PMID- 12192498 OWN - NLM STAT- MEDLINE DCOM- 20021231 LR - 20041117 IS - 0256-7040 (Print) IS - 0256-7040 (Linking) VI - 18 IP - 8 DP - 2002 Aug TI - Cytogenetic evaluation of isochromosome 17q in posterior fossa tumors of children and correlation with clinical outcome in medulloblastoma. Detection of a novel chromosomal abnormality. PG - 380-4 AB - BACKGROUND: A number of chromosomal abnormalities have been described in the presence of central nervous system tumors; isochromosome 17q, representing a loss of heterozygosity for the short arm of the chromosome 17, is the one most frequently reported in association with medulloblastoma. The purpose of this study was to evaluate the prognostic correlation of this variable, compared with other variables (surgery extent and radiotherapy), with survival. METHODS AND RESULTS: We looked for the presence of i(17q) in 32 children affected by posterior fossa tumors, including 16 medulloblastomas and 2 teratoid/rhabdoid tumors. For our study we used both karyotypic analysis and the fluorescence in situ hybridization (FISH) procedure, both on fresh and on paraffin-embedded tissues. Cytogenetic analysis allowed us to detect a hitherto unreported abnormality in medulloblastoma: ins(1;10)(q31;q23q26). Moreover, 16 of the 32 patients analyzed by FISH were found to be positive for the presence of i(17q): the 2 with teratoid/rhabdoid tumors, 11 of 16 with medulloblastomas, plus 1 with ependymoblastoma and 2 with anaplastic astrocytomas. As far as the outcome of medulloblastoma patients is concerned, we found that 8 out of the 10 children whose tumor had been totally removed had a favorable outcome regardless of the presence of i(17q): 4 were i(17q) positive and 4 i(17q) negative. CONCLUSIONS: Although it was impossible to draw any definitive conclusion about detection of i(17q) in central nervous system tumors in infancy, particularly in the case of medulloblastoma, we suggest that this chromosomal abnormality is not an independent prognostic factor, but may be a marker for uncontrolled cell proliferation. FAU - DeChiara, Carolina AU - DeChiara C AD - Department of Pediatrics, Faculty of Medicine, University Federico II of Naples, Via S. Pansini, 5, 80131 Naples, Italy. FAU - Borghese, Annamaria AU - Borghese A FAU - Fiorillo, Amedeo AU - Fiorillo A FAU - Genesio, Rita AU - Genesio R FAU - Conti, Anna AU - Conti A FAU - D'Amore, Rosa AU - D'Amore R FAU - Pettinato, Guido AU - Pettinato G FAU - Varone, Antonio AU - Varone A FAU - Maggi, Giuseppe AU - Maggi G LA - eng PT - Journal Article DEP - 20020727 PL - Germany TA - Childs Nerv Syst JT - Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery JID - 8503227 SB - IM MH - Cerebellar Neoplasms/*genetics/pathology MH - Child MH - Child, Preschool MH - Chromosome Aberrations MH - Chromosomes, Human, Pair 17/*genetics MH - Cytogenetics/methods MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence MH - Infant MH - Infratentorial Neoplasms/*genetics/pathology MH - Interphase/genetics MH - Isochromosomes/*genetics MH - Karyotyping MH - Male MH - Medulloblastoma/*genetics/pathology MH - Prognosis MH - Tumor Cells, Cultured EDAT- 2002/08/23 10:00 MHDA- 2003/01/01 04:00 CRDT- 2002/08/23 10:00 PHST- 2001/10/02 00:00 [received] PHST- 2002/03/20 00:00 [revised] PHST- 2002/08/23 10:00 [pubmed] PHST- 2003/01/01 04:00 [medline] PHST- 2002/08/23 10:00 [entrez] AID - 10.1007/s00381-002-0617-9 [doi] PST - ppublish SO - Childs Nerv Syst. 2002 Aug;18(8):380-4. doi: 10.1007/s00381-002-0617-9. Epub 2002 Jul 27.