학술논문

Subgroup and subtype-specific outcomes in adult medulloblastoma.
Document Type
article
Source
Acta Neuropathologica. 142(5)
Subject
Adult
DNA methylation profiling
Medulloblastoma
Molecular groups
Risk stratification
Adolescent
Adult
Biomarkers
Tumor
Cerebellar Neoplasms
Cohort Studies
Female
Humans
Male
Medulloblastoma
Progression-Free Survival
Risk Factors
Young Adult
Language
Abstract
Medulloblastoma, a common pediatric malignant central nervous system tumour, represent a small proportion of brain tumours in adults. Previously it has been shown that in adults, Sonic Hedgehog (SHH)-activated tumours predominate, with Wingless-type (WNT) and Group 4 being less common, but molecular risk stratification remains a challenge. We performed an integrated analysis consisting of genome-wide methylation profiling, copy number profiling, somatic nucleotide variants and correlation of clinical variables across a cohort of 191 adult medulloblastoma cases identified through the Medulloblastoma Advanced Genomics International Consortium. We identified 30 WNT, 112 SHH, 6 Group 3, and 41 Group 4 tumours. Patients with SHH tumours were significantly older at diagnosis compared to other subgroups (p