CNS Flashcards
Li-Fraumeni Gene
TP53
Gorlin’s (Nevoid Basal Cell Carcinoma Syndrome) Gene
PTCH
Gorlin’s Syndrome CNS Tumor
Medulloblastoma
TS CNS Tumor
SEGA (Subependymal giant cell astrocytoma)
TS gene
TSC1 and TSC2
Rhabdoid Tumor Predisposition Syndrome Gene
SMARCB1 and SMARCB4 (INI-1)
Path with Rosenthal fibers
Pilocytic astrocytoma
Most common mutation for a LGG
BRAF KIAA1549 fusion
DIPG mutation
H3 K27M mutation
DIPG classic triad
CN symptoms, long tract sx (hyperreflexia) and ataxia
4 medulloblastoma subtypes
WNT, SHH, group 3 and group 4
Need spinal MRI and CSF
Medulloblastoma, ependymoma, germ cell tumors, AT/RT
Medulloblastoma HR features
Residual tumor > 1.5cm^3, metastatic diseae, anaplastic/large cell histology
Ependymoma path
Perivascular pseudorosettes
Ependymoma molecular biology
EPN-YAP 1 = good, EPN-RELA = poor