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Chordoid Gliomas of the Third Ventricle Share TTF-1 Expression With Organum Vasculosum of the Lamina Terminalis.

第三脑室脊索样胶质瘤与终板血管器的TTF-1表达相同

Bielle F,Villa C,Giry M,Bergemer-Fouquet AM,Polivka M,Vasiljevic A,Aubriot-Lorton MH,Bernier M,Lechapt-Zalcman E,Viennet G,Sazdovitch V,Duyckaerts C,Sanson M,Figarella-Branger D,Mokhtari K,

Abstract

Chordoid glioma of the third ventricle (CG3V) is a rare tumor developing in a stereotyped localization. It has been related to the circumventricular organ of the lamina terminalis, in the anterior part of the third ventricle, but its oncogenesis is poorly understood. TTF-1 transcription factor is involved in the development and adult physiology of the ventral forebrain. We studied the histopathologic and immunohistochemical features of a multicentric series of 17 cases of CG3V. We described additional histologic patterns (solid, fibrosing, and fusiform) to the typical chordoid pattern. TTF-1 was constantly expressed in CG3V, as in developing and adult lamina terminalis. The anti-TTF-1 SPT24 clone was more sensitive than the 8G7G3/1 clone. No mutation of IDH1 R132, IDH2 R172, or BRAF V600 codons was found. We showed TTF-1 as a useful marker for the diagnosis of CG3V and the understanding of its oncogenesis.

摘要

第三脑室脊索样胶质瘤(CG3V)是一种罕见的肿瘤,几乎只发生在第三脑室(CG3V)这个位置。这与第三脑室前部终板的室周器官有关,但其发生机制知之甚少。TTF-1转录因子参与腹侧前脑的胚胎发育和成熟。我们收集了多中心17例CG3V,研究了其组织病理形态和免疫组化特征。除了典型的脊索样排列模式外,我们描述了其他组织学排列模式(实体型、纤维化和束状)。正如发育和成熟期的终板,TTF-1在CG3V总是阳性表达。TTF-1抗体 SPT24克隆比8G7G3/1克隆更敏感。未发现IDH1 R132、IDH2 R172或BRAF V600密码子突变。我们研究结果显示TTF-1可作为CG3V诊断和理解其发生机制的有用标志物。

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