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 |