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OtherPATHOLOGY REVIEW

Neuropathology for the Neuroradiologist: Rosettes and Pseudorosettes

F.J. Wippold and A. Perry
American Journal of Neuroradiology March 2006, 27 (3) 488-492;
F.J. Wippold II
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A. Perry
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Figures

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  • Fig 1.
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    Fig 1.

    Diagram of a typical rosette demonstrating a halo of cells surrounding a central lumen. Adapted from Ellison et al (2004)34 with permission.

  • Fig 2.
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    Fig 2.

    Example of a cathedral rose window. Photo courtesy of the Cathedral Basilica of St. Louis, used with permission.

  • Fig 3.
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    Fig 3.

    Diagram of Homer Wright rosette. A halo of cells surrounds a central hub that contains a meshwork of fibers. Adapted from Ellison et al (2004)34 with permission.

  • Fig 4.
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    Fig 4.

    Photomicrograph from a PNET demonstrating multiple Homer Wright rosettes. The halo-like cluster of cells in each rosette surrounds a central area of fiber-rich neuropil (H&E; original magnification 400×).

  • Fig 5.
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    Fig 5.

    Diagram of Flexner-Wintersteiner rosette. A halo of cells surrounds a largely empty central hub. Small cytoplasmic extensions from the cells project into the lumen. Adapted from Ellison et al (2004)34 with permission.

  • Fig 6.
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    Fig 6.

    Photomicrograph from a retinoblastoma showing multiple Flexner-Wintersteiner rosettes. The halo-like cluster of cells in each rosette surrounds a nearly empty appearing central lumen containing fine cytoplasmic processes (H&E; original magnification 400×). Photomicrograph generously donated by Dr. Morton Smith, Ophthalmic Pathology, Washington University, St. Louis.

  • Fig 7.
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    Fig 7.

    Diagram of true ependymal rosette. A halo of cells surrounds an empty lumen. Adapted from Ellison et al (2004)34 with permission.

  • Fig 8.
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    Fig 8.

    Photomicrograph from an ependymoma showing several true ependymal rosettes. The halo-like cluster of cells in each rosette surrounds an empty central lumen (H&E; original magnification 400×).

  • Fig 9.
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    Fig 9.

    Diagram of perivascular pseudorosette. A halo of cells surrounds a blood vessel. Adapted from Ellison et al (2004)34 with permission.

  • Fig 10.
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    Fig 10.

    Photomicrograph from an ependymoma showing 2 prominent perivascular pseudorosettes. The halo-like cluster of cells in each rosette surrounds a blood vessel. Note the several smaller true ependymal rosettes (H&E; original magnification 200×).

  • Fig 11.
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    Fig 11.

    Diagram of neurocytic rosette. This rosette is similar to the Homer Wright rosette, but the central fiber-rich neuropil island is larger and more irregular. Adapted from Ellison et al (2004)34 with permission.

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    Fig 12.

    Photomicrograph from a central neurocytoma containing an irregularly shaped neurocytic rosette with central neuropil (H&E; original magnification 400×).

Tables

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  • Summary of rosette patterns and associated tumors

    Rosette TypeAssociated Tumors
    Homer Wright rosetteNeuroblastoma, medulloblastoma, primitive neuroectodermal tumor, pineoblastoma
    Flexner-Wintersteiner rosetteRetinoblastoma, pineoblastoma, medulloepithelioma
    True ependymal rosetteEpendymoma
    Perivascular pseudorosetteEpendymoma, medulloblastoma, primitive neuroectodermal tumor, central neurocytoma, glioblastoma, monomorphous pilomyxoid astrocytomas
    Pineocytomatous rosettePineocytoma
    Neurocytic rosetteCentral neurocytoma
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American Journal of Neuroradiology: 27 (3)
American Journal of Neuroradiology
Vol. 27, Issue 3
March, 2006
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F.J. Wippold, A. Perry
Neuropathology for the Neuroradiologist: Rosettes and Pseudorosettes
American Journal of Neuroradiology Mar 2006, 27 (3) 488-492;

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Neuropathology for the Neuroradiologist: Rosettes and Pseudorosettes
F.J. Wippold, A. Perry
American Journal of Neuroradiology Mar 2006, 27 (3) 488-492;
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  • Article
    • Abstract
    • What Are Rosettes?
    • Homer Wright Rosette
    • Flexner-Wintersteiner Rosette
    • True Ependymal Rosette
    • Perivascular Pseudorosette
    • Pineocytomatous and Neurocytic Rosettes
    • Conclusion
    • Footnotes
    • References
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