Sarcomatous evolution of oligodendroglioma ("oligosarcoma"): confirmatory report of an uncommon pattern of malignant progression in oligodendroglial tumors.

Détails

ID Serval
serval:BIB_2529B43A80A5
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Sarcomatous evolution of oligodendroglioma ("oligosarcoma"): confirmatory report of an uncommon pattern of malignant progression in oligodendroglial tumors.
Périodique
Pathology, research and practice
Auteur⸱e⸱s
Vajtai I., Vassella E., Hewer E., Kappeler A., Reinert M.M.
ISSN
1618-0631 (Electronic)
ISSN-L
0344-0338
Statut éditorial
Publié
Date de publication
15/12/2012
Peer-reviewed
Oui
Volume
208
Numéro
12
Pages
750-755
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
By analogy to gliosarcoma, the neologism "oligosarcoma" is to describe an uncommon form of biphasic central nervous system tumor composed of contiguous neuroepithelial and mesenchymal elements, each of which individually meet the criteria of oligodendroglioma and sarcoma, respectively. By virtue of its distinctive genotype (codeletion 1p/19q), oligodendroglioma is a particularly inviting paradigm to test the assumption that such mixed tumors are clonally derived from a glial primary. We observed this constellation in a 41-year-old male who underwent two resection procedures for a recurring right frontal tumor at five years' interval. On imaging, both lesions were contrast-enhancing, and measured 7 cm × 7 cm × 6.8 cm and 7 cm × 6.5 cm × 4cm, respectively. Following the first operation, temozolomide monotherapy was administered. Whereas initial histology showed conventional anaplastic oligodendroglioma, the recurrence consisted mostly of a fibrosarcoma-like, fascicular neoplasm that was immunoreactive for vimentin, smooth muscle actin, S100 protein, and focally epithelial membrane antigen. In between, a subset of otherwise indistinguishable spindle cells expressed GFAP, and focally merged with residues of oligodendroglioma. Molecular testing for loss of heterozygosity confirmed codeletion of 1p/19q in both the primary tumor and the sarcomatous recurrence. Similarly, generalized immunoreactivity for the mutant R132H form of isocitrate dehydrogenase in both lesions indicated an identical mutation of the IDH1 gene. By the above standards, biologically consistent "oligosarcomas" are felt to be exceedingly rare, and possibly participate of a nosologically heterogeneous group of combined glial/mesenchymal lesions that may also include iatrogenically induced second malignancies as well as true collision tumors.
Mots-clé
Adult, Antineoplastic Agents, Alkylating/therapeutic use, Brain Neoplasms/genetics, Brain Neoplasms/metabolism, Brain Neoplasms/pathology, Chromosome Deletion, Chromosomes, Human, Pair 1, Chromosomes, Human, Pair 19, Combined Modality Therapy, Dacarbazine/analogs & derivatives, Dacarbazine/therapeutic use, Disease Progression, Gliosarcoma/genetics, Gliosarcoma/metabolism, Gliosarcoma/pathology, Humans, Isocitrate Dehydrogenase/genetics, Male, Mutation, Neoplasm Recurrence, Local, Neoplasms, Second Primary, Oligodendroglioma/genetics, Oligodendroglioma/metabolism, Oligodendroglioma/pathology, Temozolomide
Pubmed
Web of science
Création de la notice
31/08/2020 13:02
Dernière modification de la notice
10/11/2020 7:26
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