001     168704
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037 _ _ |a DKFZ-2021-01012
041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Zin, Francesca
|b 0
245 _ _ |a Histopathological patterns in atypical teratoid/rhabdoid tumors are related to molecular subgroup.
260 _ _ |a Oxford
|c 2021
|b Wiley-Blackwell
336 7 _ |a article
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500 _ _ |a 2021 Sep;31(5):e12967
520 _ _ |a Atypical teratoid/rhabdoid tumor (AT/RT) is a highly malignant tumor that may not only contain rhabdoid tumor cells but also poorly differentiated small-round-blue cells as well as areas with mesenchymal or epithelial differentiation. Little is known on factors associated with histopathological diversity. Recent studies demonstrated three molecular subgroups of AT/RT, namely ATRT-TYR, ATRT-SHH, and ATRT-MYC. We thus aimed to investigate if morphological patterns might be related to molecular subgroup status. Hematoxylin-eosin stained sections of 114 AT/RT with known molecular subgroup status were digitalized and independently categorized by nine blinded observers into four morphological categories, that is, 'rhabdoid,' 'small-round-blue,' 'epithelial,' and 'mesenchymal.' The series comprised 48 ATRT-SHH, 40 ATRT-TYR, and 26 ATRT-MYC tumors. Inter-observer agreement was moderate but significant (Fleiss' kappa = 0.47; 95% C.I. 0.41-0.53; p < 0.001) and there was a highly significant overall association between morphological categories and molecular subgroups for each of the nine observers (p < 0.0001). Specifically, the category 'epithelial' was found to be over-represented in ATRT-TYR (p < 0.000001) and the category 'small-round-blue' to be over-represented in ATRT-SHH (p < 0.01). The majority of ATRT-MYC was categorized as 'mesenchymal' or 'rhabdoid,' but this association was less compelling. The specificity of the category 'epithelial' for ATRT-TYR was highest and accounted for 97% (range: 88-99%) whereas sensitivity was low [49% (range: 35%-63%)]. In line with these findings, cytokeratin-positivity was highly overrepresented in ATRT-TYR. In conclusion, morphological features of AT/RT might reflect molecular alterations and may also provide a first hint on molecular subgroup status, which will need to be confirmed by DNA methylation profiling.
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650 _ 7 |a AT/RT
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650 _ 7 |a DNA methylation profiling
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650 _ 7 |a INI-1
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650 _ 7 |a cytokeratin
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650 _ 7 |a histopathology
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700 1 _ |a Cotter, Jennifer A
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700 1 _ |a Haberler, Christine
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700 1 _ |a Dottermusch, Matthias
|b 3
700 1 _ |a Neumann, Julia
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700 1 _ |a Schüller, Ulrich
|0 0000-0002-8731-1121
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700 1 _ |a Schweizer, Leonille
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700 1 _ |a Thomas, Christian
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700 1 _ |a Nemes, Karolina
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700 1 _ |a Johann, Pascal D
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700 1 _ |a Kool, Marcel
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700 1 _ |a Frühwald, Michael C
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700 1 _ |a Paulus, Werner
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700 1 _ |a Judkins, Alexander
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700 1 _ |a Hasselblatt, Martin
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773 _ _ |a 10.1111/bpa.12967
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914 1 _ |y 2021
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