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041 _ _ |a English
082 _ _ |a 610
100 1 _ |a Shatara, Margaret
|b 0
245 _ _ |a Clinically aggressive pediatric spinal ependymoma with novel MYC amplification demonstrates molecular and histopathologic similarity to newly described MYCN-amplified spinal ependymomas.
260 _ _ |a London
|c 2021
|b Biomed Central
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520 _ _ |a Primary spinal cord tumors contribute to ≤ 10% of central nervous system tumors in individuals of pediatric or adolescent age. Among intramedullary tumors, spinal ependymomas make up ~ 30% of this rare tumor population. A twelve-year-old male presented with an intradural, extramedullary mass occupying the dorsal spinal canal from C6 through T2. Gross total resection and histopathology revealed a World Health Organization (WHO) grade 2 ependymoma. He recurred eleven months later with extension from C2 through T1-T2. Subtotal resection was achieved followed by focal proton beam irradiation and chemotherapy. Histopathology was consistent with WHO grade 3 ependymoma. Molecular profiling of the primary and recurrent tumors revealed a novel amplification of the MYC (8q24) gene, which was confirmed by fluorescence in situ hybridization studies. Although MYC amplification in spinal ependymoma is exceedingly rare, a newly described classification of spinal ependymoma harboring MYCN (2p24) amplification (SP-MYCN) has been defined by DNA methylation-array based profiling. These individuals typically present with a malignant progression and dismal outcomes, contrary to the universally excellent survival outcomes seen in other spinal ependymomas. DNA methylation array-based classification confidently classified this tumor as SP-MYCN ependymoma. Notably, among the cohort of 52 tumors comprising the SP-MYCN methylation class, none harbor MYC amplification, highlighting the rarity of this genomic amplification in spinal ependymoma. A literature review comparing our individual to reported SP-MYCN tumors (n = 26) revealed similarities in clinical, histopathologic, and molecular features. Thus, we provide evidence from a single case to support the inclusion of MYC amplified spinal ependymoma within the molecular subgroup of SP-MYCN.
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650 _ 7 |a Amplification
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650 _ 7 |a DNA methylation array
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650 _ 7 |a Ependymoma
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650 _ 7 |a FISH
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650 _ 7 |a MYC
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650 _ 7 |a MYCN
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650 _ 7 |a Pediatric
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650 _ 7 |a Spinal
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700 1 _ |a Schieffer, Kathleen M
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700 1 _ |a Klawinski, Darren
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700 1 _ |a Thomas, Diana L
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700 1 _ |a Pierson, Christopher R
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700 1 _ |a Sribnick, Eric A
|b 5
700 1 _ |a Jones, Jeremy
|b 6
700 1 _ |a Rodriguez, Diana P
|b 7
700 1 _ |a Deeg, Carol
|b 8
700 1 _ |a Hamelberg, Elizabeth
|b 9
700 1 _ |a LaHaye, Stephanie
|b 10
700 1 _ |a Miller, Katherine E
|b 11
700 1 _ |a Fitch, James
|b 12
700 1 _ |a Kelly, Benjamin
|b 13
700 1 _ |a Leraas, Kristen
|b 14
700 1 _ |a Pfau, Ruthann
|b 15
700 1 _ |a White, Peter
|b 16
700 1 _ |a Magrini, Vincent
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700 1 _ |a Wilson, Richard K
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700 1 _ |a Mardis, Elaine R
|b 19
700 1 _ |a Abdelbaki, Mohamed S
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700 1 _ |a Finlay, Jonathan L
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700 1 _ |a Boué, Daniel R
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700 1 _ |a Cottrell, Catherine E
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700 1 _ |a Ghasemi, David R
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700 1 _ |a Pajtler, Kristian W
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700 1 _ |a Osorio, Diana S
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773 _ _ |a 10.1186/s40478-021-01296-2
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