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Year : 2014  |  Volume : 9  |  Issue : 4  |  Page : 237

Does the occurrence of pleomorphic xanthoastrocytoma in the elderly carries a poor prognosis: A case report and review of literature

1 Department of Neurosurgery, Louisiana State University Health Science Center, Shreveport, Louisiana, USA
2 Department of Pathology, Louisiana State University Health Science Center, Shreveport, Louisiana, USA

Correspondence Address:
Anil Nanda
Department of Neurosurgery, Louisiana State University Health Sciences, 1501 Kings Highway, Shreveport, Louisiana 71130 3932
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1793-5482.146635

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Pleomorphic xanthoastrocytoma (PXA) is a rare slow growing tumor which accounts for <1% of all astrocytic neoplasms. PXA usually affects young patients in their second decade of life and carries a favorable prognosis. We present the clinical, radiological and histopathological features of PXA involving the left temporal lobe in an 84-year-old male with right upper motor neuron facial paresis of 2 weeks duration. Histopathology confirmed the diagnosis of PXA. Our case is unique in that our patient is the oldest one reported in the literature with favorable histopathological features. The occurrence of these tumors in elderly patients may indicate an aggressive behavior with unfavorable outcome. Gross total resection achieves higher recurrence free and overall survival rates.

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