1. Longitudinal mutational analysis of a cerebellar pilocytic astrocytoma recurring as a ganglioglioma
- Author
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Pierre Fiset, Adam M. Fontebasso, Jacek Majewski, Tenzin Gayden, Nicolas De Jay, Hamid Nikbakht, Nada Jabado, and Steffen Albrecht
- Subjects
0301 basic medicine ,Mutation ,Pathology ,medicine.medical_specialty ,Cerebellar Pilocytic Astrocytoma ,Histology ,Hematology ,Biology ,medicine.disease_cause ,medicine.disease ,Ganglioglioma ,Mutational analysis ,03 medical and health sciences ,030104 developmental biology ,0302 clinical medicine ,nervous system ,Oncology ,Pediatrics, Perinatology and Child Health ,DNA Mutational Analysis ,medicine ,Cancer research ,neoplasms ,Gene ,030217 neurology & neurosurgery ,Exome sequencing - Abstract
A cerebellar pilocytic astrocytoma (PA) in a child recurred first with a PA histology and then with features of a ganglioglioma (GG). Molecular genetic analyses of the tumors confirmed a BRAF V600E mutation in all. They also all harbored a T202M mutation in ERK1, a kinase downstream of BRAF that is implicated in glial versus neuronal differentiation. The GG sample contained several variants that were not present in the PA samples; in particular, it had a truncating mutation in MAP2. These findings not only underscore the role of BRAF as oncogenic driver but also suggest that other genes may influence tumor morphology.
- Published
- 2016