Indolent course of brainstem tumors with K27M-H3.3 mutation

Lorena V. Baroni, Palma Solano-Paez, Liana Nobre, Orli Michaeli, Cynthia Hawkins, Suzanne Laughlin, Ute Bartels, Vijay Ramaswamy, Eric Bouffet*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Diffuse intrinsic pontine glioma (DIPG) is characterized by a short history of brainstem symptoms and well-known magnetic resonance imaging features with a fatal outcome. However, we report three unusual cases of brainstem tumors with an initial indolent and protracted course, which subsequently developed the classical imaging and clinical features of DIPG. Our findings support this notion that K27M is an early event in development and suggest that the emergence of additional events resulted in rapid progression after a long period of latency. Identification of such markers of aggressive behavior in the context of an indolent course is needed for better characterization and treatment management.

Original languageEnglish
Article numbere28102
JournalPediatric Blood and Cancer
Volume67
Issue number3
DOIs
StatePublished - 1 Mar 2020
Externally publishedYes

Funding

FundersFunder number
Walk Foundation
Terry Fox Foundation

    Keywords

    • DIPG
    • K27M
    • brainstem
    • diffuse intrinsic pontine glioma
    • indolent course
    • tumor

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