Morphological analysis of astrocytoma

Authors

  • Abdul Rehman Qaisrani University of Health Sciences, Lahore, Pakistan
  • Uzma Shaheen College of Physicians and Surgeons, Pakistan
  • Sadia Nazir Dera Ghazi Khan Medical College, Dera Ghazi Khan, Pakistan
  • Naseem Jahan Dera Ghazi Khan Medical College, Dera Ghazi Khan, Pakistan
  • Muhammad Wahid Saleem Ghazi Khan Medical College, Dera Ghazi Khan, Pakistan
  • Zohaib Ashraf Ghazi Khan Medical College, Dera Ghazi Khan, Pakistan

Keywords:

Pilocytic astrocytoma, Diffuse astrocytoma, Anaplastic astrocytoma, Glioblastoma multiforme, GBM

Abstract

Background: Astrocytoma is the most common brain tumour in adults. It is the second common tumour of CNS in children. The purpose of this study was to provide preliminary data on morphological patterns of astrocytoma in Pakistan. Methods: This was a descriptive cross-sectional study on diagnosed cases of astrocytoma admitted in Neurosurgery Ward, Lahore General Hospital, Pakistan. Biopsies were examined histologically using paraffin sections. Histopathological grading of astrocytoma was done according to WHO classification. Results: Out of total 40 cases, Glioblastoma multiforme (GBM) was the most common tumour accounting for 16 (40%) cases. Diffuse astrocytoma was the second common tumour seen in 13 (32.5%) cases, 9 (22.5%) were anaplastic astrocytoma, and 2 (5%) cases were diagnosed as pilocytic astrocytoma. Males were slightly more affected than females with a ratio of 1.6:1. Maximum number of cases (25%) were found in the 3rd decade and then in 5th, 6th and 7th decade (17.5%) each. Least number (2.5%) of cases were found in 1st decade of life. Conclusion: Glioblastoma multiforme is the most common astrocytic brain tumour in adults, and pilocytic astrocytoma is the least common brain tumour.

Pak J Physiol 2020;16(3):22–4

Downloads

Download data is not yet available.

Author Biographies

Uzma Shaheen, College of Physicians and Surgeons, Pakistan

Assistant Professor Pathology Department, Dera Ghazi Khan Medical College, Dera Ghazi Khan

Sadia Nazir, Dera Ghazi Khan Medical College, Dera Ghazi Khan, Pakistan

Associate Professor Obstetrics and Gynaecology Department, Dera Ghazi Khan Medical College, Dera Ghazi Khan

Naseem Jahan, Dera Ghazi Khan Medical College, Dera Ghazi Khan, Pakistan

Assistant Professor Physiology Department, Dera Ghazi Khan Medical College, Dera Ghazi Khan

Muhammad Wahid Saleem, Ghazi Khan Medical College, Dera Ghazi Khan, Pakistan

Associate Professor ENT Department, Dera Ghazi Khan Medical College, Dera Ghazi Khan

Zohaib Ashraf, Ghazi Khan Medical College, Dera Ghazi Khan, Pakistan

Demonstrator Pathology Department, Dera Ghazi Khan Medical College, Dera Ghazi Khan

References

Frosch PM, Anthony CD, Girolami UD. The central nervous system. In: Kumar V, Abbas AK, Aster JC. (Eds). Robbin’s Basic Pathology. 9th ed. Philadelphia: Elsevier; 2012.p 1306.

Tanvir I , Malik R, Khan RU, Khan HA, Wahid Z, Riaz S. Frequency of brain tumours in childhood and adults, a hospital based study. Pak J Med Health Sci 2014;8(1):109–11.

Jemal A, Siegal R, Xu J, Ward E. Cancer statistics, 2010; CA Cancer J Clin 2010;60:277–300.

Ahsan J, Hashmi SN, Muhammad I, Din HU, Butt MA, Nazir S, et al. Spectrum of central nervous system tumours–a single center histopathological review of 761 cases over 5 years. J Ayub Med Coll Abbottabad 2015;27(1):81–4.

Jamal S, Mamoon N, Mushtaq S, Luqman M. Pattern of central nervous system tumours: A study of 430 cases. Pak J Pathol 2005;16(4):106–9.

Butt ME, Khan SA, Chaudhary NA, Qureshi GR. Intracranial space occupying lesions, a morphological analysis. Biomedica 2005:21(1):31–5.

Hani Abdullah UE, Laghari AA, Khalid MU, Rashid HB, Jabbar AA, Mubarak F, et al. Current management of glioma in Pakistan. Glioma 2019;2:139–44.

Mohan H. Textbook of Pathology. 6th ed. New Delhi: Jaypee; 2010, p. 886.

Conway PD, Oechler HW, Kun LE, Murray KJ. Importance of histologic condition and treatment of pediatric cerebellar astrocytoma. Cancer 1991;67(11):2772–5.

Shah SH, Soomro IN, Hussainy AS, Hasan SH. Clinico-morphological pattern of intracranial tumours in children. J Pak Med Assoc 1999;49(3):63–5.

Ahmad Z, Idress R, Fatima S, Uddin N, Ahmed A, Minhas K, et al. Commonest cancers in Pakistan ―findings and histopathological perspective from a premier surgical pathology center in Pakistan. Asian Pac J Cancer Prev 2016;17(3):1061–75.

Brown GG. An introduction to histotechnology. A manual for the student, practicing technologist and resident in Pathology. 2nd ed. New York: Apple-ton-Century-Crofts; 1978.p 211–3.

Prophet EB, Mills B, Arrington JB, Sobin LH. Laboratory Methods in Histotechnology. 1st ed. Washington DC AFIP: Amer Registry of Pathology; 1992.p.53–8.

Stevens A. The hematoxylin. In: Bancroft JD, Stevens A (Eds). Theory and practice of histological techniques. 3rd ed. Edinburgh: Churchill Livingstone; 1990.p. 107–17.

Bancroft JD, Gamble M. Theory and Practice of Histological Techniques. 5th ed. Edinburgh: Churchill Livingstone; 2002.p. 127–8.

Ahmed Z, Muzaffar S, Kayani N, Pervez S, Husainy AS, Hassan SH. Histological pattern of central nervous system neoplasms. J Pak Med Assoc 2001;51(4):154–7.

Wen-Qing H, Shi-Ju Z, Qing-Sheng T, Tian-Quing H, Yu-Xia L, Qing-Zhong X, et al. Statistical analysis of central nervous system tumours in China. J Neurosurg 1982;56(4):555–64.

Jamjoom ZAB. Pattern of intracranial space occupying lesions: experience at King Khalid University Hospital. Ann Saudi Med 1989;9(1):3–10.

Zuelch KH. Brain tumours ―Their biology and their pathology. 2nd ed. New York: Springer; 1965.p.62–8.

Walker AE, Robins M, Weinfield FD. Epidemiology of brain tumours. The national survey of intracranial neoplasm. Neurology 1985;35(2):219–26.

Wen PY, Kesari S. Malignant gliomas in adults. N Engl J Med 2008;359(5):492–507.

Downloads

Published

30-09-2020

How to Cite

1.
Qaisrani AR, Shaheen U, Nazir S, Jahan N, Saleem MW, Ashraf Z. Morphological analysis of astrocytoma. Pak J Phsyiol [Internet]. 2020 Sep. 30 [cited 2024 Apr. 20];16(3):22-4. Available from: https://pjp.pps.org.pk/index.php/PJP/article/view/1266