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brain
pilocytic astrocytoma
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Clinical
NF1 association (bilateral optic nerve glioma)
young age, most common pediatric glioma
5% of all glioma
67% in cerebellum
other sites: optic nerve, hypothalamus, thalamus
WHO grade I
Histology
hair like projections on smear
Rosenthal fibers, eosinophilic granular bodies
biphasic: cellular and loose/microcystic areas
can have high grade foci and oligodendroglioma-like areas
mitosis
atypia, pleomorphism
microvascular proliferation
necrosis
meningeal infiltration
Stains
GFAP+ in cellular areas
Ki67 < 5%
Molecular
NF1 association