Evidence map›Paper›PMID 41882481›Full record

ArticleDiscover oncology2026

First reported case in Brazil of intraventricular pilocytic astrocytoma in an adult patient with literature review.

Nathalia Bacci Castilho, Karen Christine Silva, Carlos Tadeu Parisi de Oliveira, Antônio Marcos Souza Filho, Manoela Marques Ortega

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Article in Discover oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Nathalia Bacci CastilhoNeurosurgery Department, São Francisco University Hospital (HUSF), Avenida São Francisco de Assis, 218 - Jardim São José, Bragança Paulista, São Paulo, 12916-900, Brazil.
Karen Christine SilvaUniversidade São Francisco (USF), Avenida São Francisco de Assis, 218 - Jardim São José, Bragança Paulista, São Paulo, 12916-900, Brazil.
Carlos Tadeu Parisi de OliveiraNeurosurgery Department, São Francisco University Hospital (HUSF), Avenida São Francisco de Assis, 218 - Jardim São José, Bragança Paulista, São Paulo, 12916-900, Brazil.
Antônio Marcos Souza FilhoNeurosurgery Department, São Francisco University Hospital (HUSF), Avenida São Francisco de Assis, 218 - Jardim São José, Bragança Paulista, São Paulo, 12916-900, Brazil.
Manoela Marques OrtegaLaboratory of Cell and Molecular Tumor Biology and Bioactive Compounds/Laboratory of Human and Medical Genetics, Post Graduate Program in Health Science, São Francisco University, Avenida São Francisco de Assis, 218 - Jardim São José, Bragança Paulista, São Paulo, 12916-900, Brazil. manoela.ortega@usf.edu.br.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPilocytic astrocytomas (PAs) are central nervous system tumors that predominantly occur during the first two decades of life and typically arise in the cerebellum, optic pathways, hypothalamus, or brainstem. Intraventricular PAs are extremely uncommon, accounting for less than 4% of all cases, and adult presentations are particularly rare. We report the first documented case of an intraventricular PA in an adult patient in Brazil and highlight its clinical and therapeutic relevance. CASE REPORT: A 32-year-old Brazilian woman presented with a secondary epileptic seizure. Magnetic resonance imaging revealed an expansive lesion in the left lateral ventricle. The tumor was surgically resected, and histopathological examination showed a biphasic neoplasm with eosinophilic granular bodies and microcystic areas. Immunohistochemical analysis demonstrated positivity for glial fibrillary acidic protein (GFAP) and oligodendrocyte transcription factor 2 (OLIG2), with no expression of mutant isocitrate dehydrogenase 1 protein (IDH1 R132H). Expression of 5'-methylthioadenosine phosphorylase (MTAP), alpha-thalassemia/mental retardation syndrome X-linked (ATRX), and the tumor suppressor protein p16 (INK4a) was retained. The Ki-67 (MIB-1) proliferation index was low, at approximately 1%, consistent with a WHO Grade 1 glioma.

conclusionsThis case illustrates a rare intraventricular PA in an adult, confirmed through clinical, radiological, and histopathological integration. It emphasizes the importance of including PA in the differential diagnosis of intraventricular tumors in adults and may contribute to guiding recognition and management of rare ventricular tumors in this population.

Indexed as

Adult central nervous system neoplasmsCase reportImmunohistochemistryIntraventricular tumorLow-grade gliomaPilocytic astrocytoma

Identifiers

PMID41882481
PMCPMC13139531

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.