Source:http://linkedlifedata.com/resource/pubmed/id/11589430
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
10
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pubmed:dateCreated |
2001-10-8
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pubmed:abstractText |
Pediatric and NF2-associated meningiomas are uncommon and poorly characterized in comparison to sporadic adult cases. In order to elucidate their molecular features, we analyzed MIB-1, progesterone receptor (PR), NF2, merlin, DAL-1, DAL-1 protein, and chromosomal arms 1p and 14q in 53 meningiomas from 40 pediatric/NF2 patients using immunohistochemistry and dual-color fluorescence in situ hybridization (FISH). Fourteen pediatric (42%) patients, including 5 previously undiagnosed patients, had NF2. The remaining 19 (58%) did not qualify. All 7 of the adult patients had NF2. Meningioma grading revealed 21 benign (40%), 26 atypical (49%), and 6 anaplastic (11%) examples. Other aggressive findings included high mitotic index (32%), high MIB-1 LI (37%), aggressive variant histology (e.g. papillary, clear cell) (25%), brain invasion (17%), recurrence (39%), and patient death (17%). FISH analysis demonstrated deletions of NF2 in 82%, DAL-1 in 82%, 1p in 60%, and 14q in 66%. NF2-associated meningiomas did not differ from sporadic pediatric tumors except for a higher frequency of merlin loss in the former (p = 0.020) and a higher frequency of brain invasion in the latter (p = 0.007). Thus, although pediatric and NF2-associated meningiomas share the common molecular alterations of their adult, sporadic counterparts, a higher fraction are genotypically and phenotypically aggressive. Given the high frequency of undiagnosed NF2 in the pediatric cases, a careful search for other features of this disease is warranted in any child presenting with a meningioma.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
0022-3069
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
60
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
994-1003
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pubmed:dateRevised |
2011-11-17
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pubmed:meshHeading |
pubmed-meshheading:11589430-Adolescent,
pubmed-meshheading:11589430-Adult,
pubmed-meshheading:11589430-Astrocytoma,
pubmed-meshheading:11589430-Child,
pubmed-meshheading:11589430-Child, Preschool,
pubmed-meshheading:11589430-Cohort Studies,
pubmed-meshheading:11589430-Female,
pubmed-meshheading:11589430-Follow-Up Studies,
pubmed-meshheading:11589430-Genotype,
pubmed-meshheading:11589430-Humans,
pubmed-meshheading:11589430-Male,
pubmed-meshheading:11589430-Membrane Proteins,
pubmed-meshheading:11589430-Microfilament Proteins,
pubmed-meshheading:11589430-Middle Aged,
pubmed-meshheading:11589430-Neurofibromatosis 2,
pubmed-meshheading:11589430-Phenotype,
pubmed-meshheading:11589430-Tumor Suppressor Proteins
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pubmed:year |
2001
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pubmed:articleTitle |
Aggressive phenotypic and genotypic features in pediatric and NF2-associated meningiomas: a clinicopathologic study of 53 cases.
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pubmed:affiliation |
Divisions of Neuropathology, Washington University School of Medicine, St. Louis, Missouri 63110-1093, USA.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.,
Research Support, Non-U.S. Gov't
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