Leptomeningeal dissemination in pediatric brain tumors

Leptomeningeal disease (LMD) in pediatric brain tumors (PBTs) is a poorly understood and categorized phenomenon. LMD incidence rates, as well as diagnosis, treatment, and screening practices, vary greatly depending on the primary tumor pathology. While LMD is encountered most frequently in medullobl...

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Main Authors: Carolina Cocito, Brice Martin, Alexandra M. Giantini-Larsen, Marcus Valcarce-Aspegren, Mark M. Souweidane, Luca Szalontay, Nadia Dahmane, Jeffrey P. Greenfield
Format: Article
Language:English
Published: Elsevier 2023-05-01
Series:Neoplasia: An International Journal for Oncology Research
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1476558623000234
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author Carolina Cocito
Brice Martin
Alexandra M. Giantini-Larsen
Marcus Valcarce-Aspegren
Mark M. Souweidane
Luca Szalontay
Nadia Dahmane
Jeffrey P. Greenfield
author_facet Carolina Cocito
Brice Martin
Alexandra M. Giantini-Larsen
Marcus Valcarce-Aspegren
Mark M. Souweidane
Luca Szalontay
Nadia Dahmane
Jeffrey P. Greenfield
author_sort Carolina Cocito
collection DOAJ
description Leptomeningeal disease (LMD) in pediatric brain tumors (PBTs) is a poorly understood and categorized phenomenon. LMD incidence rates, as well as diagnosis, treatment, and screening practices, vary greatly depending on the primary tumor pathology. While LMD is encountered most frequently in medulloblastoma, reports of LMD have been described across a wide variety of PBT pathologies. LMD may be diagnosed simultaneously with the primary tumor, at time of recurrence, or as primary LMD without a primary intraparenchymal lesion. Dissemination and seeding of the cerebrospinal fluid (CSF) involves a modified invasion-metastasis cascade and is often the result of direct deposition of tumor cells into the CSF. Cells develop select environmental advantages to survive the harsh, nutrient poor and turbulent environment of the CSF and leptomeninges. Improved understanding of the molecular mechanisms that underlie LMD, along with improved diagnostic and treatment approaches, will help the prognosis of children affected by primary brain tumors.
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spelling doaj.art-59817ddb3a384cd39f768179621d564d2023-04-06T06:10:33ZengElsevierNeoplasia: An International Journal for Oncology Research1476-55862023-05-0139100898Leptomeningeal dissemination in pediatric brain tumorsCarolina Cocito0Brice Martin1Alexandra M. Giantini-Larsen2Marcus Valcarce-Aspegren3Mark M. Souweidane4Luca Szalontay5Nadia Dahmane6Jeffrey P. Greenfield7Weill Cornell Medical College, Department of Neurological Surgery, New York, NY, United StatesWeill Cornell Medical College, Department of Neurological Surgery, New York, NY, United StatesWeill Cornell Medical College, Department of Neurological Surgery, New York, NY, United StatesWeill Cornell Medical College, Department of Neurological Surgery, New York, NY, United States; Yale School of Medicine, New Haven, CT, United StatesWeill Cornell Medical College, Department of Neurological Surgery, New York, NY, United StatesDepartment of Pediatrics, Columbia University Irving Medical Center, New York, NY, United StatesWeill Cornell Medical College, Department of Neurological Surgery, New York, NY, United StatesWeill Cornell Medical College, Department of Neurological Surgery, New York, NY, United States; Corresponding author: Weill Cornell Medicine, New York-Presbyterian Hospital, New York, NY, United States.Leptomeningeal disease (LMD) in pediatric brain tumors (PBTs) is a poorly understood and categorized phenomenon. LMD incidence rates, as well as diagnosis, treatment, and screening practices, vary greatly depending on the primary tumor pathology. While LMD is encountered most frequently in medulloblastoma, reports of LMD have been described across a wide variety of PBT pathologies. LMD may be diagnosed simultaneously with the primary tumor, at time of recurrence, or as primary LMD without a primary intraparenchymal lesion. Dissemination and seeding of the cerebrospinal fluid (CSF) involves a modified invasion-metastasis cascade and is often the result of direct deposition of tumor cells into the CSF. Cells develop select environmental advantages to survive the harsh, nutrient poor and turbulent environment of the CSF and leptomeninges. Improved understanding of the molecular mechanisms that underlie LMD, along with improved diagnostic and treatment approaches, will help the prognosis of children affected by primary brain tumors.http://www.sciencedirect.com/science/article/pii/S1476558623000234Leptomeningeal disseminationPediatricsBrain tumorsMedulloblastoma
spellingShingle Carolina Cocito
Brice Martin
Alexandra M. Giantini-Larsen
Marcus Valcarce-Aspegren
Mark M. Souweidane
Luca Szalontay
Nadia Dahmane
Jeffrey P. Greenfield
Leptomeningeal dissemination in pediatric brain tumors
Neoplasia: An International Journal for Oncology Research
Leptomeningeal dissemination
Pediatrics
Brain tumors
Medulloblastoma
title Leptomeningeal dissemination in pediatric brain tumors
title_full Leptomeningeal dissemination in pediatric brain tumors
title_fullStr Leptomeningeal dissemination in pediatric brain tumors
title_full_unstemmed Leptomeningeal dissemination in pediatric brain tumors
title_short Leptomeningeal dissemination in pediatric brain tumors
title_sort leptomeningeal dissemination in pediatric brain tumors
topic Leptomeningeal dissemination
Pediatrics
Brain tumors
Medulloblastoma
url http://www.sciencedirect.com/science/article/pii/S1476558623000234
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