Embryonal tumor with abundant neuropil and true rosettes (ETANTR), ependymoblastoma, and medulloepithelioma share molecular similarity and comprise a single clinicopathological entity
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Embryonal tumor with abundant neuropil and true rosettes (ETANTR), ependymoblastoma, and medulloepithelioma share molecular similarity and comprise a single clinicopathological entity. / Korshunov, Andrey; Sturm, Dominik; Ryzhova, Marina; Hovestadt, Volker; Gessi, Marco; Jones, David T W; Remke, Marc; Northcott, Paul A; Perry, Arie; Picard, Daniel; Rosenblum, Marc; Antonelli, Manila; Aronica, Eleonora; Schüller, Ulrich; Hasselblatt, Martin; Woehrer, Adelheid; Zheludkova, Olga; Kumirova, Ella; Puget, Stephanie; Taylor, Michael D; Giangaspero, Felice; Peter Collins, V; Deimling, Andreas; Lichter, Peter; Huang, Annie; Pietsch, Torsten; Pfister, Stefan M; Kool, Marcel.
In: ACTA NEUROPATHOL, Vol. 128, No. 2, 08.2014, p. 279-89.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Embryonal tumor with abundant neuropil and true rosettes (ETANTR), ependymoblastoma, and medulloepithelioma share molecular similarity and comprise a single clinicopathological entity
AU - Korshunov, Andrey
AU - Sturm, Dominik
AU - Ryzhova, Marina
AU - Hovestadt, Volker
AU - Gessi, Marco
AU - Jones, David T W
AU - Remke, Marc
AU - Northcott, Paul A
AU - Perry, Arie
AU - Picard, Daniel
AU - Rosenblum, Marc
AU - Antonelli, Manila
AU - Aronica, Eleonora
AU - Schüller, Ulrich
AU - Hasselblatt, Martin
AU - Woehrer, Adelheid
AU - Zheludkova, Olga
AU - Kumirova, Ella
AU - Puget, Stephanie
AU - Taylor, Michael D
AU - Giangaspero, Felice
AU - Peter Collins, V
AU - Deimling, Andreas
AU - Lichter, Peter
AU - Huang, Annie
AU - Pietsch, Torsten
AU - Pfister, Stefan M
AU - Kool, Marcel
PY - 2014/8
Y1 - 2014/8
N2 - Three histological variants are known within the family of embryonal rosette-forming neuroepithelial brain tumors. These include embryonal tumor with abundant neuropil and true rosettes (ETANTR), ependymoblastoma (EBL), and medulloepithelioma (MEPL). In this study, we performed a comprehensive clinical, pathological, and molecular analysis of 97 cases of these rare brain neoplasms, including genome-wide DNA methylation and copy number profiling of 41 tumors. We identified uniform molecular signatures in all tumors irrespective of histological patterns, indicating that ETANTR, EBL, and MEPL comprise a single biological entity. As such, future WHO classification schemes should consider lumping these variants into a single diagnostic category, such as embryonal tumor with multilayered rosettes (ETMR). We recommend combined LIN28A immunohistochemistry and FISH analysis of the 19q13.42 locus for molecular diagnosis of this tumor category. Recognition of this distinct pediatric brain tumor entity based on the fact that the three histological variants are molecularly and clinically uniform will help to distinguish ETMR from other embryonal CNS tumors and to better understand the biology of these highly aggressive and therapy-resistant pediatric CNS malignancies, possibly leading to alternate treatment strategies.
AB - Three histological variants are known within the family of embryonal rosette-forming neuroepithelial brain tumors. These include embryonal tumor with abundant neuropil and true rosettes (ETANTR), ependymoblastoma (EBL), and medulloepithelioma (MEPL). In this study, we performed a comprehensive clinical, pathological, and molecular analysis of 97 cases of these rare brain neoplasms, including genome-wide DNA methylation and copy number profiling of 41 tumors. We identified uniform molecular signatures in all tumors irrespective of histological patterns, indicating that ETANTR, EBL, and MEPL comprise a single biological entity. As such, future WHO classification schemes should consider lumping these variants into a single diagnostic category, such as embryonal tumor with multilayered rosettes (ETMR). We recommend combined LIN28A immunohistochemistry and FISH analysis of the 19q13.42 locus for molecular diagnosis of this tumor category. Recognition of this distinct pediatric brain tumor entity based on the fact that the three histological variants are molecularly and clinically uniform will help to distinguish ETMR from other embryonal CNS tumors and to better understand the biology of these highly aggressive and therapy-resistant pediatric CNS malignancies, possibly leading to alternate treatment strategies.
KW - Brain Neoplasms
KW - Child
KW - Child, Preschool
KW - Chromosomes, Human, Pair 19
KW - DNA Copy Number Variations
KW - DNA Methylation
KW - Diagnosis, Differential
KW - Female
KW - Genetic Loci
KW - Humans
KW - Immunohistochemistry
KW - In Situ Hybridization, Fluorescence
KW - Infant
KW - Male
KW - Neoplasm Recurrence, Local
KW - Neoplasms, Germ Cell and Embryonal
KW - Neuroectodermal Tumors, Primitive
KW - Survival Analysis
KW - Journal Article
U2 - 10.1007/s00401-013-1228-0
DO - 10.1007/s00401-013-1228-0
M3 - SCORING: Journal article
C2 - 24337497
VL - 128
SP - 279
EP - 289
JO - ACTA NEUROPATHOL
JF - ACTA NEUROPATHOL
SN - 0001-6322
IS - 2
ER -