By K. J. Zülch M.D. (auth.)
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Additional resources for Brain Tumors: Their Biology and Pathology
Ringertz' conception, however, of the origin of glioblastomas from malignant degeneration of ependymomas and oligodendrogliomas will certainly require additional confirmation. CHAPTER II BASIS OF OUR CLASSIFICATION The following is a survey of the simplified classification of spaceoccupying lesions of the brain that was used in our institute. It permits the classification of practically all existing space-occupying processes, with the exception of a few "unclassifiable" tumors. Four families may be distinguished: A.
Regressive cell changes are not even considered as possible causes for a particular cell or tissue pattern, though I myself have repeatedly tried to call attention to the changes which occur in the "normal" tissue of various tumors through regressive processes. We need only mention that the cerebellar astrocytoma (spongioblastoma), so decidedly benign, may acquire a very polymorphic structure through purely regressive changes (Zulch, 1940, 1956). PRESENT STATE OF CLASSIFICATION 19 A histological investigation and interpretation of a small area of tissue and a prognosis as to the apparent grade of malignancy are very difficult if the matter of regressive processes is not taken into account.
Cylindromatous" epitheliomas D. Congenital and embryonic tumors 22. Epidermoids 23. Dermoids 24. Teratomas E. Vascular malformations and blood vessel tumors 25. Angiomas and aneurysms a) Cavernous angioma b) Capillary angioma (telangiectasis) c) Venous angioma d) Arteriovenous angioma (congenital) BASIS OF CLASSIFICATION 35 e) Sturge-Weber's disease (angioma capillare et venosum calcificans) f) Aneurysms, varices, and arteriovenous aneurysms (acquired) F. Other space-occupying processes 26. Unclassified tumors 27.
Brain Tumors: Their Biology and Pathology by K. J. Zülch M.D. (auth.)