scholarly journals Anaplastic Medulloblastoma

2020 ◽  
Author(s):  
BMC Cancer ◽  
2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Angela Mastronuzzi ◽  
Evelina Miele ◽  
Agnese Po ◽  
Manila Antonelli ◽  
Francesca Romana Buttarelli ◽  
...  

2012 ◽  
Vol 10 (1) ◽  
pp. 21-24 ◽  
Author(s):  
Machiel van den Akker ◽  
Paul Northcott ◽  
Michael D. Taylor ◽  
William Halliday ◽  
Ute Bartels ◽  
...  

A 9-year-old boy with known Duchenne type muscular dystrophy (DMD) presented with signs of increased intracranial pressure. Radiological investigations revealed a lesion in the midline of the posterior fossa. Subtotal resection was performed. Pathology findings were consistent with the diagnosis of anaplastic medulloblastoma. The postoperative lumbar CSF was positive for malignant cells. Postoperatively, the patient showed severe neurological deterioration and lost his capacity to walk. He was treated with craniospinal radiation followed by nonintensive chemotherapy. At 30 months postsurgery, he was still in complete remission but had not recovered his walking ability. This is the second report of a malignant brain tumor in a boy with DMD. The possible link between the 2 conditions is discussed, as are ethical considerations regarding the management of medulloblastoma in children with DMD.


2010 ◽  
Vol 01 (02) ◽  
pp. 97-103 ◽  
Author(s):  
C. Zanini ◽  
G. Mandili ◽  
D. Baci ◽  
M. Leone ◽  
I. Morra ◽  
...  

2004 ◽  
Vol 121 (1-2) ◽  
pp. 137-140 ◽  
Author(s):  
Adrian J. Frank ◽  
Roberto Hernan ◽  
Andrew Hollander ◽  
Janet C. Lindsey ◽  
Meryl E. Lusher ◽  
...  

2020 ◽  
Vol 22 (Supplement_3) ◽  
pp. iii426-iii426
Author(s):  
Dong-Anh Khuong-Quang ◽  
Karli Williamson ◽  
Duncan MacGregor ◽  
Brent A Orr ◽  
Amar Gajjar ◽  
...  

Abstract INTRODUCTION SJMB12 is a phase 2 clinical trial led by the St. Jude Children’s Research Hospital (St. Jude) that enrolls patients with medulloblastoma based on their biological subgroup. The large cell/anaplastic (LCA) histologic variant has been identified as an important independent risk factor associated with poor outcome. However, the histologic criteria for LCA is subjective, making the distinction between anaplastic and non-anaplastic medulloblastoma difficult in some cases. METHODS Pathological central review was performed at St. Jude. For all patients enrolled in the study to date, concordance was assessed between the initial and central review diagnosis and histologic variant calls made at the Royal Children’s Hospital Melbourne (RCH) and at St. Jude, respectively. RESULTS Since the SJMB12 clinical trial opened locally in 2014, 34 patients were enrolled, and 31 were eligible for this retrospective study. A total of 12 (39%) cases with discordance were identified. The most frequent disagreement was between the designation of LCA (10 cases, 32%). In five cases the tumour was not designated as LCA variant locally. In five cases the initial designation of LCA was refuted centrally. Overall, this led to a change of treatment stratum for four patients (13%). CONCLUSION A high discordance rate exists between neuropathologists in the designation of LCA variant. Differences in interpretation of the subjective histologic criteria and inconsistencies in the material submitted for central review contributed to the discordance. Incorporation of more objective histologic criteria and implementation of unbiased diagnostic tools may improve the generalisability of future risk stratification.


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