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SHH medulloblastoma in a young adult with a TCF4 germline pathogenic variation

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Acknowledgements

We thank Joshua Waterfall for his help in writing the manuscript.

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Correspondence to Franck Bourdeaut.

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401_2019_1983_MOESM1_ESM.pptx

Supplementary Figure 1. Histopathological features of the tumor. (a) Hematoxylin and eosin staining showed a histological aspect of classic medulloblastoma with necrosis. (b) Immunostaining showed a diffusely high Ki67 proliferation index, (c) a maintained expression of SMARCB1/INI1, and (d) a mild positivity of P53. (e) Reticulin staining showed no reticulinic network between tumor cells. (f) Immunostaining showed a membrane staining for Beta-catenin, and (g) a strong positivity for Filamin-1 and (h) GAB1 favoring the genetic group of SHH-activated medulloblastomas (PPTX 624 kb)

401_2019_1983_MOESM2_ESM.pptx

Supplementary Figure 2. Methylation and genomic tumor data. (a) t-distributed Stochastic Neighbor Embedding (t-SNE) analysis using DNA methylation data (generated using HumanMethylation450K array type) of glioblastoma (GBM) and medulloblastoma (MB) samples published in Capper et al. (2018) [2] and DNA methylation data of our case (generated using HumanMethylationEPIC array type) named MB699. (b) MNP2.0-based DNA methylation class prediction calibrated scores for our case (DKFZ classifier version: 11b4). The other scores (data not shown) are inferior to 0.01. (c) Analysis of tumor DNA of our case by the Curie Institute custom cancer panel assessing known cancer-related genes (8 alterations), compared with the proportion of relevant tumor DNA alterations of these genes for all SHH MB (SHH MB column) and TCF4 mutated SHH MB (TCF4 mutated SHH MB column), from Northcott et al. (2017) [6] (PPTX 122 kb)

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Blanluet, M., Masliah-Planchon, J., Giurgea, I. et al. SHH medulloblastoma in a young adult with a TCF4 germline pathogenic variation. Acta Neuropathol 137, 675–678 (2019). https://doi.org/10.1007/s00401-019-01983-4

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