PMID- 17332950 OWN - NLM STAT- MEDLINE DCOM- 20070927 LR - 20220716 IS - 0167-594X (Print) IS - 0167-594X (Linking) VI - 84 IP - 1 DP - 2007 Aug TI - Embryonal tumor with abundant neuropil and true rosettes (ETANTR): report of a case with prominent neurocytic differentiation. PG - 91-8 AB - We report a case of a 2 year-old boy who initially presented with macrocephaly and severe global developmental delay. Imaging revealed a large left temporo-parietal mass that was lobulated, calcified, focally enhancing and partially cystic. A second surgery was required for tumor recurrence approximately one year later, and tissue from that resection proved to be diagnostic for an embryonal tumor with abundant neuropil and true rosettes (ETANTR). Only 12 cases of this rare pediatric embryonal tumor have been previously documented, and as of 2000, the WHO has not recognized ETANTR as a distinct entity (Kleihues P, Cavenee WK (2000) International agency for research on cancer: pathology and genetics of tumors of the nervous system. IARC Press, Lyon). As opposed to prior cases, our patient's tumor exhibited extensive neurocytic elements. Two recently described cases were examined via fluorescence in situ hybridization (FISH), with one demonstrating isochromosome 17q (i17q) and the second exhibiting polysomies of chromosomes 2, 8, 17 and 22 (Fuller C, Fouladi M, Gajjar A, Dalton J, Sanford RA, Helton KJ (2000) Am J Clin Pathol 126: 277-283). Via FISH analysis, we found normal dosages of chromosomes 2, 8 and 17. Our case expands the histopathologic spectrum of ETANTR, illustrating marked neuronal differentiation towards neurocytes. The lack of common PNET-associated FISH abnormalities in this case adds to the limited cytogenetic genetic data on this rare pediatric embryonal neoplasm. FAU - Dunham, Christopher AU - Dunham C AD - Division of Neuropathology, Department of Pathology and Immunology, Washington University School of Medicine, 660 S. Euclid, Campus Box, 8118, St. Louis, MO 63110, USA. FAU - Sugo, Ella AU - Sugo E FAU - Tobias, Vivienne AU - Tobias V FAU - Wills, Edward AU - Wills E FAU - Perry, Arie AU - Perry A LA - eng PT - Case Reports PT - Journal Article DEP - 20070228 PL - United States TA - J Neurooncol JT - Journal of neuro-oncology JID - 8309335 SB - IM MH - Brain Neoplasms/*pathology/surgery/therapy MH - Child, Preschool MH - Humans MH - In Situ Hybridization, Fluorescence MH - Male MH - Neoplasm Recurrence, Local/*parasitology/surgery/therapy MH - Neuroectodermal Tumors, Primitive/*pathology/surgery/therapy MH - Neurons/pathology MH - Neuropil/*pathology MH - Rosette Formation EDAT- 2007/03/03 09:00 MHDA- 2007/09/28 09:00 CRDT- 2007/03/03 09:00 PHST- 2006/10/30 00:00 [received] PHST- 2007/01/29 00:00 [accepted] PHST- 2007/03/03 09:00 [pubmed] PHST- 2007/09/28 09:00 [medline] PHST- 2007/03/03 09:00 [entrez] AID - 10.1007/s11060-007-9346-y [doi] PST - ppublish SO - J Neurooncol. 2007 Aug;84(1):91-8. doi: 10.1007/s11060-007-9346-y. Epub 2007 Feb 28.