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Updated: Jan 12, 2026

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Pediatric-Type Diffuse Low Grade Glioma.

Chelsea Kotch1, Katherine Green2, Michael J Fisher1

  • 1Division of Oncology, Children's Hospital of Philadelphia, Philadelphia, PA, United States; Department of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States.

Advances in Cancer Research
|November 6, 2025
PubMed
Summary
This summary is machine-generated.

Pediatric-type diffuse low grade gliomas are a new group of brain tumors. Accurate diagnosis requires combining histology and molecular data for effective management.

Keywords:
Angiocentric gliomaCentral nervous system tumorsPediatric-type diffuse low grade gliomaPolymorphous low-grade neuroepithelial tumor of the young

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Area of Science:

  • Neuro-oncology
  • Pediatric Pathology
  • Molecular Diagnostics

Background:

  • The WHO 2021 classification introduces pediatric-type diffuse low grade gliomas as a distinct subgroup.
  • This group includes four entities: diffuse astrocytoma MYB/MYBL1-altered, angiocentric glioma, polymorphous low-grade neuroepithelial tumor of the young, and diffuse low grade glioma MAPK-altered.
  • Histopathology and molecular alterations show significant overlap, complicating diagnosis.

Purpose of the Study:

  • To describe the epidemiologic, imaging, and molecular features of these pediatric diffuse gliomas.
  • To review current management approaches and treatment outcomes.
  • To explore potential therapeutic implications of molecular alterations.

Main Methods:

  • Review of epidemiologic data.
  • Analysis of imaging characteristics.
  • Integration of molecular findings with histopathology.
  • Literature review of management and treatment outcomes.

Main Results:

  • Detailed characterization of the four entities within the pediatric-type diffuse low grade glioma family.
  • Emphasis on the necessity of integrated diagnostic approaches.
  • Summary of current treatment strategies and outcomes.
  • Identification of key molecular alterations and their therapeutic relevance.

Conclusions:

  • Accurate diagnosis of pediatric-type diffuse low grade gliomas necessitates a combined histological and molecular approach.
  • Understanding the unique features of each entity is crucial for tailored management.
  • Molecular alterations offer potential targets for novel therapeutic strategies.