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A huge intraventricular congenital anaplastic astrocytoma: case report with histopathological and genetic consideration

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Abstract

Congenital malignant gliomas are rare brain tumors about which few reports have been published. We present the clinical course and genetic alterations in an infant with a congenital malignant glioma detected incidentally by ultrasonography at 36 weeks. The tumor occupied the right temporoparietal region, extended to the posterior fossa, and significantly compressed surrounding structures. The female infant was entirely normal without macrocrania, tense fontanel, or sucking difficulties. The tumor was subtotally resected by two-stage surgery; pathological diagnosis was anaplastic astrocytoma. Immunohistochemical staining was positive for p53 and negative for epidermal growth factor receptor. There was no O6-methylguanine-DNA methyltransferase (MGMT) gene promoter methylation, no 1p/19q loss of heterozygosity, and no isocitrate dehydrogenase 1 (IDH1) mutation. She underwent postoperative chemotherapy and is alive and well 12 months after surgery.

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References

  1. Janisch W, Haas JF, Schreiber D et al (1984) Primary central nervous system tumors in stillborns and infants. Epidemiological considerations. J Neurooncol 2:113–116

    Article  PubMed  CAS  Google Scholar 

  2. Jellinger K, Sunder-Plassmann M (1973) Connatal intracranial tumors. Neuropaediatrie 4:46–63

    Article  CAS  Google Scholar 

  3. Geraght AV, Knott PD, Hanna HM (1989) Prenatal diagnosis of fetal glioblastoma multiforme. Prenat Diagn 9:613–616

    Article  Google Scholar 

  4. Guibaud L, Champion F, Buenerd A et al (1997) Fetal intraventricular glioblastoma: ultrasonographic, magnetic resonance imaging, and pathologic findings. J Ultrasound Med 16:285–288

    PubMed  CAS  Google Scholar 

  5. Gruszkiewicz J, Doron Y, Gellei B et al (1972) Brain tumors during the first year of life. Zentralbl Neurochir 33:183–188

    PubMed  CAS  Google Scholar 

  6. Buetow PC, Smirniotopoulos JG, Done S (1990) Congenital brain tumors: a review of 45 cases. AJR Am J Roentgenol 155:587–593

    PubMed  CAS  Google Scholar 

  7. Haddad SF, Menezes AH, Bell WE et al (1991) Brain tumors occurring before 1 year of age: a retrospective review of 22 cases in an 11-year period. Neurosurgery 29:8–13

    Article  PubMed  CAS  Google Scholar 

  8. Raisanen JM, Davis RL (1993) Congenital brain tumors. Pathology 2:103–116

    PubMed  CAS  Google Scholar 

  9. Paugh BS, Qu C, Jones C et al (2010) Integrated molecular genetic profiling of pediatric high-grade gliomas reveals key differences with the adult disease. J Clin Oncol 28:3061–3068

    Article  PubMed  Google Scholar 

  10. Yan H, Parsons DW, Jin G et al (2009) IDH1 and IDH2 mutations in gliomas. N Engl J Med 360:765–773

    Article  PubMed  CAS  Google Scholar 

  11. Cheng Y, Ng HK, Zhang SF et al (1999) Genetic alterations in pediatric high-grade astrocytomas. Hum Pathol 30:1284–1290

    Article  PubMed  CAS  Google Scholar 

  12. Sure U, Ruedi D, Tachibana O et al (1997) Determination of p53 mutations, EGFR overexpression, and loss of p16 expression in pediatric glioblastomas. J Neuropathol Exp Neurol 56:782–789

    PubMed  CAS  Google Scholar 

  13. Suri V, Das P, Pathak P et al (2009) Pediatric glioblastomas: a histopathological and molecular genetic study. Neuro Oncol 11:274–280

    Article  PubMed  Google Scholar 

  14. Malano GM, Cerri C, Ferruzzi V et al (2009) Congenital glioblastoma. Pediatr Blood Cancer 53:124–126

    Article  Google Scholar 

  15. Brat DJ, Shehata BM, Castellano-Sanchez AA et al (2007) Congenital glioblastoma: a clinicopathologic and genetic analysis. Brain Pathol 17:276–281

    Article  PubMed  CAS  Google Scholar 

  16. Pollack IF, Hamilton RL, Finkelstein SD et al (1997) The relationship between TP53 mutations and overexpression of p53 and prognosis in malignant gliomas of childhood. Cancer Res 57:304–309

    PubMed  CAS  Google Scholar 

  17. Balss J, Meyer J, Mueller W et al (2008) Analysis of the IDH1 codon 132 mutation in brain tumors. Acta Neuropathol 116:597–602

    Article  PubMed  CAS  Google Scholar 

  18. Srivastava A, Jain A, Jha P et al (2010) MGMT gene promoter methylation in pediatric glioblastomas. Childs Nerv Syst 26:1613–1618

    Article  PubMed  Google Scholar 

  19. Donson AM, Addo-Yobo SO, Handler MH et al (2007) MGMT promoter methylation correlates with survival benefit and sensitivity to temozolomide in pediatric glioblastoma. Pediatr Blood Cancer 48:403–407

    Article  PubMed  Google Scholar 

  20. Cairncross JG, Ueki K, Zlatescu MC et al (1998) Specific genetic predictors of chemotherapeutic response and survival in patients with anaplastic oligodendrogliomas. J Natl Cancer Inst 90:1473–1479

    Article  PubMed  CAS  Google Scholar 

  21. Kraus JA, Koopmann J, Kaskel P et al (1995) Shared allelic losses on chromosomes 1p and 19q suggest a common origin of oligodendroglioma and oligoastrocytoma. J Neuropathol Exp Neurol 54:91–95

    Article  PubMed  CAS  Google Scholar 

  22. Smith JS, Perry A, Borell TJ et al (2000) Alterations of chromosome arms 1p and 19q as predictors of survival in oligodendrogliomas, astrocytomas, and mixed oligoastrocytomas. J Clin Oncol 18:636–645

    PubMed  CAS  Google Scholar 

  23. Schmidt MC, Antweiler S, Urban N et al (2002) Impact of genotype and morphology on the prognosis of glioblastoma. J Neuropathol Exp Neurol 61:321–328

    PubMed  CAS  Google Scholar 

  24. Pinto LW, Araújo MB, Vettore AL et al (2008) Glioblastomas: correlation between oligodendroglial components, genetic abnormalities, and prognosis. Virchows Arch 452:481–490

    Article  PubMed  Google Scholar 

  25. Pollack IF, Finkelstein SD, Burnham J et al (2003) Association between chromosome 1p and 19q loss and outcome in pediatric malignant gliomas: results from the CCG-945 cohort. Pediatr Neurosurg 39:114–121

    Article  PubMed  Google Scholar 

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Acknowledgments

We thank Ms. Mai Fujita for technical assistance.

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Correspondence to Shinji Yamashita.

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Yamashita, S., Ryu, S., Miyata, S. et al. A huge intraventricular congenital anaplastic astrocytoma: case report with histopathological and genetic consideration. Brain Tumor Pathol 29, 107–112 (2012). https://doi.org/10.1007/s10014-011-0071-z

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  • DOI: https://doi.org/10.1007/s10014-011-0071-z

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