Julio R. Costa

Hospital General Universitario Gregorio Marañón, Madrid, Madrid, Spain

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Publications (2)1.56 Total impact

  • Emilio Salinero · Luis Beltran · Julio R Costa
    [Show abstract] [Hide abstract]
    ABSTRACT: Chordoid meningioma is an uncommon supratentorial tumor in which a cordonal pattern on a mucofibrillar background covers areas of classic meningioma with a diffuse, meningeal, immunohistochemically reactive pattern. Its cytology has not been described before. A 45-year-old woman with headaches and a poorly defined, nondiplopic vision alteration underwent magnetic resonance imaging, which showed a tumor in the upper part of the left orbital cavity. An intraoperative squash smear showed closely knit, pseudosyncytial plates composed of medium-sized cells with homogeneous nuclei and nuclear pseudoinclusions. There were some physaliferouslike, loose cells without cytoplasmic vacuolation and a fairly abundant, metachromatic, pink to light purple background that was absent inside the plates. A diagnosis of meningioma with a possible chordoid pattern was made. No frozen intraoperative section was prepared. Histology showed 90% chordoid meningioma merging with areas of classic meningothelial meningioma and overall positivity for epithelial membrane antigen and vimentin. S-100 was negative. A reliable intraoperative cytologic diagnosis of chordoid meningioma can be made because the morphology is highly characteristic. Close cellular association and the cells' nuclear traits are expected in a meningioma. The metachromatic background can cause a false diagnosis of chordoma. However, there are some clear differences in the cells and their relation to the mucofibrillar matrix that make the diagnosis definitive.
    Acta cytologica 01/2004; 48(2):259-63. · 1.56 Impact Factor
  • Source
    Emilio Salinero · Luis Beltran · Julio R. Costa
    01/2004; 48(2):259-263. DOI:10.1159/000326328

Publication Stats

13 Citations
1.56 Total Impact Points

Top Journals


  • 2004
    • Hospital General Universitario Gregorio Marañón
      • Department of Pathology
      Madrid, Madrid, Spain