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Published on: March 7, 2017
Medulloblastoma variants: age-dependent occurrence and relation to Gorlin syndrome--a new clinical perspective
Maria Luisa Garrè1, Armando Cama, Francesca Bagnasco
1Department of Scientific Direction, Epidemiology and Biostatistics Unit, University of Genoa, Genoa, Italy. mluisagarre@ospedale-gaslini.ge.it
Purpose:
We aimed to test the hypothesis that medulloblastoma (MB) variants show a different age distribution and clinical behavior reflecting their specific biology, and that MB occurring at very young age is associated with cancer predisposition syndromes such as Gorlin syndrome (GS).
Experimental Design:
We investigated the frequency, age distribution, location, response to treatment, outcome, and association with familial cancer predisposition syndromes in a series of 82 cases of MB in patients ages <14 years diagnosed at the Giannina Gaslini Children's Hospital, Genoa, between 1987 and 2004.
Results:
Desmoplastic MB and MB with extensive nodularity (MBEN), were present in 22 of 82 cases (27%) and were more frequent in children ages
Conclusions:
Our data indicate that biologically different MB entities warrant risk-adapted treatment and that MBEN is strongly associated with GS. Patients, ages
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