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종결 Case No. 481 2018-05-01~2018-05-31
출제자 : 이아름 Hit : 328
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Period 2018-05-01~2018-05-31
Diagnosis Diffuse midline glioma, H3K27M-mutant
Clinical information 53/M
C.C: mental change
Discussion
-New diagnostic entity in 2016 WHO classification
-Characteristic features
- Typical locations : midline(thalamus, pons, sp. cord)
- Usually in children and young adults
- Confirmed only by genotype : H3 K27M mutation +
- Histology : Infiltrative astrocytic tumor cells
- WHO grade IV
-Image findings : may be variable
Suggested imaging Dx., when diffuse infiltrating glioma in typical midline locations
Reference: Brain Pathol. 2016 Sep;26(5):569-80
AJNR Am J Neuroradiol. 2017 Feb 9. doi: 10.3174/ajnr.A5076
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