Retinal anaplastic pleomorphic xanthoastrocytoma unassociated with phakomatosis

oleh: Roshanak Aliakbar Navahi, Pegah Babaheidarian, Ahad Sedaghat, Masood Naseripour, Gholamhoseyn Aghai, Azam Mardani, Mohammadreza Ahangarani

Format: Article
Diterbitkan: Wolters Kluwer Medknow Publications 2019-06-01

Deskripsi

Purpose: To present a rare anaplastic form of retinal pleomorphic xanthoastrocytoma (PXA) unassociated with phakomatosis. Methods: A 9-year-old girl, presented with a rapidly growing unilateral intraocular white mass unresponsive to intra-arterial chemotherapy, underwent enucleation with the clinical suspicion of retinoblastoma versus malignant astrocytoma. Results: Histopathology revealed pleomorphic cells with rosenthal fibers, mitosis, and necrosis. Immunohistochemistry confirmed the diagnosis of anaplastic pleomorphic xanthoastrocytoma (aPXA). The patient had no signs of phakomatosis. Conclusion: Retinal PXA may occur in patients without phakomatosis and rarely progress toward malignant transformation. Keywords: Anaplasia, Pleomorphic xanthoastrocytoma, Retinal tumor