Medulloblastoma Flashcards
Who grading
4
Peak age
1st decade
MCC π
Posterior fossa
Cerebellum vermis near apex of roof 4 th ventricle
Most common site of recurrence medulloblastoma
P - fossa
Good prognosis in non-WNT/non-SHH group 4:
Gain βChrom 7 ,17
Loss β chrom 8 , 11
MRS medulloblastoma
β¬οΈ cholin
β¬οΈ NAA
Poor prognosis medulloblastoma
Young age < 3 us except β‘οΈ desmoplastic/ nodular,MBEN
Mets except MBEN
Residual > 1.5 cm
Poor Karnofsky score
Histological type MDB found in all molecular
Large cell anaplastic βΆοΈ poor prognosis π
Classic
Large cell anaplastic MDB poor prognosis factor
SHH-activated TP53-mut and
non-WNT/non-SHH group 3 with MYC amplification can behave more aggressively.
Desmoplastic/ nodular π
π midline , cerebellar hemispheres
desmoplastic/nodular MDB syndrome
Gorlin syndrome
desmoplastic/nodular MDB prognosis
Better than other histology type
MDB with extensive nodularity (MBEN) π
vermis
MDB with extensive nodularity (MBEN) MCC age
Infant πΆ
MDB with extensive nodularity (MBEN) prognosis
Favorable , drop Mets not affect prognosis