Extraneural Metastases From a High-Grade Glioma (HGG) With an H3F3A G34R Mutation
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Updated: Jan 24, 2026

A Protocol for Explant Cultures of IDH1-mutant Diffuse Low-grade Gliomas
Published on: May 9, 2025
Amit Jethanandani1,2, Maria K Gule-Monroe3, Melissa Chen3
1Department of Radiation Oncology, MD Anderson Cancer Center, Houston, TX, United States.
Abstract:
Distant metastatic disease from gliomas is extremely rare. We report the case of a 17-year-old female with an H3F3A G34R mutated infiltrative glioma who developed painful osseous metastases to her pelvis and spine within 3 months of clinical presentation. The presence of an H3F3A mutation in these patients may indicate further work-up to include intensive staging examination.
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