Department of Pathology, School of Medicine, Koç University, Istanbul, Turkey.
Neuropathology Division, Department of Pathology, UCSF School of Medicine, Moffitt, M551C, University of California, 505 Parnassus Avenue, Box 0102, San Francisco, CA, 94143, USA.
Brain Tumor Pathol. 2019 Apr;36(2):52-55. doi: 10.1007/s10014-019-00343-0. Epub 2019 Apr 3.
Pilomyxoid astrocytoma is a variant of pilocytic astrocytoma and the clinical, histological and molecular data point to a very close relationship as well as a more aggressive biological behavior for the former. WHO 2016 classification does not provide a specific grade for these neoplasms, but there is sufficient evidence in the literature that pilomyxoid astrocytoma has slightly worse prognosis than typical pilocytic astrocytoma. There is increasing evidence that in addition to the MAPK pathway alterations, pilomyxoid astrocytomas harbor genetic alterations that distinguish them from typical pilocytic astrocytoma.
毛细胞黏液样星形细胞瘤是毛细胞星形细胞瘤的一种变体,临床、组织学和分子数据表明两者关系密切,前者的生物学行为更具侵袭性。2016 年版 WHO 分类并未为这些肿瘤提供特定的分级,但文献中有充分证据表明毛细胞黏液样星形细胞瘤的预后略差于典型毛细胞星形细胞瘤。越来越多的证据表明,除了 MAPK 通路改变外,毛细胞黏液样星形细胞瘤还存在遗传改变,使其与典型毛细胞星形细胞瘤有所区别。