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Papillary Glioneuronal Tumour (PGNT)

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Posted by fatima.shakeel@opmc.co | Feb 19, 2025

What is Papillary Glioneuronal Tumour (PGNT)?

Papillary Glioneuronal Tumour (PGNT) is a rare, low-grade central nervous system (CNS) tumour characterised by a mix of glial and neuronal components.

Causes

The exact cause of PGNT remains unknown. However, genetic alterations, including PRKCA gene fusions, have been identified in some cases. No environmental risk factors have been linked to its development.

Signs and Symptoms

Common symptoms of Papillary Glioneuronal Tumour include:

  • Seizures
  • Headaches
  • Focal neurological deficits (e.g., weakness, numbness, or difficulty with coordination)

Diagnosis

PGNT is diagnosed through:

  • Imaging studies (MRI): Typically revealing well-circumscribed, cystic lesions with solid components.
  • Histopathological examination: Confirming papillary structures with both glial and neuronal components.

Treatment

Treatment options for PGNT include:

  • Surgery: The primary treatment, involving tumour removal along with affected surrounding tissue.
  • Radiation therapy: Rarely required but may be considered for recurrent or residual tumours.
  • Chemotherapy: Used in rare cases where the tumour is advanced or spreading.
  • Targeted therapy: Experimental treatments being evaluated in clinical studies.

Prognosis

PGNT has an excellent prognosis:

  • 10-year survival rate exceeds 90% when complete surgical removal is achieved.
  • Recurrence is rare, and malignant transformation is extremely uncommon.

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