Early atypical malignant transformation of diffuse low-grade astrocytoma: The importance of genotyping.

Neurocirugia (Astur : Engl Ed)

Department of Neurosurgery, Centro Hospitalar Universitário São João, Oporto, Portugal; Faculty of Medicine, Oporto University, Portugal; Neurosciences Centre, Hospital CUF, Oporto, Portugal.

Published: November 2020

AI Article Synopsis

  • - Diffuse astrocytoma (WHO grade II) is usually seen as a slow-growing tumor in young adults, but this case shows an early, atypical malignant transformation into a high-grade glioma just 17 months after surgical removal.
  • - The patient's tumor showed negative results for IDH 1/2 mutations, which is significant because IDH-wildtype astrocytomas are increasingly recognized for their aggressive behavior.
  • - Testing for IDH mutation status is becoming essential for determining the prognosis and guiding treatment decisions for astrocytoma patients.

Article Abstract

Diffuse astrocytoma (WHO grade II) has classically been considered a slow growing tumour, typically affecting young adults, with tendency for late malignant conversion. We describe a case of early atypical malignant transformation of diffuse astrocytoma seventeen months after complete surgical removal, as an intraventricular high-grade glioma (HGG). Retrospective laboratory findings for the presence of IDH 1/2 (isocitrate dehydrogenase) mutations were negative. There is growing evidence that IDH-wildtype (wt) astrocytomas behave more aggressively, therefore identifying IDH-mutation status should be mandatory in order to determine disease prognosis and guide treatment course.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.neucir.2020.09.003DOI Listing

Publication Analysis

Top Keywords

early atypical
8
atypical malignant
8
malignant transformation
8
transformation diffuse
8
diffuse astrocytoma
8
diffuse low-grade
4
low-grade astrocytoma
4
astrocytoma genotyping
4
genotyping diffuse
4
astrocytoma grade
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!