Diffuse leptomeningeal glioneuronal tumor in an 8-year-old girl: case report and review of the literature

被引:4
作者
Cambruzzi, Eduardo [1 ,2 ,3 ,4 ,5 ]
Medeiros, Mateus Scarabelot [3 ]
Cardoso, Carmo Eduardo [3 ]
Silva, Guilherme Alberto Germano [3 ]
Schlotte, Kelly [3 ]
Kus, Willian Pegoraro [3 ]
机构
[1] Univ Fed Rio Grande do Sul, Porto Alegre, RS, Brazil
[2] Santa Rita Hosp, Dept Pathol, Santa Casa Hosp Complex,Rua Sarmento Leite 1870, Porto Alegre, RS, Brazil
[3] Conceicao Hosp Grp, Porto Alegre, RS, Brazil
[4] Univ Fdn Cardiol, Inst Cardiol, Porto Alegre, RS, Brazil
[5] Univ Vale Rio dos Sinos, Fac Med, Sao Leopoldo, RS, Brazil
关键词
Diffuse leptomeningeal glioneuronal tumor; Leptomeningeal neoplasms; Pediatrics; Neurosurgery; DLGNT;
D O I
10.1007/s00381-022-05625-1
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Diffuse leptomeningeal glioneuronal tumors (DLGNTs) are rare central nervous system tumors of childhood that were recently described as a new entity. DLGNTs usually manifest with symptoms related to increased intracranial pressure or spinal cord compression. The classic radiological feature is a widespread leptomeningeal enhancement that may involve the entire neuroaxis. Microscopic examination demonstrates oligodendroglial-like cells that are positive for OLIG2, MAP2, and S100 and negative for IDH-1. Anaplastic features occur in some cases. Molecularly, DLGNTs are characterized by chromosome arm 1p deletion and alteration of a mitogen-activated protein kinase (MAPK) pathway gene, most commonly BRAF-KIAA1549 fusion. There is no established grading system for these tumors, which may have an indolent or aggressive behavior. Treatment usually involves chemotherapy and radiation therapy.
引用
收藏
页码:301 / 305
页数:5
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