TY - JOUR AU - Korshunov, Andrey AU - Sturm, Dominik AU - Ryzhova, Marina AU - Hovestadt, Volker AU - Gessi, Marco AU - Jones, David AU - Remke, Marc AU - Northcott, Paul AU - Perry, Arie AU - Picard, Daniel AU - Rosenblum, Marc AU - Antonelli, Manila AU - Aronica, Eleonora AU - Schüller, Ulrich AU - Hasselblatt, Martin AU - Woehrer, Adelheid AU - Zheludkova, Olga AU - Kumirova, Ella AU - Puget, Stephanie AU - Taylor, Michael D AU - Giangaspero, Felice AU - Peter Collins, V. AU - von Deimling, Andreas AU - Lichter, Peter AU - Huang, Annie AU - Pietsch, Torsten AU - Pfister, Stefan AU - Kool, Marcel TI - Embryonal tumor with abundant neuropil and true rosettes (ETANTR), ependymoblastoma, and medulloepithelioma share molecular similarity and comprise a single clinicopathological entity. JO - Acta neuropathologica VL - 128 IS - 2 SN - 1432-0533 CY - Berlin PB - Springer M1 - DKFZ-2017-03696 SP - 279 - 289 PY - 2014 AB - Three histological variants are known within the family of embryonal rosette-forming neuroepithelial brain tumors. These include embryonal tumor with abundant neuropil and true rosettes (ETANTR), ependymoblastoma (EBL), and medulloepithelioma (MEPL). In this study, we performed a comprehensive clinical, pathological, and molecular analysis of 97 cases of these rare brain neoplasms, including genome-wide DNA methylation and copy number profiling of 41 tumors. We identified uniform molecular signatures in all tumors irrespective of histological patterns, indicating that ETANTR, EBL, and MEPL comprise a single biological entity. As such, future WHO classification schemes should consider lumping these variants into a single diagnostic category, such as embryonal tumor with multilayered rosettes (ETMR). We recommend combined LIN28A immunohistochemistry and FISH analysis of the 19q13.42 locus for molecular diagnosis of this tumor category. Recognition of this distinct pediatric brain tumor entity based on the fact that the three histological variants are molecularly and clinically uniform will help to distinguish ETMR from other embryonal CNS tumors and to better understand the biology of these highly aggressive and therapy-resistant pediatric CNS malignancies, possibly leading to alternate treatment strategies. LB - PUB:(DE-HGF)16 C6 - pmid:24337497 C2 - pmc:PMC4102829 DO - DOI:10.1007/s00401-013-1228-0 UR - https://inrepo02.dkfz.de/record/127673 ER -