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Paediatric-type diffuse high-grade gliomas in the 5th CNS WHO Classification

  • F. Gianno
  • , I. Giovannoni
  • , B. Cafferata
  • , F. Diomedi-Camassei
  • , S. Minasi
  • , S. Barresi
  • , F. R. Buttarelli
  • , V. Alesi
  • , A. Cardoni
  • , M. Antonelli
  • , C. Puggioni
  • , G. S. Colafati
  • , A. Carai
  • , M. Vinci
  • , Angela Mastronuzzi
  • , E. Miele
  • , R. Alaggio
  • , F. Giangaspero
  • , S. Rossi*
  • *Autore corrispondente per questo lavoro
  • University of Rome La Sapienza
  • IRCCS Ospedale pediatrico Bambino Gesù - Roma
  • IRCCS Istituto Giannina Gaslini - Genova
  • IRCCS Istituto Neurologico Mediterraneo Neuromed - Pozzilli (IS)

Risultato della ricerca: Contributo in rivistaArticolo

Abstract

As a relevant element of novelty, the fifth CNS WHO Classification highlights the distinctive pathobiology underlying gliomas arising primarily in children by recognizing for the first time the families of paediatric-type diffuse gliomas, both high-grade and low-grade. This review will focus on the family of paediatric-type diffuse high-grade gliomas, which includes four tumour types: 1) Diffuse midline glioma H3 K27-altered; 2) Diffuse hemispheric glioma H3 G34-mutant; 3) Diffuse paediatric-type high-grade glioma H3-wildtype and IDH-wildtype; and 4) Infant-type hemispheric glioma. The essential and desirable diagnostic criteria as well as the entities entering in the differential will be discussed for each tumour type. A special focus will be given on the issues encountered in the daily practice, especially regarding the diagnosis of the diffuse paediatric-type high-grade glioma H3-wildtype and IDH-wildtype. The advantages and the limits of the multiple molecular tests which may be utilised to define the entities of this tumour family will be evaluated in each diagnostic context.
Lingua originaleInglese
pagine (da-a)422-435
Numero di pagine14
RivistaPathologica
Volume114
Numero di pubblicazione6
DOI
Stato di pubblicazionePubblicato - 2022

All Science Journal Classification (ASJC) codes

  • Medicina Generale

Keywords

  • DMG with EZHIP overexpression
  • ETV6-NTRK3
  • MEF2D-NTRK1
  • MYC amplification
  • MYCN amplification
  • PDGFRA amplification
  • RTK fusions
  • ZCCHC8-ROS1
  • diffuse hemispheric glioma H3 G34-mutant
  • diffuse midline glioma K27M-altered
  • diffuse paediatric-type high grade glioma H3-wildtype and IDH-wildtype
  • infant-type hemispheric glioma
  • infant-type hemispheric glioma with atypical location
  • pHGG MYCN
  • pHGG RTK1
  • pHGG RTK2
  • paediatric high-grade glioma
  • radiation-induced gliomas

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