Document Detail


Clinicopathological features of human brainstem gliomas.
MedLine Citation:
PMID:  22484454     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
We describe the clinicopathological features of 25 brainstem gliomas (BSGs). Twenty BSGs located in the pons and were all in children. Four BSGs located in the medulla oblongata were in 2 children and 2 adults. One (in a child) was located in the midbrain. Radiological findings on MR images were low-intensity on T1 weighted images and high-intensity on T2 weighted images. Mean survival when pontine glioma was treated by radiotherapy and/or use of temozolomide was 14 months, although 4 patients (3 cervicomedullary types and one focal type arising from midbrain) are alive. Follow up was from 5 months to 6 years. Histopathological features of 10 cases of the diffuse type were: 4 grade II astrocytomas, 4 grade III astrocytomas, and 2 glioblastomas. MIB-1 index was from 0.8 to 38 %. P53 was positive for 80 % of 15 tumors and there were no negative results. MGMT was positive in 60 % of 15 tumors and negative in 12.4 %. IDH1 was negative in 61.6 %. There was no positive result for IDH1 in this study. Thus, our histopathological results were indicative of high p53 immunoreactivity and no IDH1 immunoreactivity related to secondary malignant change.
Authors:
Hidehiro Oka; Satoshi Utsuki; Yoshinori Tanizaki; Hiroyuki Hagiwara; Yoshiteru Miyajima; Kimitoshi Sato; Mari Kusumi; Chihiro Kijima; Kiyotaka Fujii
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-4-8
Journal Detail:
Title:  Brain tumor pathology     Volume:  -     ISSN:  1861-387X     ISO Abbreviation:  -     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-4-9     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9716507     Medline TA:  Brain Tumor Pathol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Neurosurgery, Kitasato University School of Medicine, 1-15-1 Kitasato, Minimi-ku, Sagamihara, Kanagawa, 225-318, Japan, okahiro@med.kitasato-u.ac.jp.
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