Intracranial Tumors

dr. Sri Agustina

Subdep Radiologi
RSAL Dr. Ramelan
Surabaya
Intracranial Tumor (I): Classification
and Intra-axial Tumors
Ada beberapa klasifikasi:

• Intra atau extra-axial

• Primer atau sekunder (2:1)
• Supra atau inratentorial
• Asal cell
Klasifikasi baru WHO, didasarkan pada histologi /
immunohistology:

1. Tumor dari neuroepithelial tissue:

• Astrocytic tumor
• Oligodendroglial tumor
• Ependymal tumor
• Choroid plexus tumor
• Pineal tumor
• Neuronal-mixed neuronal-glial tumor
• Embryonal tumor: Primitice neuroectodermal
tumor, Medullablastoma, Neuroblastoma
2. Tumor nervus cranial dan spinal
3. Tumor Meningens
4. Lymphoma dan tumor hemopoietic
5. Germ cell tumor
• Germinomas
• Teratomas
• Choriocarcinomas
6. Cysts and tumor-like conditions
• Rathke’s cleft cyst
• Epidermoid cyst
• Dermoid cyst
• Colloid cyst
7. Tumors of the sellar regions
• Pituitary adenoma
• Craniopharyngioma
8. Local extensiol from regional tumor
9. Metastases
Supratentorial intra-axial tumors.

Gliomas
• Astrocytic, Oligodendroglial dan ependymal

Astrocytic:
• ¾ gliomas (neoplasma Supratentorial)
• Pada anak  benign (pilocytic / low grade
astrocytoma)
• Pada dewasa  Malignant (anaplastic astrocytoma
dan glioblastoma multiforme)
Oligodendroglioma dan Ependymoma:
1/10 Gliomas

Choroid plexus (papillomas) pada anak di

ventrikel lateralis, pada dewasa di ventrikel IV.
Cystiic Astrocytoma
Metastase breast
Metastase paru
Acustic Schwanoma
Glioblastoma Multiforme
Medulloblastoma
Meningioma
Meningioma
Meningioma Spinal
Metastase Kidney
Oligodendroglioma
Pituitary mass, histiocytosis X
Metastase paru
Low grade astrocytoma
Cystic glioma
Malignant glioma (gliioblastome Multiforme)
Oligodendroglioma
Non Hodgkin’s Lymphpoma
(immunocompetent adult)
Metastase proses
Infratentorial Tumors
Pada anak, tumor primer infratentorial lebih
umum, 60% di fossa posterior.

Intra axial lesi terbesar:

1. Medulloblastoma dan Cerebellar
Astrocytoma
2. Ependymomas dan brain stem gliomas
Medulloblastome (6 th)
 Brain stem
Cerebellar astrocytoma glioma
Intraventricula Tumors
• 1/10 primer intra axial brain tumor.
• Colloid cyst
• Choroid plexus tumor (papilomas /
Carcinoma)
 Papilloma plexus choroideus

Colloid cyst ventrikel III

Intraventrikular Meningioma
Central Neurocytoma