Advances in the cytological diagnosis of brain tumors
Keywords:
brain tumor, biomarkers, biopsy, cytology, immunocytochemistry, medical oncologyAbstract
Introduction: Brain tumors pose a significant challenge in oncology due to their variability and diagnostic complexity. Cytological diagnosis has emerged as a valuable tool for the rapid evaluation of samples, enabling early intervention and treatment planning.
Objective: To synthesize advances in the cytological diagnosis of brain tumors over the past two decades, identifying the main technological, methodological, and clinical innovations that have enhanced its accuracy, accessibility, and application in neurooncology management.
Methodology: A narrative review was conducted, based on a search between January 2024 and February 2025. Databases such as Cochrane Library and Scielo were used, with keywords: "cytological diagnosis," "brain tumors," "neurooncology," "stereotactic biopsy”, and "biomarkers". Out of 634 retrieved documents, 73 were reviewed, and 24 were selected, and 8.34% were selected to include in the article.
Development: Cytological diagnosis offers a rapid and less invasive alternative to histological diagnosis, with particular effectiveness in differentiating high- and low-grade tumors. However, it faces challenges such as interobserver variability and the need for adequate samples. Advances in immunocytochemistry and the introduction of molecular biomarkers have increased diagnostic accuracy.
Conclusions: While cytological diagnosis is a promising tool, its full integration into clinical practice requires further standardization, expert training, and technological improvements. Future research should focus on optimizing biopsy methods and developing new biomarkers.
Downloads
References
1. Bent MJ van den, Geurts M, French PJ, Smits M, Capper D, Bromberg JEC, et al. Primary brain tumours in adults [Internet]. The Lancet. 2023;402(10412):1564-79. DOI: https://doi.org/10.1016/S0140-6736(23)01054-1
2. Weinberg BD, Kuruva M, Shim H, Mullins ME. Clinical applications of magnetic resonance spectroscopy (MRS) in of brain tumors: from diagnosis to treatment [Internet]. Radiol Clin North Am. 2021 [acceso: 12/02/2025];59(3):349-62. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8272438/
3. Dey P. The emerging role of deep learning in cytology [Internet]. Cytopathology. 2021 [acceso: 20/02/2025];32(2):154-60. Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1111/cyt.12942
4. Zin AAM, Zulkarnain S. Diagnostic Accuracy of Cytology Smear and Frozen Section in Glioma [Internet]. APJCP. 2019 [acceso: 12/02/2025];20(2):321. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC6897032
5. Kaifi R. A Review of Recent Advances in Brain Tumor Diagnosis Based on AI-Based Classification [Internet]. Diagnostics. 2023 [acceso: 20/02/2025];13(18):3007. Disponible en: https://www.mdpi.com/2075-4418/13/18/3007
6. Akinyelu AA, Zaccagna F, Grist JT, Castelli M, Rundo L. Brain Tumor Diagnosis Using Machine Learning, Convolutional Neural Networks, Capsule Neural Networks and Vision Transformers, Applied to MRI: A Survey [Internet]. Journal of Imaging. 2022;8(8):205. DOI: https://doi.org/10.3390/jimaging8080205
7. Aspitia CG, Machuca MA, Massone AR. Inmunocitoquímica [Internet]. En: Colectivo de autores. Citología en caninos y felinos: herramientas para la interpretación diagnóstica. Editorial de la Universidad Nacional de La Plata (EDULP); 2024. P. 215-225. [acceso: 12/02/2025]. Disponible en: http://sedici.unlp.edu.ar/handle/10915/169087
8. Acosta M, Malaver G, Rodríguez C, Romero A, Gamboa O, Arboleda G, et al. Imagen espectroscópica por resonancia magnética en tumores cerebrales del sistema nervioso central de origen glial [Internet]. Revista Colombiana de Cancerología. 2022 [acceso: 20/02/2025]; 26(2):150-63. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_abstract&pid=S0123-90152022000200150&lng=en&nrm=iso&tlng=es
9. Mestre B, Godo A, Estrada MD, Vivanco RM. Caracterización molecular de los tumores del sistema nervioso central por secuenciación masiva (next generation sequencing, NGS): evaluación de la utilidad diagnóstica, pronóstica y consideraciones de implementación [Internet]. Ministerio de Sanidad; 2024. [acceso: 26/02/2025]. Disponible en: https://scientiasalut.gencat.cat/handle/11351/12180
10. Usón A, González NF, Hernández JP. Manual del técnico de anatomía patológica y citodiagnóstico [Internet]. Zaragoza: Amazing Books; 2023. [acceso: 12/02/2025]. Disponible en: https://books.google.com.cu/books?id=A7apEAAAQBAJ
11. Jeffery ND. Biopsy of Brain Lesions [Internet]. Veterinary Clinics: Small Animal Practice. 2024 [acceso: 26/02/2025];55(1):41-55. Disponible en: https://www.vetsmall.theclinics.com/article/S0195-5616(24)00059-7/abstract
12. Sánchez E. Caracterización celular y estudio de la expresión de FKBP51 en cultivos primarios de glioblastoma [Internet]. [Tesis de maestría]. La Laguna: Universidad de la Laguna; 2022. [acceso: 12/02/2025]. Disponible en: https://riull.ull.es/xmlui/handle/915/31932
13. Valadares AD, Souza AM, Kaneshima EN, Fernandes IL, Jordão IP, Souza P da C, et al. Perfil Anatomopatológico e Imuno-histoquímico de Gliomas de Pacientes da Região de Maringá-PR [Internet]. Revista Brasileira de Cancerologia. 2021 [acceso: 26/02/2025];67(3):e-101287. Disponible en: https://rbc.inca.gov.br/index.php/revista/article/view/1287
14. Vaz MÁ. Estudio molecular de los tumores cerebrales oligodendrogliales [Internet]. [Tesis doctoral]. Alcalá de Henares: Universidad de Alcalá; 2022. [acceso: 20/02/2025]. Disponible en: https://produccioncientifica.ucm.es/documentos/646baaf86f14943c96ff7d48
15. Pons A, Majos C, Smits M, Oleaga L. Diagnóstico prequirúrgico de gliomas difusos en adultos: perspectivas prácticas de radiólogos de Unidades de neurooncología Post-WHO 2021 [Internet]. Radiología. 2024 [acceso: 20/02/2025];66(3):260-77. Disponible en: https://www.sciencedirect.com/science/article/pii/S0033833824000079
16. Navarro Ballester A, Aleixandre Barrachina M, Marco Doménech SF. Actualización sobre el meningioma: correlación clínico-radiológica y radio-patológica [Internet]. Radiología. 2023 [acceso: 12/02/2025];65(5):458-72. Disponible en: https://www.sciencedirect.com/science/article/pii/S0033833823000498
17. Smith TW. Pathology of Medulloblastoma: Morphologic Features and Molecular Classification [Internet]. En: Fitsgerald TJ. Medulloblastoma - Therapeutic Outcomes and Future Clinical Trials. IntechOpen; 2025. [aprox. 20 p.]. DOI: 10.5772/intechopen.1004583
18. Chougule M. Germ Cell Tumors [Internet]. En: Chougule M, editor. Neuropathology of Brain Tumors with Radiologic Correlates. Singapore: Springer; 2020. p. 307-13. DOI: https://doi.org/10.1007/978-981-15-7126-8_18
19. Burnham EL, Tomita T. Histogenesis of intracranial germ cell tumors: primordial germ cell vs. embryonic stem cell [Internet]. Childs Nerv Syst. 2023;39(2):359-68. DOI: https://doi.org/10.1007/s00381-022-05808-w
20. Bueno P, Osorio JC, Tasamá CE, Bermúdez PC, Bueno P, Osorio JC, et al. Clinical, pathological, and immunohistochemical analysis of schwannoma in oral cavity: a case report [Internet]. Revista Facultad de Odontología Universidad de Antioquia. 2017 [acceso: 12/02/2025];28(2):433-44. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_abstract&pid=S0121-246X2017000100433&lng=en&nrm=iso&tlng=en
21. Mena Sandí JC. Actualización en tumores del SNC con mutaciones recurrentes y nuevas entidades diagnósticas [Internet]. [Tesis de especialista]. Costa Rica: Universidad de Costa Rica; 2020. [acceso: 26/02/2025] Disponible en: https://hdl.handle.net/10669/82274
22. Tejada S, Iglesias I, Meana L, Mollejo M, Díez R, González J, et al. Consenso sobre el tratamiento neuroquirúrgico de las metástasis intracraneales elaborado por el Grupo de Trabajo de Neurooncología (GTNO) de la Sociedad Española de Neurocirugía [Internet]. Neurocirugía. 2023;34(6):308-20. DOI: https://doi.org/10.1016/j.neucir.2023.07.003
23. Báez A, Roffo AG, Escalante JG, Campero Á, Parera IC. Principales biomarcadores moleculares en la caracterización de los tumores del sistema nervioso central [Internet]. Revista Argentina de Neurocirugía. 2020;34(3):209-15. DOI: https://doi.org/10.59156/revista.v34i03.126
24. Tavares AR, Franco T de S, Oliveira CS de, Silva RR da, Martini SC, Farez M, et al. Integração de redes neurais e inteligência artificial no diagnóstico de tumores cerebrais: convergência entre tecnologia e saúde [Internet]. Cuadernos de Educación y Desarrollo. 2024 ;16(13):e7065-e7065. DOI: https://doi.org/10.55905/cuadv16n13-154
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Mairen Sotomayor González, Elaine Brocard Azahares, Mercedes Salinas Olivares, Wendolin Rodríguez Borges

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors who have publications with this Journal accept the following terms:
- The authors will retain their copyright and guarantee the Journal the right of first publication of their work, which will simultaneously be subject to the Creative Commons Attribution License. The content presented here can be shared, copied and redistributed in any medium or format; Can be adapted, remixed, transformed or created from the material, using the following terms: Attribution (giving appropriate credit to the work, providing a link to the license, and indicating if changes have been made); non-commercial (you cannot use the material for commercial purposes) and share-alike (if you remix, transform or create new material from this work, you can distribute your contribution as long as you use the same license as the original work).
- The authors may adopt other non-exclusive license agreements for the distribution of the published version of the work (for example: depositing it in an institutional electronic archive or publishing it in a monographic volume) as long as the initial publication in this Journal is indicated.
- Authors are allowed and recommended to disseminate their work through the Internet (e.g., in institutional electronic archives or on their website) before and during the submission process, which can produce interesting exchanges and increase citations. of the published work.