PMID- 19530234 OWN - NLM STAT- MEDLINE DCOM- 20090908 LR - 20211020 IS - 1545-5017 (Electronic) IS - 1545-5009 (Print) IS - 1545-5009 (Linking) VI - 53 IP - 4 DP - 2009 Oct TI - Clinicopathological characteristics of ganglioneuroma and ganglioneuroblastoma: a report from the CCG and COG. PG - 563-9 LID - 10.1002/pbc.22106 [doi] AB - BACKGROUND: The International Neuroblastoma Pathology Classification (INPC) was the first to clearly define prognostic subgroups in ganglioneuroma (GN) and ganglioneuroblastoma (GNB). PROCEDURE: Histopathology and tumor resectability of 552 GN/GNB cases from the Children's Cancer Group (CCG) and Children's Oncology Group (COG) neuroblastoma studies were reviewed. The results were analyzed along with clinical information and biological data of the cases. RESULTS: According to the INPC, 300 tumors were classified into the Favorable Histology (FH) group and 252 were into the Unfavorable Histology (UH) group. Tumors in the FH group included 43 ganglioneuroma-maturing (GN-M), 198 ganglioneuroblastoma-intermixed (GNB-I), and 59 ganglioneuroblastoma-nodular, favorable subset (GNB-N-FS), and were often (91%) resected completely by single or multiple surgical procedures. Patients with the FH tumors had an excellent prognosis with no tumor-related deaths. The UH group included ganglioneuroblastoma-nodular, unfavorable subset (GNB-N-US) tumors. Patients with the UH tumors had a high incidence (53%) of distant metastasis at the time of diagnosis, and their prognosis significantly depended on clinical stage (5-year EFS: 80.1% for non-stage 4 patients; 16.7% for stage 4 patients): Complete primary tumor resection was not beneficial to those GNB-N-US patients, regardless of whether metastasis was present or not. MYCN amplification was detected in four tumors in the FH group and six tumors in the UH group. The majority (160/191, 84%) of GN-M and GNB-I tumors had a diploid pattern determined by flow cytometry. CONCLUSIONS: Stringent application of the INPC along with clinical staging was critical for prognostic evaluation of the patients with this group of tumors. FAU - Okamatsu, Chizuko AU - Okamatsu C AD - Department of Pathology and Laboratory Medicine, Childrens Hospital Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, California 90027, USA. FAU - London, Wendy B AU - London WB FAU - Naranjo, Arlene AU - Naranjo A FAU - Hogarty, Michael D AU - Hogarty MD FAU - Gastier-Foster, Julie M AU - Gastier-Foster JM FAU - Look, A Thomas AU - Look AT FAU - LaQuaglia, Michael AU - LaQuaglia M FAU - Maris, John M AU - Maris JM FAU - Cohn, Susan L AU - Cohn SL FAU - Matthay, Katherine K AU - Matthay KK FAU - Seeger, Robert C AU - Seeger RC FAU - Saji, Tsutomu AU - Saji T FAU - Shimada, Hiroyuki AU - Shimada H LA - eng GR - U10 CA098413/CA/NCI NIH HHS/United States GR - U10 CA098413-02/CA/NCI NIH HHS/United States GR - U10 CA98413/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. PL - United States TA - Pediatr Blood Cancer JT - Pediatric blood & cancer JID - 101186624 RN - 0 (MYCN protein, human) RN - 0 (N-Myc Proto-Oncogene Protein) RN - 0 (Nuclear Proteins) RN - 0 (Oncogene Proteins) SB - IM MH - Adolescent MH - Child MH - Child, Preschool MH - Ganglioneuroblastoma/genetics/mortality/*pathology MH - Ganglioneuroma/genetics/mortality/*pathology MH - Humans MH - Infant MH - N-Myc Proto-Oncogene Protein MH - Neoplasm Staging MH - Nuclear Proteins/genetics MH - Oncogene Proteins/genetics PMC - PMC2730988 MID - NIHMS123021 EDAT- 2009/06/17 09:00 MHDA- 2009/09/09 06:00 PMCR- 2010/10/01 CRDT- 2009/06/17 09:00 PHST- 2009/06/17 09:00 [entrez] PHST- 2009/06/17 09:00 [pubmed] PHST- 2009/09/09 06:00 [medline] PHST- 2010/10/01 00:00 [pmc-release] AID - 10.1002/pbc.22106 [doi] PST - ppublish SO - Pediatr Blood Cancer. 2009 Oct;53(4):563-9. doi: 10.1002/pbc.22106.