Diffuse Midline Gliomas Harboring the H3 K27M-Mutation in the Bilateral Thalamus and Midbrain: A Case Report and a Review of the Literature

The diffuse midline glioma H3 K27M-mutant was only added recently to the World Health Organization (WHO) Classification of Tumours of the Central Nervous System. While similar tumors are found in the midline, this particular mutation represents the majority of diffuse gliomas in the brainstem. Cl...

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Main Authors: In Kyeom Kim, Jin Woo Kim, Yoon Joon Hwang, Byung Hoon Lee, Jung Wook Seo
Format: Article
Language:English
Published: The Korean Society of Radiology 2017-12-01
Series:대한영상의학회지
Subjects:
Online Access:https://doi.org/10.3348/jksr.2017.77.6.416
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author In Kyeom Kim
Jin Woo Kim
Yoon Joon Hwang
Byung Hoon Lee
Jung Wook Seo
author_facet In Kyeom Kim
Jin Woo Kim
Yoon Joon Hwang
Byung Hoon Lee
Jung Wook Seo
author_sort In Kyeom Kim
collection DOAJ
description The diffuse midline glioma H3 K27M-mutant was only added recently to the World Health Organization (WHO) Classification of Tumours of the Central Nervous System. While similar tumors are found in the midline, this particular mutation represents the majority of diffuse gliomas in the brainstem. Classified by WHO as grade IV tumors, these are aggressive and bear a poor prognosis for the patient. This report describes a case involving a 37-year-old woman with a histologically confirmed diffuse midline glioma H3 K27M-mutant in the bilateral thalamus and midbrain. The following discussion describes typical characteristics observed with computed tomography and magnetic resonance imaging. Given the rarity of diffuse intrinsic pontine gliomas in adults and the general lack of studies investigating this poorly understood entity, we report critical findings for contribution to the existing scarce literature on the topic.
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spelling doaj.art-c45efaca13584723820d2ba2617cb6242022-12-22T01:38:11ZengThe Korean Society of Radiology대한영상의학회지1738-26372288-29282017-12-01776416420https://doi.org/10.3348/jksr.2017.77.6.416Diffuse Midline Gliomas Harboring the H3 K27M-Mutation in the Bilateral Thalamus and Midbrain: A Case Report and a Review of the LiteratureIn Kyeom Kim0Jin Woo Kim1Yoon Joon Hwang2Byung Hoon Lee3Jung Wook Seo4Department of Radiology, Inje University College of Medicine, Ilsan Paik Hospital, Goyang, KoreaDepartment of Radiology, Inje University College of Medicine, Ilsan Paik Hospital, Goyang, KoreaDepartment of Radiology, Inje University College of Medicine, Ilsan Paik Hospital, Goyang, KoreaDepartment of Radiology, Inje University College of Medicine, Ilsan Paik Hospital, Goyang, KoreaDepartment of Radiology, Inje University College of Medicine, Ilsan Paik Hospital, Goyang, KoreaThe diffuse midline glioma H3 K27M-mutant was only added recently to the World Health Organization (WHO) Classification of Tumours of the Central Nervous System. While similar tumors are found in the midline, this particular mutation represents the majority of diffuse gliomas in the brainstem. Classified by WHO as grade IV tumors, these are aggressive and bear a poor prognosis for the patient. This report describes a case involving a 37-year-old woman with a histologically confirmed diffuse midline glioma H3 K27M-mutant in the bilateral thalamus and midbrain. The following discussion describes typical characteristics observed with computed tomography and magnetic resonance imaging. Given the rarity of diffuse intrinsic pontine gliomas in adults and the general lack of studies investigating this poorly understood entity, we report critical findings for contribution to the existing scarce literature on the topic.https://doi.org/10.3348/jksr.2017.77.6.416brain stem neoplasmsthalamusmidbrainmagnetic resonance imaging
spellingShingle In Kyeom Kim
Jin Woo Kim
Yoon Joon Hwang
Byung Hoon Lee
Jung Wook Seo
Diffuse Midline Gliomas Harboring the H3 K27M-Mutation in the Bilateral Thalamus and Midbrain: A Case Report and a Review of the Literature
대한영상의학회지
brain stem neoplasms
thalamus
midbrain
magnetic resonance imaging
title Diffuse Midline Gliomas Harboring the H3 K27M-Mutation in the Bilateral Thalamus and Midbrain: A Case Report and a Review of the Literature
title_full Diffuse Midline Gliomas Harboring the H3 K27M-Mutation in the Bilateral Thalamus and Midbrain: A Case Report and a Review of the Literature
title_fullStr Diffuse Midline Gliomas Harboring the H3 K27M-Mutation in the Bilateral Thalamus and Midbrain: A Case Report and a Review of the Literature
title_full_unstemmed Diffuse Midline Gliomas Harboring the H3 K27M-Mutation in the Bilateral Thalamus and Midbrain: A Case Report and a Review of the Literature
title_short Diffuse Midline Gliomas Harboring the H3 K27M-Mutation in the Bilateral Thalamus and Midbrain: A Case Report and a Review of the Literature
title_sort diffuse midline gliomas harboring the h3 k27m mutation in the bilateral thalamus and midbrain a case report and a review of the literature
topic brain stem neoplasms
thalamus
midbrain
magnetic resonance imaging
url https://doi.org/10.3348/jksr.2017.77.6.416
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