A 47-year-old woman presents with progressive unilateral hearing loss and tinnitus for 18 months, accompanied by occasional imbalance. Vital signs show BP 128/82, HR 78, RR 14, temperature 37°C, SpO2 98%. MRI demonstrates a 2.3-cm cerebellopontine angle mass with homogeneous enhancement arising from the internal acoustic meatus. Audiometry confirms sensorineural hearing loss. She denies facial weakness or headaches. No neurofibromatosis type 2 history. Which histologic pattern is most likely seen in this lesion?

  1. A)Perivascular pseudorosettes
  2. B)Antoni A and Antoni B areas with Verocay bodiesGABARITO
  3. C)Whorled spindle cells with psammoma bodies
  4. D)Pseudopalisading necrosis
  5. E)Fried egg cells with chicken wire vasculature

Explicação

Antoni A and Antoni B areas with Verocay bodies is correct. Vestibular schwannoma is a benign Schwann cell tumor often presenting with unilateral hearing loss and tinnitus. Histology classically shows Antoni A hypercellular areas, Antoni B hypocellular areas, ... Ver explicação completa e trilha adaptativa →

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