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American Journal of Surgical Pathology:
November 2007 - Volume 31 - Issue 11 - pp 1709-1718
doi: 10.1097/PAS.0b013e31804a7ebb
Original Articles

Angiocentric Glioma: Report of Clinico-Pathologic and Genetic Findings in 8 Cases

Preusser, Matthias MD; Hoischen, Alexander MSc; Novak, Klaus MD; Czech, Thomas MD; Prayer, Daniela MD; Hainfellner, Johannes A. MD; Baumgartner, Christoph MD, Dipl-Ing; Woermann, Friedrich G. MD; Tuxhorn, Ingrid E. MD; Pannek, Heinz W. MD; Bergmann, Markus MD; Radlwimmer, Bernhard PhD; Villagrán, Rafael MD; Weber, Ruthild G. MD; Hans, Volkmar H. MD

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Abstract

Angiocentric glioma has recently been described as a novel epilepsy associated tumor with distinct clinico-pathologic features. We report the clinical and pathologic findings in 8 additional cases of this rare tumor type and extend its characterization by genomic profiling. Almost all patients had a history of long-standing drug-resistant epilepsy. Cortico-subcortical tumors were located in the temporal and parietal lobes. Seizures began at 3 to 14 years of age and surgery was performed at 6 to 70 years. Histologically, the tumors were characterized by diffuse growth and prominent perivascular tumor cell arrangements with features of astrocytic/ependymal differentiation, but lacking neoplastic neuronal features. Necrosis and vascular proliferation were not observed and mitoses were sparse or absent. MIB-1 proliferation indices ranged from <1% to 5%. Immunohistochemically, all cases stained positively for glial fibrillary acidic protein, vimentin, protein S100B, variably for podoplanin, and showed epithelial membrane antigen-positive cytoplasmic dots. Electron microscopy showed ependymal characteristics in 2 of 3 cases investigated. An analysis of genomic imbalances by chromosomal comparative genomic hybridization revealed loss of chromosomal bands 6q24 to q25 as the only alteration in 1 of 8 cases. In 1 of 3 cases, a high-resolution screen by array-comparative genomic hybridization identified a copy number gain of 2 adjacent clones from chromosomal band 11p11.2 containing the protein-tyrosine phosphatase receptor type J (PTPRJ) gene. All patients are seizure free and without evidence of tumor recurrence at follow-up times ranging from 1/2 to 6.9 years. Our findings support 2 previous reports proposing that angiocentric glioma is a novel glial tumor entity of low-grade malignancy.

© 2007 Lippincott Williams & Wilkins, Inc.

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