Homer wright rossette are seen in-a) Neuroblastomab) Astrocytomac) Meningiomad) Pinealoma
High-Yield Explanation
Rosettes
Rosettes are pathological findings characterized by a halo or spoke wheel arrangement of cells surrounding a central core or hub.
Type of Rosette
1. Flexner - Wintersteiner Rosettes
A halo of cells surrounds a largely empty central hub but small cytoplasmic extension from cells project into the lumen.
It is characteristic of retinoblastoma.
May also be seen in → Medulloblastoma, Primitive neuroectodermal tumor, Pineoblastoma.
2. Homer Wright rosettes
A halo of cells surrounds a central hub that contains a meshwork of fibres (neutrophil rich centre).
Homer-Wright rosettes are characteristic of neuroblastomas and medulloblastomas.
May also be seen in → Primitive neuroectodermal tumors (PNET), Pineoblastomas, Retinoblastomas.
3. True ependymal Rosette
A halo of cells surrounds an empty lumen.
It is characteristic of ependymomas.
4. Perivascular pseudorosettes
A halo of cells surrounds a blood vessel.
The term pseudo is used because the central structure is not formed from the tumor itself, and represents a nonneoplastic element.
May be seen in
Ependymonas
Glioblastomas
Medulloblastomas
Retinoblastoma
Primitive neuroectodermal tumors
Monimorphous pilimyxoid astrocytoma
Central neurocytoma