolinium enhancement was performed in 21 cases. Transthoracic echocardiography was performed in all cases. Except for the 5 patients with rhabdomyoma, the pathological diagnosis was obtained. MRI proved to be useful for tissue characterization of myxoma, angiosarcoma, mesothelioma, and fibroma in cases with tuberous sclerosis. MRI also proved to be useful for detection of the tumor, depiction of contour, relation with other cardiac structures, in cases with myxoma, angiosarcoma, mesothelioma, lymphoma, and fibroma. In the differential diagnosis, MRI provided important information in cases with myxoma, rhabdomyoma, angiosarcoma, and fibroma. In cases with tumors expanding into the mediastinum, such as mesothelioma and fibroma in this report, MRI was useful in determining the location and border. In cases with tumors adjacent to pericardium, MRI was useful in detecting pericardial invasion. Gadolinium enhancement added useful information in cases with myxoma, rhabdomyoma, angiosarcoma, and mesothelioma. The role of MRI with and without Gd enhancement differs somewhat in individual types of heart neoplasm, and adaptation must be considered in each kind of neoplasm. On the other hand, MRI is an essential examination in all cases with a cardiac mass, which has not been diagnosed, since it may provide useful information for the differential diagnosis. (orig.)

  11. A clinicopathologic analysis of primary orbital yolk sac tumor

    Directory of Open Access Journals (Sweden)

    PENG Ji-ying

    2012-02-01

    Full Text Available Objective On rare occasions, yolk sac tumor may arise from extragonadal sites. Orbit is an unusual location for the primary development of this tumor. The presence of intracranial yolk sac tumor on biopsy always makes the diagnosis challenge for pathologists. Herein we report a case of intracranial primary yolk sac tumor in left orbital apex. The clinicopathology of this tumor and its differential diagnosis are discussed. Methods The clinical manifestation of a patient with primary yolk sac tumor occurring in left orbital apex was presented retrospectively. Resected orbital mass was routinely paraffin-embedded and stained with hematoxylin and eosin. Dako Envision immunohistochemical staining system was used to detect the tumor antigen expressions, including alpha-fetoprotein (AFP, cytokeratin, placental alkaline phosphatase (PLAP, CD30, CD34, CD45, CD99, CD117, synaptophysin (Syn and chromogranin A (CgA. Results A 2-year-old boy presented with 3-month history of ptosis of eyelid and exophthalmos on left eye. Magnetic resonance imaging (MRI scan revealed a lesion occupied the left orbital apex with infiltration of surrounding normal structure, including left posterior ethmoid sinus, the wall of left maxillary sinus and sphenoid. However, there was no evidence of tumor infiltrating in brain parenchyma. Craniotomy was performed and the tumor was removed by en bloc resection. Grossly, the biopsy specimen received in small pieces was 1.20 cm × 1.00 cm × 1.00 cm when aggregated. No fibrous capsule, necrosis, haemorrhage and gross calcification were found in the tissue fragments. Histological examination revealed that the tumor was arranged in a reticular pattern. The cells were relatively large with a clear cytoplasm and vesicular nuclei. Scattered mitotic figures were noted. Schiller-Duval bodies and periodic acid-Schiff (PAS positive (eosinophilic bodies were evident in the tumor tissue. Immunohistochemical staining showed that the tumor cells were diffusely positive for cytokeratin (AE1/AE3 and focal positive for AFP, CD99 and CD117, but negative for PLAP, CD30, S-100, CD45 and CD34. There was no evidence of mixture of other germ cell tumor component in this tumor by serial sections. Based on clinical presentation and histological findings, a final histological diagnosis of pure primary orbital yolk sac tumor, WHO grade ?, was made according to the criteria of WHO classification. The patient has not received chemotherapy and attended follow-up for 3 months, without any neurological deficit or signs of recurrence. Conclusion Despite the lower incidence, intracranial yolk sac tumors usually develop in the midline at the pineal or suprasellar regions occurring in children with distinctive histological features and immunohistochemical phenotypes. In general, intracranial yolk sac tumors are known to entail poor prognosis even after multidisciplinary treatment of operation, radiotherapy, and chemotherapy. It is noted that intracranial yolk sac tumor should be differentiated histologically from other types of germ cell tumors and mixed germ cell tumor.

  12. Neuroendocrine mediated effects of electromagnetic-field exposure: Possible role of the pineal gland

    Energy Technology Data Exchange (ETDEWEB)

    Wilson, W.B.; Stevens, R.G.; Anderson, L.E. (Pacific Northwest Lab., Richland, WA (USA))

    1989-01-01

    Reports from recent epidemiological studies have suggested a possible association between extremely low frequently (ELF; including 50- or 60-Hz) electric- and magnetic-field exposure, and increased risk of certain cancers, depression, and miscarriage. ELF field-induced pineal gland dysfunction is a possible etiological factor in these effects. Work in our laboratory and elsewhere has shown that ELF electromagnetic-field exposure can alter the normal circadian rhythm of melatonin synthesis and release in the pineal gland. Consequences of reduced or inappropriately timed melatonin release on the endocrine, neuronal, and immune systems are discussed. Laboratory data linking ELF field exposure to changes in pineal circadian rhythms in both animal and humans are reviewed. The authors suggest that the pineal gland, in addition to being a convenient locus for measuring dyschronogenic effects of ELF field exposure, may play a central role in biological response to these fields via alterations in the melatonin signal.

  13. Effect of noradrenaline on production of methoxyindoles by rat pineal gland in organ culture

    International Nuclear Information System (INIS)

    This report examined the effect of noradrenaline on production of methoxyindoles by the pineal gland in organ culture. Pineal glands were incubated in pairs in 95?l culture medium containing 5-hydroxy [2-14C]tryptamine creatinine sulphate (0,1 mM) and noradrenaline (NA) (0,5-100 ?M). The results indicated that noradrenaline appeared to have a characteristic action on pineal metabolism. An increase in production of both N-acetylserotonin and melatonin by the pineal after noradrenaline treatment was observed. The overall production of methoxyindoles followed a very similar trend to that of N-acetylserotonin and melatonin, which suggests some degree of noradrenergic control over HIOMT levels

  14. Chronic exposure to 60-Hz electric fields: effects on pineal function in the rat

    Energy Technology Data Exchange (ETDEWEB)

    Wilson, B.W.; Anderson, L.E.; Hilton, D.I.; Philips, R.D.

    1980-01-01

    As a component of studies to search for effects of 60-Hz electric field exposure on mammalian endocrine function, concentrations of melatonin, 5-methoxytryptophol, and serotonin-N-acetyl transferase activity were measured in the pineal glands of rats exposed or sham-exposed at 65 kV/m for 30 days.In two replicate experiments there were statistically significant differences between exposed and control rats in that the normal nocturnal increase in pineal melatonin content was depressed in the exposed animals. Concentrations of 5-methoxytryptophol were increased in the pineal glands of the exposed groups when compared to sham-exposed controls. An alteration was also observed in serotonin-N-acetyl transferase activity, with lower levels measured in pineal glands from exposed animals.

  15. Effects of low dose irradiation on cAMP levels of pineal gland in mice

    International Nuclear Information System (INIS)

    To observe the effects of low dose radiation on cAMP levels of pineal gland. The authors examined the cAMP contents of pineal gland after whole-body irradiation with 50, 75, 100, 200, 500 mGy X-ray on Kunming male mice. The results showed that the cAMP levels of pineal gland after WBI with 50?100 mGy X-ray in mice was higher than sham irradiation mice, especially, 75 mGy group was marked higher than that of sham irradiation group (p<0.001). Whereas, high dose radiation may reduced to the cAMP levels of pineal gland in mice, among 2, 4 Gy groups was lower than that of sham irradiation group

  16. Effect of electric field exposure on melatonin and enzyme circadian rhythms in the rat pineal

    Energy Technology Data Exchange (ETDEWEB)

    Wilson, B.; Anderson, L.E.; Hilton, D.I.; Phillips, R.D.

    1980-11-01

    The effects of chronic 30-day electric field exposure on pineal serotonin N-acetyl transferase (EC 2.1.15) activity as well as melatonin and 5-methoxy tryptophol (5-MTOL) concentrations in rats, were assessed.

  17. Morphological Characteristics and Embryological Development of Pineal Gland and Experimental Grafting Procedures

    Directory of Open Access Journals (Sweden)

    Mehmet Turgut

    2003-02-01

    Full Text Available The pineal gland is a major neuroendocrine organ both in human and animals and its principal product is melatonin. It has been implicated in a number of physiological functions (circadian rhytms, sleep, reproduction, and immune system. It is notable that transplantation of the pineal gland into different anatomical locations (the third or fourth cerebral ventricle, hypothalamus, cortical cerebral tissue, and anterior chamber of the eye appears to evoke a degree of functional recovery. The present review focuses upon the morphological characteristics and the embryological development of the pineal gland as well as experimental grafting procedures into some structures in pinealectomized animals. It has been demonstrated that pinealocytes survive transplantation into these sites and exhibit ultrastructural features of active secretion. Recent investigations have shown that the transplanted pineal gland in the anterior chamber of the eye is reinnervated by neurons. [Archives Medical Review Journal 2003; 12(1.000: 65-76

  18. Induction of cancer cell death by proton beam in tumor hypoxic region

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Y. M.; Hur, T. R.; Lee, K. B.; Jeong, M. H.; Park, J. W. [Kyungbook National Univ., Daegu (Korea, Republic of)

    2007-04-15

    Proton beam induced apoptosis significantly in Lewis lung carcinoma cells and hepatoma HepG2 cells in a dose- and time-dependent manner, but slightly in leukemia Molt-4 cells. Relative biological effectiveness (RBE) values for death rate relative to gamma ray were ranged from 1.3 to 2.1 in LLC or HepG2 but 0.7 in Molt-4 cells at 72h after irradiation. The typical apoptosis was observed by nuclear DNA staining with DAPI. By FACS analysis after stained with PI, sub-G1 cell fraction was significantly increased but G2/M phase was not altered by proton beam irradiation measured at 24 h after irradiation. Proton beam-irradiated tumor cells induced cleavage of PARP-1 and procaspases (-3 and -9) and increased the level of p53 and p21. decreased pro-lamin B. Acitivity of caspases was significantly increased after proton beam irradiation. Furthermore, ROS were significantly increased and N-acetyl cystein (NAC) pretreatment restored the apoptotic cell death induced in proton beam-irradiated cells. In conclusion, single treatment of low energy proton beam with SOBP induced apoptosis of solid tumor cells via increased ROS, active caspase -3,-9 and p53, p2.

  19. A Modified Method to Segment Sharp and Unsharp Edged Brain Tumors in 2 D MRI Using Automatic Seeded Region Growing Method

    Directory of Open Access Journals (Sweden)

    Mukesh Kumar

    2011-05-01

    Full Text Available Segmentation of Brain tumor accurately is a challenging task in MRI. The MRI image is an image that produces a high contrast images indicating regular and irregular tissues that help to distinguish the overlapping in margin of each limb. But when the edges of tumor is not sharped then the segmentation results are not accurate i.e. segmentation may be over or under. This may be happened due to initial stage of the tumors [5]. So , in this paper a modified method of tumor line detection and segmentation is used to separate the irregular from the regular surrounding tissue to get a real identification of involved and noninvolved area that help the surgeon to distinguish the involved area precisely. The method used in this paper is seeded region growing method and it was implemented using MATLAB 7.6.0.324 on 25 Magnetic Resonance Images to detect the tumor boundaries in 2D MRI for different cases.

  20. Homeobox genes and melatonin synthesis : regulatory roles of the cone-rod homeobox transcription factor in the rodent pineal gland

    DEFF Research Database (Denmark)

    Rohde, Kristian; MØller, Morten

    2014-01-01

    Nocturnal synthesis of melatonin in the pineal gland is controlled by a circadian rhythm in arylalkylamine N-acetyltransferase (AANAT) enzyme activity. In the rodent, Aanat gene expression displays a marked circadian rhythm; release of norepinephrine in the gland at night causes a cAMP-based induction of Aanat transcription. However, additional transcriptional control mechanisms exist. Homeobox genes, which are generally known to encode transcription factors controlling developmental processes, are also expressed in the mature rodent pineal gland. Among these, the cone-rod homeobox (CRX) transcription factor is believed to control pineal-specific Aanat expression. Based on recent advances in our understanding of Crx in the rodent pineal gland, we here suggest that homeobox genes play a role in adult pineal physiology both by ensuring pineal-specific Aanat expression and by facilitating cAMP response element-based circadian melatonin production.

  1. A rare case of pineal cyst and epilepsy with high salivary melatonin concentration

    OpenAIRE

    Praninskien?, R?ta; Ju?ait?, Aurelija; Dumalakien?, Irena; Mauricas, Mykolas

    2006-01-01

    Little is known about the incidence and symptoms of pineal cysts in children. It has been observed that they present with disturbances of melatonin secretion. The latter is known to have anti-convulsant properties, but pro-convulsant effects have been described as well. We present a rare case of pineal cyst combined with the partial epilepsy with secondary generalization. The aim of the analysis of the present case history was to zoom into the relationship between epilepsy, changed sleep patt...

  2. Circadian rhythm of pineal uptake of 32P in domestic fowl

    International Nuclear Information System (INIS)

    The uptake of radioactive phosphorus by the pineal gland in White Leghorn cockerels (Gallus domesticus) showed a diurnal variation with maxima in the light phase and minima in the dark phase of the light: dark cycle. Constant light caused the rhythm to disappear while constant dark had no effect other than lowering the amplitude of the variations. These data indicate that the rhythm in pineal uptake of 32P is circadian. (author)

  3. Participation of the pineal gland in the response of rat testes to ionizing radiation. [X radiation

    Energy Technology Data Exchange (ETDEWEB)

    Rudnicki, T.; Boguslawski, A. (Akademia Medyczna, Poznan (Poland))

    1981-01-01

    The study was aimed to determine influence of pineal stimulation by light restriction on the response of rat testes to single, locally administered exposure dose of 7.79x10-2 C/kg of X-rays. Different arrangements of light-dark cycles before and after irradiation were used. It was found that stimulation of the pineal by light deprivation before and after irradiation may be accelerated by displacing the animals after irradiation to normal conditions.

  4. On the participation of the pineal gland in the response of rat testes to ionizing radiation

    International Nuclear Information System (INIS)

    The study was aimed to determine influence of pineal stimulation by light restriction on the response of rat testes to single, locally administered exposure dose of 7.79x10-2 C/kg of X-rays. Different arrangements of light-dark cycles before and after irradiation were used. It was found that stimulation of the pineal by light deprivation before and after irradiation may be accelerated by displacing the animals after irradiation to normal conditions. (author)

  5. Shadow response in the blind cavefish Astyanax reveals conservation of a functional pineal eye

    OpenAIRE

    Yoshizawa, Masato; JEFFERY, William R.

    2008-01-01

    The blind cavefish Astyanax mexicanus undergoes bilateral eye degeneration during embryonic development. Despite the absence of light in the cave environment, cavefish have retained a structurally intact pineal eye. We show here that contrary to visual degeneration in the bilateral eyes, the cavefish pineal eye has conserved the ability to detect light. Larvae of two different Astyanax cavefish populations and the con-specific sighted surface-dwelling form (surface fish) respond similarly to ...

  6. Rax: Developmental and Daily Expression Patterns in the Rat Pineal Gland and Retina

    DEFF Research Database (Denmark)

    Rohde, Kristian; Klein, David C; Møller, Morten; Rath, Martin F

    2011-01-01

    Retina and anterior neural fold homeobox (Rax) gene encodes a transcription factor essential for vertebrate eye development. Recent microarray studies indicate that Rax is expressed in the adult rat pineal gland and retina. The present study reveals that Rax expression levels in the rat change significantly during retinal development with a peak occurring at embryonic day (E) 18, whereas Rax expression in the pineal is relatively delayed and not detectable until E20. In both tissues, Rax is expr...

  7. Proteomic analysis of day-night variations in protein levels in the rat pineal gland

    DEFF Research Database (Denmark)

    Møller, Morten; Sparre, Thomas; Bache, Nicolai; Roepstorff, Peter; Vorum, Henrik

    2007-01-01

    The pineal gland secretes the hormone melatonin. This secretion exhibits a circadian rhythm with a zenith during night and a nadir during day. We have performed proteome analysis of the superficial pineal gland in rats during daytime and nighttime. The proteins were extracted and subjected to 2-DE. Of 1747 protein spots revealed by electrophoresis, densitometric analysis showed the up-regulation of 25 proteins during nighttime and of 35 proteins during daytime. Thirty-seven of the proteins were ...

  8. Effects of white light on the pineal gland of the chick embryo.

    Science.gov (United States)

    Aige-Gil, V; Murillo-Ferrol, N

    1992-01-01

    Chick embryos were directly exposed to a source of white light during incubation and sacrificed before hatching. The light caused a number of teratological effects such as high mortality, delay in development, celosomy, hepatomegaly, auricular dilation and micrognatia. The pineal gland of the illuminated embryos showed an increase in number and size of the intracytoplasmic lipid droplets of the follicular pinealocytes. These findings suggest that the pineal gland of the chick embryo is sensitive to light. PMID:1315598

  9. Effects of white light on the pineal gland of the chick embryo

    OpenAIRE

    Aige-Gil, Vicente; Murillo-Ferrol, Narciso

    1992-01-01

    Chick embryos were directly exposed to a source of white light during incubation and sacrificed before hatching. The light caused a number of teratological effects such as high mortality, delay in development, celosomy, hepatomegaly, auricular dilation and micrognatia. The pineal gland of the illuminated embryos showed an increase in number and size of the intracytoplasmic lipid droplets of the follicular pinealocytes. These findings suggest that the pineal...

  10. Habenular commissure formation in zebrafish is regulated by the pineal gland specific gene unc119c

    Science.gov (United States)

    Toyama, Reiko; Kim, Mi Ha; Rebbert, Martha L.; Gonzales, John; Burgess, Harold; Dawid, Igor B.

    2013-01-01

    Background The zebrafish pineal gland (epiphysis) is a site of melatonin production, contains photoreceptor cells, and functions as a circadian clock pacemaker. Since it is located on the surface of the forebrain, it is accessible for manipulation and therefore is a useful model system to analyze pineal gland function and development. We previously analyzed the pineal transcriptome during development and showed that many genes exhibit a highly dynamic expression pattern in the pineal gland. Results Among genes preferentially expressed in the zebrafish pineal gland, we identified a tissue-specific form of the unc119 gene family, unc119c, which is highly preferentially expressed in the pineal gland during day and night at all stages examined from embryo to adult. When expression of unc119c was inhibited, the formation of the habenular commissure (HC) was specifically compromised. The Unc119c interacting factors Arl3l1 and Arl3l2 as well as Wnt4a also proved indispensible for HC formation. Conclusions We suggest that Unc119c, together with Arl3l1/2, plays an important role in modulating Wnt4a production and secretion during HC formation in the forebrain of the zebrafish embryo. PMID:23749482

  11. Rax: Developmental and Daily Expression Patterns in the Rat Pineal Gland and Retina

    Science.gov (United States)

    Rohde, Kristian; Klein, David C.; Møller, Morten; Rath, Martin F.

    2011-01-01

    Retina and anterior neural fold homeobox (Rax) gene encodes a transcription factor essential for vertebrate eye development. Recent microarray studies indicate that Rax is expressed in the adult rat pineal gland and retina. The present study reveals that Rax expression levels in the rat change significantly during retinal development with a peak occurring at embryonic day (E) 18, whereas Rax expression in the pineal is relatively delayed and not detectable until E20. In both tissues, Rax is expressed throughout postnatal development into adulthood. In the mature rat pineal gland, the abundance of Rax transcripts increases 2-fold during the light period with a peak occurring at dusk. These findings are consistent with the evidence that Rax is of functional importance in eye development and suggest a role of Rax in the developing pineal gland. In addition, it would appear possible that Rax contributes to phenotype maintenance in the mature retina and pineal gland and may facilitate 24-h changes in the pineal transcriptome. PMID:21749377

  12. Night/day changes in pineal expression of >600 genes: central role of adrenergic/cAMP signaling

    DEFF Research Database (Denmark)

    Bailey, Michael J; Coon, Steven L; Carter, John David; Humphries, Ann; Kim, Jong-So; Shi, Qiong; Gaildrat, Pascaline; Morin, Fabrice; Ganguly, Surajit; Hogenesch, John B; Weller, Joan L; Rath, Martin F; Møller, Morten; Baler, Ruben; Sugden, David; Rangel, Zoila G; Munson, Peter J; Klein, David C

    2009-01-01

    The pineal gland plays an essential role in vertebrate chronobiology by converting time into a hormonal signal, melatonin, which is always elevated at night. Here we have analyzed the rodent pineal transcriptome using Affymetrix GeneChip(R) technology to obtain a more complete description of pineal cell biology. The effort revealed that 604 genes (1,268 probe sets) with Entrez Gene identifiers are differentially expressed greater than 2-fold between midnight and mid-day (false discovery rate

  13. Regional white matter volume and the relation with attentional functioning in survivors of malignant pediatric brain tumors

    Science.gov (United States)

    Glass, John O.; Mulhern, Raymond K.; White, Holly A.; Wilkinson, Gina M.; Reddick, Wilburn E.

    2003-05-01

    Quantitative assessment of MR examinations in 37 survivors of childhood cancer treated with central nervous system prophylaxis revealed that normal appearing white matter (NAWM) volume is associated with attention-related problems, localized specifically in the right prefrontal region. T1-, T2-, and PD-weighted images were segmented and divided into pre-frontal, frontal, parietal/temporal, and parietal/occipital regions for each hemisphere. These eight regions were analyzed in five slices centered at the level of the basal ganglia. The patient's age at diagnosis and time elapsed from diagnosis were used as covariates in the regressions. Attentional measures showed significant deficiency when compared to age and gender normative values. Total, frontal and/or prefrontal NAWM volumes from the range of slices examined were significantly associated with 5 of the 8 attentional measures. The frontal/prefrontal region of the brain is associated with executive functioning tasks and could potentially be spared as much as possible during therapy planning. The results of the present study further support the contention that NAWM is an important substrate for treatment-induced neurocognitive problems among survivors of malignant brain tumors of childhood.

  14. Tumor exosomes induce tunneling nanotubes in lipid raft-enriched regions of human mesothelioma cells

    Energy Technology Data Exchange (ETDEWEB)

    Thayanithy, Venugopal [Department of Medicine, Division of Hematology, Oncology and Transplantation, University of Minnesota, Minneapolis, MN 55455 (United States); Babatunde, Victor [Moore Laboratory, Department of Cell Biology, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, NY 10021 (United States); Dickson, Elizabeth L. [Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of Minnesota, Minneapolis, MN 55455 (United States); Wong, Phillip [Department of Medicine, Division of Hematology, Oncology and Transplantation, University of Minnesota, Minneapolis, MN 55455 (United States); Oh, Sanghoon; Ke, Xu; Barlas, Afsar; Fujisawa, Sho; Romin, Yevgeniy [Molecular Cytology, Memorial Sloan-Kettering Cancer Center, New York, NY 10021 (United States); Moreira, André L. [Department of Pathology, Memorial Sloan-Kettering Cancer Center, New York, NY 10021 (United States); Downey, Robert J. [Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY 10021 (United States); Steer, Clifford J. [Departments of Medicine and Genetics, Cell Biology and Development, University of Minnesota, Minneapolis, MN 55455 (United States); Subramanian, Subbaya [Department of Surgery, University of Minnesota, Minneapolis, MN 55455 (United States); Manova-Todorova, Katia [Molecular Cytology, Memorial Sloan-Kettering Cancer Center, New York, NY 10021 (United States); Moore, Malcolm A.S. [Moore Laboratory, Department of Cell Biology, Sloan-Kettering Institute, Memorial Sloan-Kettering Cancer Center, New York, NY 10021 (United States); Lou, Emil, E-mail: emil-lou@umn.edu [Department of Medicine, Division of Hematology, Oncology and Transplantation, University of Minnesota, Minneapolis, MN 55455 (United States)

    2014-04-15

    Tunneling nanotubes (TnTs) are long, non-adherent, actin-based cellular extensions that act as conduits for transport of cellular cargo between connected cells. The mechanisms of nanotube formation and the effects of the tumor microenvironment and cellular signals on TnT formation are unknown. In the present study, we explored exosomes as potential mediators of TnT formation in mesothelioma and the potential relationship of lipid rafts to TnT formation. Mesothelioma cells co-cultured with exogenous mesothelioma-derived exosomes formed more TnTs than cells cultured without exosomes within 24–48 h; and this effect was most prominent in media conditions (low-serum, hyperglycemic medium) that support TnT formation (1.3–1.9-fold difference). Fluorescence and electron microscopy confirmed the purity of isolated exosomes and revealed that they localized predominantly at the base of and within TnTs, in addition to the extracellular environment. Time-lapse microscopic imaging demonstrated uptake of tumor exosomes by TnTs, which facilitated intercellular transfer of these exosomes between connected cells. Mesothelioma cells connected via TnTs were also significantly enriched for lipid rafts at nearly a 2-fold higher number compared with cells not connected by TnTs. Our findings provide supportive evidence of exosomes as potential chemotactic stimuli for TnT formation, and also lipid raft formation as a potential biomarker for TnT-forming cells. - Highlights: • Exosomes derived from malignant cells can stimulate an increased rate in the formation of tunneling nanotubes. • Tunneling nanotubes can serve as conduits for intercellular transfer of these exosomes. • Most notably, exosomes derived from benign mesothelial cells had no effect on nanotube formation. • Cells forming nanotubes were enriched in lipid rafts at a greater number compared with cells not forming nanotubes. • Our findings suggest causal and potentially synergistic association of exosomes and tunneling nanotubes in cancer.

  15. Tumor exosomes induce tunneling nanotubes in lipid raft-enriched regions of human mesothelioma cells

    International Nuclear Information System (INIS)

    Tunneling nanotubes (TnTs) are long, non-adherent, actin-based cellular extensions that act as conduits for transport of cellular cargo between connected cells. The mechanisms of nanotube formation and the effects of the tumor microenvironment and cellular signals on TnT formation are unknown. In the present study, we explored exosomes as potential mediators of TnT formation in mesothelioma and the potential relationship of lipid rafts to TnT formation. Mesothelioma cells co-cultured with exogenous mesothelioma-derived exosomes formed more TnTs than cells cultured without exosomes within 24–48 h; and this effect was most prominent in media conditions (low-serum, hyperglycemic medium) that support TnT formation (1.3–1.9-fold difference). Fluorescence and electron microscopy confirmed the purity of isolated exosomes and revealed that they localized predominantly at the base of and within TnTs, in addition to the extracellular environment. Time-lapse microscopic imaging demonstrated uptake of tumor exosomes by TnTs, which facilitated intercellular transfer of these exosomes between connected cells. Mesothelioma cells connected via TnTs were also significantly enriched for lipid rafts at nearly a 2-fold higher number compared with cells not connected by TnTs. Our findings provide supportive evidence of exosomes as potential chemotactic stimuli for TnT formation, and also lipid raft formation as a potential biomarker for TnT-forming cells. - Highlights: • Exosomes derived from malignant cells can stimulate an increased rate in the formation of tunneling nanotubes. • Tunneling nanotubes can serve as conduits for intercellular transfer of these exosomes. • Most notably, exosomes derived from benign mesothelial cells had no effect on nanotube formation. • Cells forming nanotubes were enriched in lipid rafts at a greater number compared with cells not forming nanotubes. • Our findings suggest causal and potentially synergistic association of exosomes and tunneling nanotubes in cancer

  16. Content of microelements in the rat pineal gland at different ages and the effects of selenium supplementation

    Directory of Open Access Journals (Sweden)

    Demajo M.

    2006-01-01

    Full Text Available The mammalian pineal gland regulates a number of important physiological processes. In this paper we report changes in the content of iron (Fe, zinc (Zn, copper (Cu, and selenium (Se in the male rat pineal glands at 4, 5, 8, and 12 months of age. The effect of Se supplementation in drinking water on the content of pineal gland microelements was also studied. Selenium (Se-dependent changes in pineal gland reported in this study suggest novel physicochemical and biochemical properties of Se, an important element essential in the antioxidative processes, yet known to influence a number of endocrine processes.

  17. Localization of the human {beta}-catenin gene (CTNNB1) to 3p21: A region implicated in tumor development

    Energy Technology Data Exchange (ETDEWEB)

    Kraus, C.; Liehr, T.; Ballhausen, G. [Institut fuer Humangenetik der Universitaet, Erlangen (Germany)] [and others

    1994-09-01

    The human {beta}-catenin locus (CTNNB1) was mapped by in situ fluorescence analysis to band p21 on the short arm of chromosome 3, a region frequently affected by somatic alterations in a variety of tumors. PCR primers for the genomic amplification of {beta}-catenin sequences were selected on the basis of homology to exon 4 of the Drosophila armadillo gene. Analysis of a panel of somatic cell hybrids confirmed the localization of {beta}-catenin on human chromosome 3. Furthermore, exclusion mapping of three hybrids carrying defined fragments of the short arm of human chromosome 3 allowed us to determine the position of the CTNNB1 locus close to the marker D3S2 in 3p21. 22 refs., 3 figs.

  18. Peripheral epithelial odontogenic tumor

    International Nuclear Information System (INIS)

    A new case of peripheral epithelial odontogenic tumor (Pindborg tumor) is reported. It is localized in the superior right gingival region, a less frequent site, and has the histopathological features previously reported. Immunochemical studies were performed, revealing a differential positive stain to cytokeratins in tumor cells deeply seated in the tumor mass, probably related to tumoral cell heterogeneity.Interestingly, in this particular case S-100 protein positive reactivity was also detected in arborescent cells intermingled with tumoral cells, resembling Langerhans cells. Even though referred in the literature in central Pindborg tumors, no references were found about their presence in peripheral tumors, like the one that is presented here

  19. Computer-assisted delineation of lung tumor regions in treatment planning CT images with PET/CT image sets based on an optimum contour selection method

    International Nuclear Information System (INIS)

    To assist radiation oncologists in the delineation of tumor regions during treatment planning for lung cancer, we have proposed an automated contouring algorithm based on an optimum contour selection (OCS) method for treatment planning computed tomography (CT) images with positron emission tomography (PET)/CT images. The basic concept of the OCS is to select a global optimum object contour based on multiple active delineations with a level set method around tumors. First, the PET images were registered to the planning CT images by using affine transformation matrices. The initial gross tumor volume (GTV) of each lung tumor was identified by thresholding the PET image at a certain standardized uptake value, and then each initial GTV location was corrected in the region of interest of the planning CT image. Finally, the contours of final GTV regions were determined in the planning CT images by using the OCS. The proposed method was evaluated by testing six cases with a Dice similarity coefficient (DSC), which denoted the degree of region similarity between the GTVs contoured by radiation oncologists and the proposed method. The average three-dimensional DSC for the six cases was 0.78 by the proposed method, but only 0.34 by a conventional method based on a simple level set method. The proposed method may be helpful for treatment planners in contouring the GTV regions. (author)

  20. Diffusion-Weighted Imaging in 3.0 Tesla Breast MRI: Diagnostic Performance and Tumor Characterization Using Small Subregions vs. Whole Tumor Regions of Interest

    Science.gov (United States)

    Arponent, Otso; Sudah, Mazen; Masarwah, Amro; Taina, Mikko; Rautiainen, Suvi; Könönen, Mervi; Sironen, Reijo; Kosma, Veli-Matti; Sutela, Anna; Hakumäki, Juhana; Vanninen, Ritva

    2015-01-01

    Introduction Apparent diffusion coefficient (ADC) values are increasingly reported in breast MRI. As there is no standardized method for ADC measurements, we evaluated the effect of the size of region of interest (ROI) to diagnostic utility and correlation to prognostic markers of breast cancer. Methods This prospective study was approved by the Institutional Ethics Board; the need for written informed consent for the retrospective analyses of the breast MRIs was waived by the Chair of the Hospital District. We compared diagnostic accuracy of ADC measurements from whole-lesion ROIs (WL-ROIs) to small subregions (S-ROIs) showing the most restricted diffusion and evaluated correlations with prognostic factors in 112 consecutive patients (mean age 56.2±11.6 years, 137 lesions) who underwent 3.0-T breast MRI. Results Intra- and interobserver reproducibility were substantial (? = 0.616–0.784; Intra-Class Correlation 0.589–0.831). In receiver operating characteristics analysis, differentiation between malignant and benign lesions was excellent (area under curve 0.957–0.962, cut-off ADC values for WL-ROIs: 0.87×10?3 mm2s-1; S-ROIs: 0.69×10?3 mm2s-1, P<0.001). WL-ROIs/S-ROIs achieved sensitivities of 95.7%/91.3%, specificities of 89.5%/94.7%, and overall accuracies of 89.8%/94.2%. In S-ROIs, lower ADC values correlated with presence of axillary metastases (P = 0.03), high histological grade (P = 0.006), and worsened Nottingham Prognostic Index Score (P<0.05). In both ROIs, ADC values correlated with progesterone receptors and advanced stage (P<0.01), but not with HER2, estrogen receptors, or Ki-67. Conclusions ADC values assist in breast tumor characterization. Small ROIs were more accurate than whole-lesion ROIs and more frequently associated with prognostic factors. Cut-off values differed significantly depending on measurement procedure, which should be recognized when comparing results from the literature. Instead of using a whole lesion covering ROI, a small ROI could be advocated in diffusion-weighted imaging. PMID:26458106

  1. 18F-DOPA-PET in Finding Tumors in Patients With Newly Diagnosed Gliomas Undergoing Radiation Therapy

    Science.gov (United States)

    2015-06-23

    Adult Anaplastic (Malignant) Meningioma; Adult Anaplastic Astrocytoma; Adult Anaplastic Ependymoma; Adult Brain Stem Glioma; Adult Choroid Plexus Neoplasm; Adult Ependymoblastoma; Adult Giant Cell Glioblastoma; Adult Glioblastoma; Adult Gliosarcoma; Adult Medulloblastoma; Adult Mixed Glioma; Adult Papillary Meningioma; Adult Pineal Gland Astrocytoma; Adult Pineoblastoma; Adult Primary Melanocytic Lesion of Meninges; Adult Supratentorial Primitive Neuroectodermal Tumor

  2. Developmental and Diurnal Expression of the Synaptosomal-Associated Protein 25 (Snap25) in the Rat Pineal Gland

    DEFF Research Database (Denmark)

    Karlsen, Anna S; Rath, Martin Fredensborg

    2013-01-01

    Snap25 (synaptosomal-associated protein) is a 25 kDa protein, belonging to the SNARE-family (soluble N-ethylmaleimide-sensitive factor attachment protein receptors) of proteins, essential for synaptic and secretory vesicle exocytosis. Snap25 has by immunohistochemistry been demonstrated in the rat pineal gland but the biological importance of this is unknown. In this study, we demonstrate a high expression of mRNA encoding Snap25 in all parts of the rat pineal complex, the superficial-, and deep-pineal gland, as well as in the pineal stalk. Snap25 showed a low pineal expression during embryonic stages with a strong increase in expression levels just after birth. The expression showed no day/night variations. Neither removal of the sympathetic input to the pineal gland by superior cervical ganglionectomy nor bilateral decentralization of the superior cervical ganglia significantly affected the expression of Snap25 in the gland. The pineal expression levels of Snap25 were not changed following intraperitoneal injection of isoproterenol. The strong expression of Snap25 in the pineal gland suggests the presence of secretory granules and microvesicles in the rat pinealocyte supporting the concept of a vesicular release. At the transcriptional level, this Snap25-based release mechanism does not exhibit any diurnal rhythmicity and is regulated independently of the sympathetic nervous input to the gland.

  3. Influence of low-dose x-rays on the ways of biosynthesis and indole metabolism in pineal gland

    International Nuclear Information System (INIS)

    The pineal gland is a radiosensitive organ which reacts even to low doses of radiation. Having gone through the stages of activating, normalizing and exhausting indoles biosynthesis suffers from different changes in the pineal gland in response to the influence of ionizing radiation in low doses

  4. Morphologic Changes in Rat's Pineal Gland After Eliminating Retinal Photic Stimulation Cambios Morfológicos en la Glándula Pineal de Ratas Luego de la Eliminación de la Estimulación Fótica Retiniana

    Directory of Open Access Journals (Sweden)

    Ignacio Roa Henriquez

    2008-09-01

    Full Text Available Melatonin secretion from mammalian pineal glands is regulated by light stimulation by means of a complex neuroanatomical pathway that includes the retina, hypothalamic suprachiasmatic nucleus, intermediolateral nucleus of the thoracic spinal cord, and finally, the superior cervical ganglia. The purpose of this study was to analyze the changes in the pinealocytes and the blood vessel density of the pineal gland after eliminating photic stimulation in rats. Thirteen adult Sprague-Dawley rats were divided into 2 groups, Group I acted as control, and Group II was subjected to a retinal lesión, by means of alcohol injected bilaterally to both ocular bulbs. After 3 weeks, the glands of both groups were processed with hematoxilin-eosin (HE and observed with an optic microscope. Group II results presented higher valúes in the number of pinealocytes and in the blood vessels observed. The differences with Group I was significant at p La secreción de melatonina por parte de glándula pineal de los mamíferos es regulada por la estimulación luminosa mediante complejas vías neuro anatómicas que incluyen la retina, el núcleo supraquiasmático hipotalámico, el núcleo intermediolateral de la médula torácica y finalmente el ganglio cervical superior. El propósito de este estudio fue analizar los cambios en la densidad de pinealocitos y vasos sanguíneos de la glándula pineal, luego de eliminar la estimulación fótica en ratas. Se utilizaron 13 ratas adultas Sprague Dawley divididas en 2 grupos, Grupo I actuó como control, y el Grupo II fue sometido a una lesión retiniana, por medio de alcoholización bilateral de ambos bulbos oculares. Luego de tres semanas las glándulas de ambos grupos fueron procesadas para hematoxilina-eosina y observadas al microscopio óptico. El grupo II presentó valores mayores en el número de pinealocitos y de vasos sanguíneos observados, las diferencias con el Grupo I fueron significativas con p<0.01. Estos resultados entregan una evidencia indirecta del efecto que la supresión de la estimulación fótica tiene en la glándula pineal en ratas.

  5. Immunohistochemical and Ultrastructural Changes Related To Methylphenidate In Rat Pituitary and Pineal Glands

    Directory of Open Access Journals (Sweden)

    Çi?dem ELMAS

    2012-09-01

    Full Text Available Objective: The presence of a dopaminergic function in pituitary and pineal glands is well known. Methylphenidate (MPH, a widely prescribed psychostimulant for attention deficit/hyperactivity disorder, is an indirect dopamine agonist which could have the capacity of influencing the hypothalamo-neurohypophysial system with the pineal gland. Our aim is to investigate dose-dependent immunohistochemical dopamine 2 expression, possible cell apoptosis and ultrastructural changes of the rat pituitary and pineal gland tissue, to demonstrate possible toxicity of the chronic extended use of the MPH.Material and Methods: In this study, 27 female prepubertal Wistar albino rats, divided into three different dose groups (5, 10 and 20 mg/kg, were treated orally with MPH dissolved in saline solution for 5 days per week during three months. At the end of the third month, after perfusion fixation, pituitary and pineal glands were removed and sections were collected for immunohistochemical, TUNEL assay and ultrastructural studies.Results: We observed that methylphenidate induced dose-related ultrastructural changes in pituitary and pineal glands.Conclusion: High dose administration of this drug could influence the functions of these glands. Thus, we suggest that the therapeutic dose of methylphenidate must be kept in minimum level.

  6. Effects of 60-Hz electric fields on serotonin metabolism in the rat pineal gland

    Energy Technology Data Exchange (ETDEWEB)

    Anderson, L.E.; Hilton, D.I.; Phillips, R.D.; Wilson, B.W.; Chess, E.K.

    1982-06-01

    Serotonin and two of its metabolites, melatonin and 5-methoxytryptophol, exhibit circadian rhythmicity in the pineal gland. We recently reported a marked reduction in the normal night-time increase in melatonin concentration in the pineal glands of rats exposed to 60-Hz electric fields. Concomitant with the apparent abolition of melatonin rhythmicity, serotonin-N-acetyl transferase (SNAT) activity was suppressed. We have now conducted studies to determine if abolition of the rhythm in melatonin production in electric-field-exposed rats arises solely from interference in SNAT activity, or if the availability of pineal serotonin is a factor that is affected by exposure. Pineal serotonin concentrations were compared in rats that were either exposed or sham exposed to 65 kV/m for 30 days. Sham-exposed animals exhibited normal diurnal rhythmicity for pineal concentrations of both melatonin and serotonin; melatonin levels increased markedly during the dark phase with a concurrent decrease in serotonin levels. In the exposed animals, however, normal serotonin rhythmicity was abolished; serotonin levels in these animals did not increase during the light period. The conclusion that electric field exposure results in a biochemical alteration in SNAT enzyme activity can be inferred from the loss of both serotonin and melatonin rhythmicity, as well as by direct measurement of SNAT activity itself. 35 references, 3 figures, 1 table.

  7. Bioelectric Activity in the Suprachiasmatic Nucleus—Pineal Gland System in Children with Adolescent Idiopathic Scoliosis

    Science.gov (United States)

    Pinchuk, Dmitry Yu; Bekshaev, Sergey S.; Bumakova, Svetlana A.; Dudin, Mikhail G.; Pinchuk, Olga D.

    2012-01-01

    The purpose of this work is to identify a role of the pineal gland/suprachiasmatic nucleus system in adolescent idiopathic scoliosis (AIS) aetiology and pathogenesis. To analyze electroencephalograms of 292 children with AIS and in 46 healthy subjects, a processing method was used to assess three-dimensional coordinates of electric equivalent dipole sources (EEDSs) within the brain. Amounts of EEDSs in the pineal gland and suprachiasmatic nucleus (SCN) area were assessed in different age groups and during the progress of orthopaedic pathology. It was shown that children with AIS, compared with healthy children, were characterized by a higher level of electric activity (as judged by EEDS values) in the pineal gland area. It was also revealed that the number of EEDS in the pineal gland area increases significantly with increased severity of spinal deformation, while their number in the suprachiasmatic nucleus (SCN) area decreases compared with the number in healthy peers. Changes in electric activity and changes in the pineal gland and SCN area suggest that mechanisms of AIS aetiology and pathogenesis involve functional disturbances in brain areas responsible for the formation and maintenance of normal biorhythms, including osteogenesis and bone growth. PMID:24977086

  8. Cysteamine effects on somatostatin, catecholamines, pineal NAT and melatonin in rats

    Energy Technology Data Exchange (ETDEWEB)

    Webb, S.M.; Champney, T.H.; Steger, R.W.; Vaughan, M.K.; Reiter, R.J.

    1986-03-01

    The thiol reagent cysteamine was administered to adult male rats with the aim of investigating its effect on different neural and pineal components. As expected, immunoreactive somatostatin decreased in the median eminence (ME) (p less than 0.05) and gastric antrum (p less than 0.05) after cysteamine; however, no significant change was observed in the pineal IRS content after drug treatment. A decrease in norepinephrine was observed in the ME (p less than 0.001), hypothalamus (p less than 0.001) and pineal gland (p less than 0.05), together with a rise in ME (p less than 0.005) and hypothalamic dopamine (p less than 0.005) content; these results are consistent with a dopamine-beta-hydroxylase inhibiting effect of cysteamine. No effect was observed on hypothalamic serotonin and 5-hydroxyindole-acetic acid content. Pineal N-acetyltransferase (NAT) activity was significantly higher (p less than 0.05) after cysteamine than after saline, but no statistically significant effect was observed on pineal melatonin content. The mechanism involved in the NAT rise is presumably not related to the known stimulatory effect of norepinephrine, which fell after cysteamine. It is suggested that cysteamine may act at an intracellular level, inhibiting NAT degradation, an effect demonstrated in vitro and thought to be related to a thiol:disulfide exchange mechanism.

  9. Macro-microscopical aspects of the buffalo (Bubalus bubalis Linnaeus, 1758 pineal gland

    Directory of Open Access Journals (Sweden)

    Francisco Javier Hernandez Blazquez

    2009-06-01

    Full Text Available Gross and microscopical aspects of the buffalo pineal gland were described in seasonal parturition animals, since this gland is responsible for melatonin secretion which acts upon the hypothalamus-hypophysis reproductive axis feedback system. (Hafez, 1995. For the present study, 11 cross-bred buffaloes, predominantly of the Mediterranean breed, from the Pirassununga Campus - USP (University of São Paulo, were killed in different photoperiods in the slaughterhouse. The pineal glands were obtained, fixed, weighed, measured, photographed, processed, cut into sections and stained. All glands demonstrated the same global shape, with a mean length of 8.82 ± 1.07mm and a width of 7.91 ± 0.83mm, and a stem length of 5.50 ± 4.18mm. The stems had a microscopically visible lumen. The mean gland weight was 251.45 ± 83.1mg. The buffalo pineal gland presented right and left lobes of different sizes. Microscopically, they were surrounded by a connective tissue layer with blood vessels infiltrating into the glandular parenchyma, which became separated into glial cell lobules. A great number of the pinealocytes were arranged in irregular strings, and cells from the connective tissue could be observed in the glandular parenchyma. We conclude that the buffalo pineal gland is similar to that of pineal cows and that it does not show morphologic alterations during different photoperiods of the year.

  10. Labelling of the pineal gland with 99mTc-glucose-6-phosphate

    International Nuclear Information System (INIS)

    Lately, the pineal body has been the subject of a large variety of studies. Only recently it has been understood the role played by this endocrine gland to maintain the balance of the human body and also in animal models. Although small in dimensions, the pineal body is a very active organ, able to transmit precise temporal information. It probably participates in the synchronization of several organic functions. The present work aims to study a possible use of 99mTc-glucose-6-P as a tracer for the pineal gland. Histoautoradiographic studies have been performed in Wistar rats. Tomoscintigraphic studies were acquired in patients and in albine rabbits (oryctolagus cuniculus hyplus). The labelling efficiency and the radiochemical purity of the labelled products have always been tested. Animal and human SPECT exams, show an activity focus projected over the area corresponding to the pineal body localization. Autoradiographic studies using [1-14C]-glucose-6-P did not reveal a more relevant activity at the pineal level, probably due to its hepatic conversion to 14C-glucose. (author)

  11. Comparison of calcification of pineal, habenular commissure and choroid plexus on plain films and computed tomography

    International Nuclear Information System (INIS)

    Skull radiographs and CT scans of 1,000 consecutive patients were examined for evidence of calcification in the pineal gland, habenular commissure and choroid plexuses. Plain film results were in agreement with previous surveys suggesting that the CT scan results may be accepted as general findings. Pineal calcification was seen on films in 61% and on CT scans in 83% of those over 30. On both films and CT scans calcification was 10% higher in males. Only 1% had a pineal 12 mm or larger on films. In at least 5% it was impossible to separate the habenula from the pineal by CT: including these, 5% had pineals larger than the accepted upper limit of normal. Measurements from males were 0.4 mm larger than for females on films and 0.2 mm larger on CT scans. Habenular commissure calcification was seen on films in 13% and on CT in 15% of those over 30, being 10% higher in males. Bilateral choroid plexus calcification was seen on frontal films in 15% and on CT in 77% of those over 30. On skull films the frequency of calcification was 2%-3% higher for adult males than females and on CT 7% higher. Calcification was seen on the lateral but not the frontal film in 128 patients. One choroid plexus only was seen on 14/ frontal films and on 49 CT scans. (orig.) 891 AJ/orig. 892 MKO

  12. Marked rapid alterations in nocturnal pineal serotonin metabolism in mice and rats exposed to weak intermittent magnetic fields

    Energy Technology Data Exchange (ETDEWEB)

    Lerchl, A.; Nonaka, K.O.; Stokkan, K.A.; Reiter, R.J. (Univ. of Texas Health Science Center, San Antonio (USA))

    1990-05-31

    Adult AMES mice and male Sprague Dawley rats were exposed to an artificial magnetic field, generated by Helmholtz coils. 3.5 hours after the onset of darkness the coils were activated for one hour resulting in an inversion of the horizontal component of the earth's magnetic field. The coils were activated and deactivated at 5 min intervals during the 1 hour exposure period. In both mice and rats, the levels of serotonin in the pineal were markedly increased by the exposure. In rats, an increase of pineal 5-hydroxyindole acetic acid and a decrease of the activity of the pineal enzyme serotonin-N-acetyltransferase also was observed. However, pineal and serum melatonin levels were not altered. The results indicate that the metabolism of serotonin in the pineal is quickly affected by the exposure of animals to a magnetic field.

  13. Circadian changes in long noncoding RNAs in the pineal gland

    Science.gov (United States)

    Coon, Steven L.; Munson, Peter J.; Cherukuri, Praveen F.; Sugden, David; Rath, Martin F.; Møller, Morten; Clokie, Samuel J. H.; Fu, Cong; Olanich, Mary E.; Rangel, Zoila; Werner, Thomas; Mullikin, James C.; Klein, David C.; Benjamin, Betty; Blakesley, Robert; Bouffard, Gerry; Brooks, Shelise; Chu, Grace; Coleman, Holly; Dekhtyar, Mila; Gregory, Michael; Guan, Xiaobin; Gupta, Jyoti; Han, Joel; Hargrove, April; Ho, Shi-ling; Johnson, Taccara; Legaspi, Richelle; Lovett, Sean; Maduro, Quino; Masiello, Cathy; Maskeri, Baishali; McDowell, Jenny; Montemayor, Casandra; Novotny, Betsy; Park, Morgan; Riebow, Nancy; Schandler, Karen; Schmidt, Brian; Sison, Christina; Stantripop, Mal; Thomas, James; Vemulapalli, Meg; Young, Alice

    2012-01-01

    Long noncoding RNAs (lncRNAs) play a broad range of biological roles, including regulation of expression of genes and chromosomes. Here, we present evidence that lncRNAs are involved in vertebrate circadian biology. Differential night/day expression of 112 lncRNAs (0.3 to >50 kb) occurs in the rat pineal gland, which is the source of melatonin, the hormone of the night. Approximately one-half of these changes reflect nocturnal increases. Studies of eight lncRNAs with 2- to >100-fold daily rhythms indicate that, in most cases, the change results from neural stimulation from the central circadian oscillator in the suprachiasmatic nucleus (doubling time = 0.5–1.3 h). Light exposure at night rapidly reverses (halving time = 9–32 min) levels of some of these lncRNAs. Organ culture studies indicate that expression of these lncRNAs is regulated by norepinephrine acting through cAMP. These findings point to a dynamic role of lncRNAs in the circadian system. PMID:22864914

  14. Wound healing and the effect of pineal gland and melatonin

    Directory of Open Access Journals (Sweden)

    Jacek Drobnik

    2012-02-01

    Full Text Available Wound healing is a complex phenomenon that is controlled by local and general regulatory mechanisms. The aim of the paper is to analyze recently-published data devoted to the regulation of wound repair by melatonin. The effect of melatonin has been reported in different wound types healed with various mechanisms. The action of the pineal indoleamine is dependent on the used dose, time of application and target organ. Moreover, melatonin influences different phases of wound repair such as inflammation, by regulating the release of inflammatory mediators, cell proliferation and migration, by influencing angiogenesis, and the proliferation of fibroblasts, as well as the synthesis phase, by regulating collagen and glycosaminoglycan accumulation in the wounded milieu. Thus, healing of the skin wound, myocardial infarction, bone fractures and gastric ulcer is influenced by melatonin. In patients with low levels of melatonin (elderly or ?-blocker treated patients, its regulatory effects are expected to be impaired. Thus, the need for melatonin supplementation in those patients is postulated in the study. [J Exp Integr Med 2012; 2(1.000: 3-14

  15. Growth patterns for acervuli in human pineal gland

    Science.gov (United States)

    Kim, Jinkyung; Kim, Hyun-Wook; Chang, Soeun; Kim, Jee Woong; Je, Jung Ho; Rhyu, Im Joo

    2012-01-01

    Acervuli are calcified concretions in the pineal gland (PG). Particularly interesting are their incidence and size, which are believed to affect neurological disorders and many physiological functions of PG such as regulating circadian rhythm. Despite long investigations for a century, detailed growth mechanism of acervuli has yet to be studied. Here we study the growth morphology of acervuli in human PGs by a direct visualization in 3-dimension (3-D) using a synchrotron X-ray imaging method. For an entire PG, non-aggregated acervuli show Gaussian distribution in size with 47±28 µm. The 3-D volume rendered images of acervuli reveal that the bumpy surfaces developed by lamination result in the mulberry-like structure. In addition, coalescence of multiple acervuli leads to large-scale lamination on the whole aggregate. We suggest a novel hypothesis on the growth patterns of acervuli by their nucleation density (Nd): i) mulberry-like structure at low Nd, and ii) large-scale lamination on an aggregate at high Nd. PMID:23248747

  16. Comparative histomorphological study of the pineal gland in human and fowl

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    B. Pal

    2013-01-01

    Full Text Available Objectives: Comparative histological studies of pineal gland of man and fowl has been made to observe structural differences if any between these two species. Background: Some works have been done sporadically on laboratory animals and on birds and also in human correlating with other parameters. In this investigation an approach has been made to observe the cellular organization of the pineal gland parenchyma in these two vertebrates, having different physiological aspects. Methods: Some special stains were used to observe connective tissue elements (Reticulin,collagen and elastic fibers along with conventional H and E stains. Result and conclusion: The lobular character of the gland, connective tissue septa, shape and size of the pinealocytes were found to be almost common in both species. Major differences seen in fowl pineal gland are the presence of ependymal cells on the walls of the lumen of the lobules and absence of corpora arenacea.

  17. Uptake and metabolism of indole compounds by the goldfish pineal organ

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    McNulty, J.A.

    1986-02-01

    Indole metabolism was studied in the pineal organ of the goldfish by radioautography and high-performance liquid chromatography. The rate of uptake of tritiated serotonin was rapid in vitro with dense labeling over the photoreceptor cells. Tritiated tryptophan was taken up at a slower rate and the label was distributed evenly over the epithelium. Continual light caused a reduction in the concentration of serotonin (5-HT) and 5-hydroxyindoleacetic acid (5-HIAA) compared to groups exposed to constant darkness both in vivo and in explants, suggesting that these effects are not derived from photoreceptors outside the pineal organ. These data are consistent with the hypothesis that indole metabolism is functionally linked to phototransduction events in the pineal organ of lower vertebrates.

  18. Photoperiodic inhibition of testicular development is mediated by the pineal gland in white-footed mice

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    Johnston, P.G.; Boshes, M.; Zucker, I.

    1982-05-01

    White-footed mice were maintained in short or long photoperiods from birth to 60 days of age (10 h vs. 14 h of light per day). Testes weights and spermatogenesis were substantially reduced in short daylengths. Pinealectomy at 5-7 days of age eliminated the suppressive effect of photoperiod on the reproductive system. However, testicular development was not retarded in intact males kept from 25 to 60 days of age in short daylengths. Exposure to short daylengths prior to 25 days of age contributes to photoperiodic inhibition of testicular development. Removal of the pineal gland did not consistently affect gonadal maturation in long photoperiods. The pineal gland transduces the effects of short daylengths on reproductive development. Some effects of long daylengths on the neuroendocrine axis of white-footed mice may also be mediated by the pineal gland.

  19. Uptake and metabolism of indole compounds by the goldfish pineal organ

    International Nuclear Information System (INIS)

    Indole metabolism was studied in the pineal organ of the goldfish by radioautography and high-performance liquid chromatography. The rate of uptake of tritiated serotonin was rapid in vitro with dense labeling over the photoreceptor cells. Tritiated tryptophan was taken up at a slower rate and the label was distributed evenly over the epithelium. Continual light caused a reduction in the concentration of serotonin (5-HT) and 5-hydroxyindoleacetic acid (5-HIAA) compared to groups exposed to constant darkness both in vivo and in explants, suggesting that these effects are not derived from photoreceptors outside the pineal organ. These data are consistent with the hypothesis that indole metabolism is functionally linked to phototransduction events in the pineal organ of lower vertebrates

  20. Tumor hypoxia at the micro-regional level: clinical relevance and predictive value of exogenous and endogenous hypoxic cell markers

    International Nuclear Information System (INIS)

    Background and purpose: Tumor oxygenation is recognized as an important determinant of the outcome of radiotherapy and possibly also of other treatment modalities in a number of tumor types and in particular in squamous cell carcinomas. The hypoxic status of various solid tumors has been related to a poor prognosis due to tumor progression towards a more malignant phenotype, with increased metastatic potential, and an increased resistance to treatment. It has been demonstrated in head and neck cancer that hypoxic radioresistance can be successfully counteracted by hypoxia modifying approaches. The microregional distribution and the level of tumor hypoxia depend on oxygen consumption and temporal and spatial variations in blood supply. It is unclear if severely hypoxic cells can resume clonogenicity when O2 and nutrients become available again as a result of (treatment related) changes in the tumor microenvironment. Non-terminally differentiated hypoxic cells that are capable of proliferation are important for outcome because of their resistance to radiotherapy and possibly other cytotoxic treatments. Various exogenous and endogenous markers for hypoxia are currently available and can be studied in relation to each other, the tumor architecture and the tumor microenvironment. Use of nitroimidazole markers with immunohistochemical detection allows studying tumor cell hypoxia at the microscopic level. Co-registration with other microenvironmental parameters, such as vascular architecture (vascular density), blood perfusion, tumor cell proliferation and apoptosis, offers the possibility to obtain a comprehensive functional image of tumor patho-physiology and to study the effects of different modalities of cancer treatment. Conclusion: A number of functional microregional parameters have emerged that are good candidates for future use as indicators of tumor aggressiveness and treatment response. The key question is whether these parameters can be used as tools for selection of treatment strategies for individual patients. This requires testing of these markers in prospective randomized clinical trials comparing standard treatment against experimental treatments targeting the relevant microregional constituent