Tumores Histiociticos: DR Josue Ivan Leal Ventura R1 Neurocirugia Hospital Civil Fray Antonio Alcalde
Tumores Histiociticos: DR Josue Ivan Leal Ventura R1 Neurocirugia Hospital Civil Fray Antonio Alcalde
Tumores Histiociticos: DR Josue Ivan Leal Ventura R1 Neurocirugia Hospital Civil Fray Antonio Alcalde
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
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
Hisitocitos
Emperipolesis
Masa multinodular
Celulas plasmáticas
Fibrosis
Xantogranuloma Juvenil
Definicion
Linfocitos Eosinófilos
Sarcoma Histiocítico
Definicion
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