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A Low-Grade Angiomyxofibromatous Tumor of the Falx Cerebelli: A Mimic of Fourth Ventricular Tumors

Title: A Low-Grade Angiomyxofibromatous Tumor of the Falx Cerebelli: A Mimic of Fourth Ventricular Tumors
Authors: Modi, Parth P.; Rohra, Vinay; Patel, Parth Anand Kumar; Kachchhi, Udayan
Source: Asian Journal of Neurosurgery ; volume 20, issue 03, page 615-620 ; ISSN 1793-5482 2248-9614
Publisher Information: Georg Thieme Verlag KG
Publication Year: 2025
Description: Low-grade fibromyxoid tumors are very uncommon in children. A tumor of this type has never been reported in the posterior fossa to date. Such lesions may mimic more common lesions of the posterior fossa. Awareness of this entity and its subsequent behavior may guide better management and outcomes. We describe the case of a previously unreported low-grade angiomyxofibromatous tumor of the falx cerebelli in a 10-year-old female, whose presentation mimicked cystic lesions of the posterior fossa causing obstructive hydrocephalus. Microscopic examination revealed stellate cells set in myxoid and edematous stroma, along with a plexiform vasculature pattern. The tumor cells were diffusely immunopositive for vimentin and focally positive for S-100 protein, but negative for epithelial membrane antigen, CD34, MIC2, Bcl-2, glial fibrillary acidic protein, cytokeratin, CAM 5.2, desmin, and smooth muscle actin. This lesion could not be categorized according to the current World Health Organization classification of tumors of the nervous system. Therefore, there is a need for a better understanding of the central nervous system (CNS) myxoid neoplasms and a reassessment of the classification of CNS tumors.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1055/s-0045-1807746
DOI: 10.1055/s-0045-1807746.pdf
Availability: https://doi.org/10.1055/s-0045-1807746; http://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0045-1807746.pdf
Rights: https://creativecommons.org/licenses/by-nc-nd/4.0/
Accession Number: edsbas.930BE704
Database: BASE