Dr. Sukma MeratiPersonal website of Dr. Sukma Merati, Anatomical Pathologist

It’s really squeezed my energy to think and at last to get a diagnose of a very rare tumor of central nervous system located at the frontal lobe.

Neurosurgeon said that the tumor was en-plaque, maximum spread to the duramater with no penetration to the hemisphere. On X-ray examination there were no bone destructions, only bone enhanched. And he assumed it to be a benign tumor, eg. osteoma.

Under a light microscope, I found some interesting clues lead to malignancy. At last I asked a second opinion to the CNS-pathologists at hospital Cipto Mangunkusumo (Central National Hospital in Jakarta).

Let’s see what they say…

One week later, I received the answer from Cipto Mangunkusumo Hospital in Jakarta. They made Differential Diagnoses as : 1. Intramedullary Hemangiopericytoma and 2. Meningioma mixed type : angiomatous and clear cell-secretoric. Is it ? I am not 100 % satisfied with the answer. The microscopic features as we can see in the two pictures attaching to this article. Hope the patient is doing well until now..

Popularity: unranked