Glioblastoma in neurofibromatosis 1 patients without IDH1, BRAF V600E, and TERT promoter mutations

Pilocytic astrocytomas and low-grade gliomas are more common compared with glioblastomas in patients with neurofibromatosis 1 (NF1). A recent genome-wide analysis has shown frequent NF1 gene alterations in the mesenchymal subtype of a glioblastoma; however, little is known about clinicopathological...

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Veröffentlicht in:Brain tumor pathology 2018-01, Vol.35 (1), p.10-18
Hauptverfasser: Shibahara, Ichiyo, Sonoda, Yukihiko, Suzuki, Hiroyoshi, Mayama, Akifumi, Kanamori, Masayuki, Saito, Ryuta, Suzuki, Yasuhiro, Mashiyama, Shoji, Uenohara, Hiroshi, Watanabe, Mika, Kumabe, Toshihiro, Tominaga, Teiji
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container_title Brain tumor pathology
container_volume 35
creator Shibahara, Ichiyo
Sonoda, Yukihiko
Suzuki, Hiroyoshi
Mayama, Akifumi
Kanamori, Masayuki
Saito, Ryuta
Suzuki, Yasuhiro
Mashiyama, Shoji
Uenohara, Hiroshi
Watanabe, Mika
Kumabe, Toshihiro
Tominaga, Teiji
description Pilocytic astrocytomas and low-grade gliomas are more common compared with glioblastomas in patients with neurofibromatosis 1 (NF1). A recent genome-wide analysis has shown frequent NF1 gene alterations in the mesenchymal subtype of a glioblastoma; however, little is known about clinicopathological features of glioblastomas in NF1 patients (NF1 glioblastomas). We analyzed four NF1 glioblastomas. Radiographical and intraoperative findings showed well-circumscribed tumors from surrounding brain. Pathological analysis presented a paucity of processes with an eosinophilic cytoplasm, bizarre nuclei, xanthomatous-like appearance, multinucleated giant cells, and histiocytoid appearance. During the follow-up period, one patient died at 49 months and others remained alive for 60, 87, and 106 months; thus, patients with NF1 glioblastoma presented a relatively favorable survival. None of the NF1 glioblastomas harbored isocitrate dehydrogenase 1 (IDH1) gene mutation, v-RAF murine sarcoma viral oncogene homolog B1 (BRAF) gene mutation, and telomerase reverse transcriptase (TERT) gene promoter mutation. We identified that NF1 glioblastoma is a unique subset of glioblastoma.
doi_str_mv 10.1007/s10014-017-0302-z
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source MEDLINE; SpringerLink Journals; ProQuest Central
subjects Adult
Antigens
Biopsy
Brain cancer
Brain Neoplasms - complications
Brain Neoplasms - diagnostic imaging
Brain Neoplasms - genetics
Brain Neoplasms - pathology
Cancer Research
Chemotherapy
Cloning
Genetic disorders
Genome-Wide Association Study
Glioblastoma - complications
Glioblastoma - diagnostic imaging
Glioblastoma - genetics
Glioblastoma - pathology
Glioma
Humans
Isocitrate Dehydrogenase - genetics
Male
Medicine
Medicine & Public Health
Middle Aged
Mutation
Neurofibromatosis 1 - complications
Neurofibromatosis 1 - diagnostic imaging
Neurofibromatosis 1 - genetics
Neurofibromatosis 1 - pathology
Neurofibromin 1 - genetics
Neurological disorders
Neurology
Neurosurgery
Oncology
Original Article
Pathology
Promoter Regions, Genetic - genetics
Proto-Oncogene Proteins B-raf - genetics
Radiation therapy
Retrospective Studies
Spectrum analysis
Surgery
Telomerase - genetics
Tumors
title Glioblastoma in neurofibromatosis 1 patients without IDH1, BRAF V600E, and TERT promoter mutations
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