Table 1: Differential diagnosis of CNS papillary tumors.

         Tumor Type

Location

      Positive Antibodies

Meningioma, papillary type GIII

  Dura based extra axial

  EMA cytoplasmic,

  PR nuclear

Ependymoma, papillary type GII, GIII

Wall of the ventricles and spine

    GFAP, EMA dot

  Myxopapillary     Ependymoma GI

Spine, filum terminal

GFAP, EMA dot

Papillary glioneuronal tumor GI

Temporal

GFAP, OLIG2 in perivascular astrocytes

Synaptophysin, Neu-N in neurocytes

Choroid plexus neoplasm GI, GII, GIII

Lateral ventricles

CK, VIMENTIN, CK7

Papillary tumor of Pineal Region

Pineal region

  Cam5.2, CK18

   S100, CD56

Pituitary adenoma

Sellar, Suprasellar 

     

Synaptophysin

Pit. Hormones

 Transcription Factor

Craniopharyngioma, papillary type GI

Suprasellar 

      or

3rd ventricle

EMA, P63, CK7, Cludin

  B-Catenin membranous.

BRAF- V600E mutation

Endolymphatic sac tumor

Posterior medial petrous ridge of temporal bone (site of endolymphatic sac)

CK, CK7

PAS positive colloid like material.

Metastatic Papillary Carcinoma

Anywhere

CK7, CA125, WT-1 Ovary

CK7, TTF1, Napsin-A lung

CK7, TTF-1, Thyroglobulin Thyroid

CK7, CD117, AMACAR Papillary Renal