PMID- 33062570 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201020 IS - 2188-4226 (Print) IS - 2188-4226 (Electronic) IS - 2188-4226 (Linking) VI - 7 IP - 4 DP - 2020 Sep TI - Well-differentiated Astroblastoma with Both Focal Anaplastic Features and a Meningioma 1 Gene Alteration. PG - 205-210 LID - 10.2176/nmccrj.cr.2020-0028 [doi] AB - A 6-year-old female was incidentally found to have a brain tumor. Magnetic resonance imaging (MRI) demonstrated a gadolinium-enhanced mass in the left parietal lobe. We performed gross total resection with the assistance of fluorescent guidance by 5-aminolevulinic acid (5-ALA). A histological examination of the tumor specimen showed well-differentiated astroblastic features with focal anaplasia. Fluorescence in situ hybridization (FISH) revealed meningioma 1 (MN1) gene alteration and supported our diagnosis. She received local radiotherapy and oral temozolomide followed by maintenance temozolomide chemotherapy, and the tumor was well controlled without any neurological deficit for 27 months. Our case is considered to be valuable since it describes a patient who is diagnosed to have a well-differentiated astroblastoma with both focal anaplastic features and MN1 gene rearrangement. A larger study is warranted to establish evidence supporting the diagnosis and treatment of astroblastoma with molecular characteristic features. MN1 alteration will be a diagnostic marker for astroblastoma in the future. CI - (c) 2020 The Japan Neurosurgical Society. FAU - Fudaba, Hirotaka AU - Fudaba H AD - Department of Neurosurgery, Oita University Faculty of Medicine, Yufu, Oita, Japan. FAU - Momii, Yasutomo AU - Momii Y AD - Department of Neurosurgery, Oita University Faculty of Medicine, Yufu, Oita, Japan. FAU - Kawasaki, Yukari AU - Kawasaki Y AD - Department of Neurosurgery, Oita University Faculty of Medicine, Yufu, Oita, Japan. FAU - Goto, Hironori AU - Goto H AD - Department of Pediatrics, Oita University Faculty of Medicine, Yufu, Oita, Japan. FAU - Nobusawa, Sumihito AU - Nobusawa S AD - Department of Human Pathology, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan. FAU - Fujiki, Minoru AU - Fujiki M AD - Department of Neurosurgery, Oita University Faculty of Medicine, Yufu, Oita, Japan. LA - eng PT - Case Reports DEP - 20200916 PL - Japan TA - NMC Case Rep J JT - NMC case report journal JID - 101692589 PMC - PMC7538458 OTO - NOTNLM OT - Meningioma 1 gene OT - anaplastic OT - astroblastoma OT - brain neoplasms OT - child COIS- Conflicts of Interest Disclosure The authors declare there are no conflicts of interest. EDAT- 2020/10/17 06:00 MHDA- 2020/10/17 06:01 PMCR- 2020/09/16 CRDT- 2020/10/16 05:55 PHST- 2020/02/15 00:00 [received] PHST- 2020/03/18 00:00 [accepted] PHST- 2020/10/16 05:55 [entrez] PHST- 2020/10/17 06:00 [pubmed] PHST- 2020/10/17 06:01 [medline] PHST- 2020/09/16 00:00 [pmc-release] AID - nmccrj-7-205 [pii] AID - 10.2176/nmccrj.cr.2020-0028 [doi] PST - epublish SO - NMC Case Rep J. 2020 Sep 16;7(4):205-210. doi: 10.2176/nmccrj.cr.2020-0028. eCollection 2020 Sep.