Fulminant leptomeningeal disease diagnosed as comutant H3F3A and FGFR diffuse midline glioma.


Journal

Annals of clinical and translational neurology
ISSN: 2328-9503
Titre abrégé: Ann Clin Transl Neurol
Pays: United States
ID NLM: 101623278

Informations de publication

Date de publication:
23 Oct 2024
Historique:
revised: 08 07 2024
received: 21 05 2024
accepted: 01 08 2024
medline: 23 10 2024
pubmed: 23 10 2024
entrez: 23 10 2024
Statut: aheadofprint

Résumé

Diffuse midline gliomas present a particularly intricate and challenging clinical scenario. This rare case involves a patient with comutant H3F3A and FGFR diffuse midline glioma with a clinical presentation of fulminant leptomeningitis. A 22-year-old male presented with fatal and fulminant diffuse leptomeningitis. Next-generation sequencing of plasma and cerebrospinal circulating tumour DNA revealed diffuse midline gliomas with H3F3A and FGFR mutations. Methylome analysis of meningeal tissue collected during autopsy confirmed the diagnosis. Liquid biopsy plays a crucial role in the diagnosis of diffuse midline gliomas, mainly those with exclusively leptomeningeal presentations.

Identifiants

pubmed: 39440520
doi: 10.1002/acn3.52180
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024 The Author(s). Annals of Clinical and Translational Neurology published by Wiley Periodicals LLC on behalf of American Neurological Association.

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Auteurs

Larysa Benistant (L)

Oncology Department, Institut de Cancérologie Strasbourg Europe, 17 Avenue Albert Calmette, Strasbourg, France.

Damien Reita (D)

Molecular Biology Department, University Hospital Strasbourg, 1 Avenue Molière, Strasbourg, France.

Maleka Schenck (M)

Medical Reanimation Department, University Hospital Strasbourg, 1 Avenue Molière, Strasbourg, France.

Vincent Castelain (V)

Medical Reanimation Department, University Hospital Strasbourg, 1 Avenue Molière, Strasbourg, France.

Hélène Cebula (H)

Neurosurgery Department, University Hospital Strasbourg, 1 Avenue Molière, Strasbourg, France.

Benoît Lhermitte (B)

Pathology Department, University Hospital Strasbourg, 1 Avenue Molière, Strasbourg, France.
Laboratory Bioimaging and Pathologies, Translational, Transversal and Therapeutic Oncology Team, Faculty of Pharmacy, UMR CNRS 7021, Illkirch-Graffenstaden, 67401, France.

Laura Bender (L)

Oncology Department, Institut de Cancérologie Strasbourg Europe, 17 Avenue Albert Calmette, Strasbourg, France.

Classifications MeSH