Epithelioid glioblastoma exhibits a heterogeneous molecular feature: A targeted next-generation sequencing study

上皮样胶质母细胞瘤表现出异质性分子特征:一项有针对性的下一代测序研究

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作者:Rui Pan, Xiaotong Wang, Ru Fang, Qiuyuan Xia, Nan Wu, Qiu Rao

Discussion

eGBM is characterized by high molecular heterogeneity and has molecular overlaps between low-grade gliomas. Moreover, rather than being a variant or entity, the biological significance of the "epithelioid" appearance may be reduced to a simply morphological pattern. In order to target the proper treatment to suitable patients, molecular stratification via genome-wide molecular profiling will be crucial.

Methods

The clinicopathological, molecular, and immunohistochemical characteristics of 12 cases of eGBM were investigated.

Results

The tumours were found to be made up of epithelioid and rhabdoid cells when examined under a microscope. Six cases (50%) harboured the BRAF V600E mutation, and NF1 mutation was detected in 2 eGBM cases (16.7%). CDKN2A/B homozygous deletion was seen in 5 cases (41.7%). TP53 mutation was recognized in 2 instances (16.7%), and TERT promoter mutation was recognized in 5 cases (41.7%).

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