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Tumores Histiociticos: DR Josue Ivan Leal Ventura R1 Neurocirugia Hospital Civil Fray Antonio Alcalde

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TUMORES HISTIOCITICOS

D R J O S U E I VA N L E A L V E N T U R A R 1 N E U R O C I R U G I A

H O S P I T A L C I V I L F R AY A N T O N I O A L C A L D E
HISTICITOSIS DE CELULAS
DE LANGERHANS
Definicion

proliferación de las
células
mononucleares
dendríticas con
infiltración local o
difusa de órganos
PEDIATRICA
Louis DN. WHO classification and grading of tumours of central nervous system. In: Louis DN, Ohgaki H, Wiestler OD, Cavenee WK, Ellison DW, Branger FD, et al.,
editors. WHO Classification of Tumours of the Central Nervous System. 4th ed., Revised. Lyon: International Agency for Research Centre; 2016. pp. 12–3
Etiología
0.5 – 100,000 (Respuesta
inmune anormal)

Localización
Microscopí
Clínica
a

Microscopi
Genética
a
Pronostico
EPIDEMIOLOGI
A

Local o Libre de
Sobrevida
sistémico enfermedad

mortalidad secuelas
Enfermedad de Erdheim-Chester
Definicion

Forma de
histoicitosis
no-Langerhans
HISTIOCITOSIS
POLIOSTOTICA SISTÉMICA

Louis DN. WHO classification and grading of tumours of central nervous system. In: Louis DN, Ohgaki H, Wiestler OD, Cavenee WK, Ellison DW, Branger FD, et al.,
editors. WHO Classification of Tumours of the Central Nervous System. 4th ed., Revised. Lyon: International Agency for Research Centre; 2016. pp. 12–3
EPIDEMIOLOGI
A

Se han descrito
más de 500 casos
53 años
(<15 pediátricos)
desde 1930
Localizacion

Louis DN. WHO classification and grading of tumours of central nervous system. In: Louis DN, Ohgaki H, Wiestler OD, Cavenee WK, Ellison DW, Branger FD, et al.,
editors. WHO Classification of Tumours of the Central Nervous System. 4th ed., Revised. Lyon: International Agency for Research Centre; 2016. pp. 12–3
Caracateristicas clinicas
Lesión
Engrosamient
infiltrante a Glioma like
o dural
parénquima

Macroscopia
Louis DN. WHO classification and grading of tumours of central nervous system. In: Louis DN, Ohgaki H, Wiestler OD, Cavenee WK, Ellison DW, Branger FD, et al.,
editors. WHO Classification of Tumours of the Central Nervous System. 4th ed., Revised. Lyon: International Agency for Research Centre; 2016. pp. 12–3
Microscopia
• Histiocito
s
• Linfocitos

• Células
Touton
• Eosinofilo
s
PRONOSTICO

BRAF V600E VEMURAFENIB

Seth Love, Herbert Budka, James W. Ironside and Arie Perry Greenfield’s Neuropathology (9th edition)
Enfermedad de Rosai-
Dorfman
Definicion
Ttrastorno raro
caracterizado por
acumulación de
histiocitos y
linfadenopatías masivas,
en particular en la
cabeza y el cuello SISTEMICA
Louis DN. WHO classification and grading of tumours of central nervous system. In: Louis DN, Ohgaki H, Wiestler OD, Cavenee WK, Ellison DW, Branger FD, et al.,
editors. WHO Classification of Tumours of the Central Nervous System. 4th ed., Revised. Lyon: International Agency for Research Centre; 2016. pp. 12–3
EPIDEMIOLOGIA

21 AÑOS
Louis DN. WHO classification and grading of tumours of central nervous system. In: Louis DN, Ohgaki H, Wiestler OD, Cavenee WK, Ellison DW, Branger FD, et al.,
editors. WHO Classification of Tumours of the Central Nervous System. 4th ed., Revised. Lyon: International Agency for Research Centre; 2016. pp. 12–3
Localización
Nausea Perdida de
cefalea
vomito peso

Sudoració
Epilepsia
n nocturna

Caracateristicas clinicas
Macroscopia

Masa dural firme,


vagamente
lobulada, amarillo
grisácea.
Microscopia

Hisitocitos
Emperipolesis

Masa multinodular

Celulas plasmáticas
Fibrosis
Xantogranuloma Juvenil
Definicion

forma más común


de histiocitosis de
células no
Langerhans 22MO
Louis DN. WHO classification and grading of tumours of central nervous system. In: Louis DN, Ohgaki H, Wiestler OD, Cavenee WK, Ellison DW, Branger FD, et al.,
editors. WHO Classification of Tumours of the Central Nervous System. 4th ed., Revised. Lyon: International Agency for Research Centre; 2016. pp. 12–3
Localización
Clínica

Convulsione Diabetes Alteraciones


s Insipida visuales
Microscopia
Células
Células
Histiocitos gigantes
Touton
CE

Linfocitos Eosinófilos
Sarcoma Histiocítico
Definicion

Neoplasia maligna, Rara,


Agresiva,
inmunofenotipicamente
formado por histiocitos
maduros
SISTEMICA
Louis DN. WHO classification and grading of tumours of central nervous system. In: Louis DN, Ohgaki H, Wiestler OD, Cavenee WK, Ellison DW, Branger FD, et al.,
editors. WHO Classification of Tumours of the Central Nervous System. 4th ed., Revised. Lyon: International Agency for Research Centre; 2016. pp. 12–3
EPIDEMIOLOGIA

52 AÑOS RADIACIÓN
Louis DN. WHO classification and grading of tumours of central nervous system. In: Louis DN, Ohgaki H, Wiestler OD, Cavenee WK, Ellison DW, Branger FD, et al.,
editors. WHO Classification of Tumours of the Central Nervous System. 4th ed., Revised. Lyon: International Agency for Research Centre; 2016. pp. 12–3
Localización
Nausea Perdida de
cefalea
vomito peso

Sudoració
Epilepsia
n nocturna

Caracateristicas clinicas
Microscopia
Hisitocitos
Con abundante
mitosis

Altamente celular

Fondo de inflamación
reactiva

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