Department of Pathology, Sainte-Anne Hospital, université Paris-Descartes, U1000, France.
Department of Pediatric Radiology, hôpital Necker-Enfants Malades, AP-HP, 149, rue de Sèvres, 75015 Paris, France; Université René-Descartes, Paris, France; Inserm U1000, Paris, France.
J Neuroradiol. 2018 Sep;45(5):316-322. doi: 10.1016/j.neurad.2018.02.006. Epub 2018 Mar 2.
Molecular alterations were recently added to the World Health Organization (WHO) 2016 classification of central nervous system (CNS) tumors. We correlated the histological and radiological features of G34R mutant high-grade gliomas, a recently described hemispheric and supratentorial glioma of children and young adults.
We performed a retrospective multicenter study on the histopathological and MRI results of 12 patients.
All tumors were supratentorial. Several radiological aspects were observed. Height over 12 were bulky and well delineated tumors, without visible peritumoral infiltration on MRI and pathologically characterized by highly cellular tissue associated with a moderate peritumoral infiltrative component. Two tumors were ill-defined and hyperintense on T2 sequences and pathologically characterized by diffuse tumoral infiltration. Two tumors were bulky and well delineated with an infiltrative component, both radiologically and histopathologically.
These different patterns may correspond to different pathological mechanisms and a potential link with prognosis should be assessed in further studies.
分子改变最近被添加到世界卫生组织(WHO)2016 年中枢神经系统(CNS)肿瘤分类中。我们对 G34R 突变高级别胶质瘤(一种最近描述的儿童和青年大脑半球和颅上胶质瘤)的组织学和影像学特征进行了相关性研究。
我们对 12 名患者的组织病理学和 MRI 结果进行了回顾性多中心研究。
所有肿瘤均位于颅上。观察到了几种影像学特征。高度超过 12cm 的肿瘤体积较大且边界清晰,MRI 上无可见的肿瘤周围浸润,病理上表现为与中度肿瘤周围浸润成分相关的高度细胞组织。两个肿瘤在 T2 序列上呈低信号且边界不清,病理上表现为弥漫性肿瘤浸润。两个肿瘤体积较大且边界清晰,具有浸润性成分,影像学和组织病理学均如此。
这些不同的模式可能对应不同的病理机制,应该在进一步的研究中评估与预后的潜在联系。