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Medulloblastoma: Malignant Brain Tumor in Children

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What is the primary focus of the research paper 'Genome sequencing of SHH medulloblastoma predicts genotype-related response to smoothened inhibition'?

Identifying genomic characteristics of SHH medulloblastoma

In which part of the brain is medulloblastoma typically found?

Cerebellum or dorsal brainstem

What is the significance of the study by Rutkowski et al. (2010)?

It reported a prognostic factor for early childhood medulloblastoma

What is medulloblastoma?

<p>A malignant small round cell tumor</p> Signup and view all the answers

What is the title of the review article by Ramaswamy et al. (2016)?

<p>Risk stratification of childhood medulloblastoma in the molecular era</p> Signup and view all the answers

What is the most common type of malignant CNS tumor in children?

<p>Medulloblastoma</p> Signup and view all the answers

What is the theme of the study by Rutkowski et al. (2005)?

<p>Postoperative chemotherapy for early childhood medulloblastoma</p> Signup and view all the answers

Which of the following genetic changes is associated with high-risk medulloblastoma?

<p>Chromosome 7 gain, chromosome 8 loss, and chromosome 11 loss</p> Signup and view all the answers

What is a common theme among the referenced studies?

<p>Examining the molecular characteristics of medulloblastoma</p> Signup and view all the answers

What is a common histopathological feature of medulloblastoma?

<p>Epitheloid ribboning and nuclear moulding</p> Signup and view all the answers

What characteristic is shared by secretory, angiomatous, microcystic, and lymphoplasmacyte rich meningioma variants?

<p>Prominent peritumoral edema</p> Signup and view all the answers

What is the diagnosis that would best fit the histology shown in the image?

<p>Meningioma</p> Signup and view all the answers

Which of the following meningioma variants is characterized by prominent secretory activity?

<p>Secretory meningioma</p> Signup and view all the answers

What is the appropriate set of immunostains to determine the diagnosis of the tumor?

<p>EMA, Vimentin, and SSTR2</p> Signup and view all the answers

What is the age of the patient with the intracranial tumor?

<p>57 years old</p> Signup and view all the answers

Study Notes

Medulloblastoma

  • A malignant small round cell tumor found in the cerebellum or dorsal brainstem
  • The most common malignant CNS tumor in children

Histopathological Features

  • Characterized by epitheloid ribboning and nuclear moulding of tumor cells
  • Reticulin stain highlights "pale islands" in desmoplastic medulloblastoma

Genetic Features

  • Group 3 and 4 can be separated into favorable and high-risk cases based on chromosome 7 gain, chromosome 8 loss, and chromosome 11 loss
  • i17q diploid cases are classified as high-risk

Subgroups and Classification

  • Histopathological and genetic classification is integrated to diagnose medulloblastoma
  • Subgroup-specific localization of human medulloblastoma can be based on pre-operative MRI

Genomic Analysis

  • Recurrent medulloblastomas may have secondary glioblastoma after radiotherapy
  • WNT-activated medulloblastomas may have secondary SHH pathway activation

Prognostic Factors and Treatment

  • Survival and prognostic factors of early childhood medulloblastoma include age, metastasis, and histology
  • Postoperative chemotherapy alone can be used to treat early childhood medulloblastoma
  • Risk stratification of childhood medulloblastoma can be done in the molecular era

Meningioma Diagnosis

  • A 57-year-old man presented with an intracranial convexity-based tumor requiring immunostains to determine the diagnosis.

Meningioma Variants

  • Low-grade meningioma variants that may have prominent peritumoral edema are: • Secretory • Angiomatous • Microcystic • Lymphoplasmacyte rich

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