CNS5:Oligodendroglioma, IDH-mutant and 1p/19q-codeleted: Difference between revisions

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This disease is <u>defined/characterized</u> as detailed below:
This disease is <u>defined/characterized</u> as detailed below:


*Can be called anaplastic oligodendroglioma (historical; now known as oligodendroglioma, IDH-mutant and 1p/19q-codeleted, CNS WHO grade 3). It is discouraged to call this entity oligoastrocytoma (oligodendroglioma and astrocytoma are molecularly distinct entities. The diagnosis is reserved for rare cases where a dual genotype is identified, or where molecular testing could not be completed).
*A molecularly defined diffusely infiltrating glioma with IDH1 or IDH2 mutation and codeletion of chromosome arms 1p and 19q<ref name=":0" /> .
*A molecularly defined diffusely infiltrating glioma with IDH1 or IDH2 mutation and codeletion of chromosome arms 1p and 19q<ref name=":0" /> .
*Oligodendrogliomas are graded morphologically as either CNS WHO grade 2 or CNS WHO grade 3.
*Oligodendrogliomas are graded morphologically as either CNS WHO grade 2 or CNS WHO grade 3.
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The <u>sites of involvement</u> of this disease are detailed below:
The <u>sites of involvement</u> of this disease are detailed below:


* Approximately 60% of oligodendrogliomas occur within the frontal lobes with
*Approximately 60% of oligodendrogliomas occur within the frontal lobes with
** 14-16% in the temporal lobe
**14-16% in the temporal lobe
** 10-15% in the parietal lobe
**10-15% in the parietal lobe
** 1-6% in the occipital lobe
**1-6% in the occipital lobe
** Less commonly basal ganglia / cerebellum brainstem
**Less commonly basal ganglia / cerebellum brainstem


* Leptomeningeal spread and gliomatosis cerebri pattern can rarely occur  
*Leptomeningeal spread and gliomatosis cerebri pattern can rarely occur
* Rare spinal lesions have been reported but lack genotyping to confirm true oligodendroglioma  
*Rare spinal lesions have been reported but lack genotyping to confirm true oligodendroglioma
* Extracranial metastasis exceedingly rare (CNS WHO grade 3)
*Extracranial metastasis exceedingly rare (CNS WHO grade 3)


The <u>morphologic features</u> of this disease are detailed below:
The <u>morphologic features</u> of this disease are detailed below:


* Classically consist of cells with round, monomorphous nuclei with stippled chromatin and perinuclear halos (artifactual fried-egg appearance)
*Classically consist of cells with round, monomorphous nuclei with stippled chromatin and perinuclear halos (artifactual fried-egg appearance)
** Intervening delicate “chicken wire” vasculature
**Intervening delicate “chicken wire” vasculature
** Can contain GFAP-positive minigemistocytes
**Can contain GFAP-positive minigemistocytes
** Often contain microcalcifications, especially in low-grade tumors<ref name=":0" />
**Often contain microcalcifications, especially in low-grade tumors<ref name=":0" />


The <u>immunophenotype</u> of this disease is detailed below:
The <u>immunophenotype</u> of this disease is detailed below: