Skip to main content
Top
Published in: Acta Neuropathologica 6/2011

01-12-2011 | Correspondence

Embryonal tumor with abundant neuropil and true rosettes (ETANTR) with loss of morphological but retained genetic key features during progression

Authors: Adelheid Woehrer, Irene Slavc, Andreas Peyrl, Thomas Czech, Christian Dorfer, Daniela Prayer, Susanne Stary, Berthold Streubel, Marina Ryzhova, Andrey Korshunov, Stefan M. Pfister, Christine Haberler

Published in: Acta Neuropathologica | Issue 6/2011

Login to get access

Excerpt

Embryonal tumor with abundant neuropil and true rosettes (ETANTR) is a recently recognized, rare embryonal CNS tumor, which predominantly occurs in young children and is associated with a highly aggressive disease course [13, 58, 13, 14, 18, 19, 23]. The histopathological diagnosis of ETANTR is based on the presence of primitive neuroectodermal tumor cells forming distinct multilayered ‘ependymoblastic’ rosettes and characteristic neuropil islands. Recently, genome-wide analyses have revealed a novel amplification at 19q13.42 [16, 19], which is meanwhile considered the genetic hallmark of ETANTR [13, 16]. The characteristic clinical, morphological, and genetic features support the concept of a distinct CNS PNET variant and suggest its introduction to the WHO classification of Tumors of the Central Nervous System [17]. As the amplification at 19q13.42 has also been found in the vast majority of ependymoblastomas analyzed to date [13, 16], the common genetic background suggests the fusion of these two tumor types to a single entity. …
Literature
2.
go back to reference Buccoliero AM, Castiglione F, Degl’Innocenti DR, Franchi A, Paglierani M, Sanzo M, Cetica V, Giunti L, Sardi I, Genitori L, Taddei GL (2010) Embryonal tumor with abundant neuropil and true rosettes: morphological, immunohistochemical, ultrastructural and molecular study of a case showing features of medulloepithelioma and areas of mesenchymal and epithelial differentiation. Neuropathology 30(1):84–91. doi:10.1111/j.1440-1789.2009.01040.x PubMedCrossRef Buccoliero AM, Castiglione F, Degl’Innocenti DR, Franchi A, Paglierani M, Sanzo M, Cetica V, Giunti L, Sardi I, Genitori L, Taddei GL (2010) Embryonal tumor with abundant neuropil and true rosettes: morphological, immunohistochemical, ultrastructural and molecular study of a case showing features of medulloepithelioma and areas of mesenchymal and epithelial differentiation. Neuropathology 30(1):84–91. doi:10.​1111/​j.​1440-1789.​2009.​01040.​x PubMedCrossRef
3.
go back to reference Dunham C, Sugo E, Tobias V, Wills E, Perry A (2007) Embryonal tumor with abundant neuropil and true rosettes (ETANTR): report of a case with prominent neurocytic differentiation. J Neurooncol 84(1):91–98. doi:10.1007/s11060-007-9346-y PubMedCrossRef Dunham C, Sugo E, Tobias V, Wills E, Perry A (2007) Embryonal tumor with abundant neuropil and true rosettes (ETANTR): report of a case with prominent neurocytic differentiation. J Neurooncol 84(1):91–98. doi:10.​1007/​s11060-007-9346-y PubMedCrossRef
4.
go back to reference Dunkel IJ, Boyett JM, Yates A, Rosenblum M, Garvin JH Jr, Bostrom BC, Goldman S, Sender LS, Gardner SL, Li H, Allen JC, Finlay JL (1998) High-dose carboplatin, thiotepa, and etoposide with autologous stem-cell rescue for patients with recurrent medulloblastoma. Children’s Cancer Group. J Clin Oncol 16(1):222–228PubMed Dunkel IJ, Boyett JM, Yates A, Rosenblum M, Garvin JH Jr, Bostrom BC, Goldman S, Sender LS, Gardner SL, Li H, Allen JC, Finlay JL (1998) High-dose carboplatin, thiotepa, and etoposide with autologous stem-cell rescue for patients with recurrent medulloblastoma. Children’s Cancer Group. J Clin Oncol 16(1):222–228PubMed
5.
go back to reference Eberhart CG, Brat DJ, Cohen KJ, Burger PC (2000) Pediatric neuroblastic brain tumors containing abundant neuropil and true rosettes. Pediatr Dev Pathol 3(4):346–352PubMedCrossRef Eberhart CG, Brat DJ, Cohen KJ, Burger PC (2000) Pediatric neuroblastic brain tumors containing abundant neuropil and true rosettes. Pediatr Dev Pathol 3(4):346–352PubMedCrossRef
6.
go back to reference Ferri Niguez B, Martinez-Lage JF, Almagro MJ, Fuster JL, Serrano C, Torroba MA, Sola J (2010) Embryonal tumor with abundant neuropil and true rosettes (ETANTR): a new distinctive variety of pediatric PNET: a case-based update. Childs Nerv Syst 26(8):1003–1008. doi:10.1007/s00381-010-1179-x PubMedCrossRef Ferri Niguez B, Martinez-Lage JF, Almagro MJ, Fuster JL, Serrano C, Torroba MA, Sola J (2010) Embryonal tumor with abundant neuropil and true rosettes (ETANTR): a new distinctive variety of pediatric PNET: a case-based update. Childs Nerv Syst 26(8):1003–1008. doi:10.​1007/​s00381-010-1179-x PubMedCrossRef
7.
8.
go back to reference Gessi M, Giangaspero F, Lauriola L, Gardiman M, Scheithauer BW, Halliday W, Hawkins C, Rosenblum MK, Burger PC, Eberhart CG (2009) Embryonal tumors with abundant neuropil and true rosettes: a distinctive CNS primitive neuroectodermal tumor. Am J Surg Pathol 33(2):211–217. doi:10.1097/PAS.0b013e318186235b PubMedCrossRef Gessi M, Giangaspero F, Lauriola L, Gardiman M, Scheithauer BW, Halliday W, Hawkins C, Rosenblum MK, Burger PC, Eberhart CG (2009) Embryonal tumors with abundant neuropil and true rosettes: a distinctive CNS primitive neuroectodermal tumor. Am J Surg Pathol 33(2):211–217. doi:10.​1097/​PAS.​0b013e318186235b​ PubMedCrossRef
10.
go back to reference Kobayashi C, Monforte-Munoz HL, Gerbing RB, Stram DO, Matthay KK, Lukens JN, Seeger RC, Shimada H (2005) Enlarged and prominent nucleoli may be indicative of MYCN amplification: a study of neuroblastoma (Schwannian stroma-poor), undifferentiated/poorly differentiated subtype with high mitosis-karyorrhexis index. Cancer 103(1):174–180. doi:10.1002/cncr.20717 PubMedCrossRef Kobayashi C, Monforte-Munoz HL, Gerbing RB, Stram DO, Matthay KK, Lukens JN, Seeger RC, Shimada H (2005) Enlarged and prominent nucleoli may be indicative of MYCN amplification: a study of neuroblastoma (Schwannian stroma-poor), undifferentiated/poorly differentiated subtype with high mitosis-karyorrhexis index. Cancer 103(1):174–180. doi:10.​1002/​cncr.​20717 PubMedCrossRef
11.
go back to reference Koh CM, Gurel B, Sutcliffe S, Aryee MJ, Schultz D, Iwata T, Uemura M, Zeller KI, Anele U, Zheng Q, Hicks JL, Nelson WG, Dang CV, Yegnasubramanian S, De Marzo AM (2011) Alterations in nucleolar structure and gene expression programs in prostatic neoplasia are driven by the MYC oncogene. Am J Pathol 178(4):1824–1834. doi:10.1016/j.ajpath.2010.12.040 PubMedCrossRef Koh CM, Gurel B, Sutcliffe S, Aryee MJ, Schultz D, Iwata T, Uemura M, Zeller KI, Anele U, Zheng Q, Hicks JL, Nelson WG, Dang CV, Yegnasubramanian S, De Marzo AM (2011) Alterations in nucleolar structure and gene expression programs in prostatic neoplasia are driven by the MYC oncogene. Am J Pathol 178(4):1824–1834. doi:10.​1016/​j.​ajpath.​2010.​12.​040 PubMedCrossRef
13.
go back to reference Korshunov A, Remke M, Gessi M, Ryzhova M, Hielscher T, Witt H, Tobias V, Buccoliero AM, Sardi I, Gardiman MP, Bonnin J, Scheithauer B, Kulozik AE, Witt O, Mork S, von Deimling A, Wiestler OD, Giangaspero F, Rosenblum M, Pietsch T, Lichter P, Pfister SM (2010) Focal genomic amplification at 19q13.42 comprises a powerful diagnostic marker for embryonal tumors with ependymoblastic rosettes. Acta Neuropathol 120(2):253–260. doi:10.1007/s00401-010-0688-8 PubMedCrossRef Korshunov A, Remke M, Gessi M, Ryzhova M, Hielscher T, Witt H, Tobias V, Buccoliero AM, Sardi I, Gardiman MP, Bonnin J, Scheithauer B, Kulozik AE, Witt O, Mork S, von Deimling A, Wiestler OD, Giangaspero F, Rosenblum M, Pietsch T, Lichter P, Pfister SM (2010) Focal genomic amplification at 19q13.42 comprises a powerful diagnostic marker for embryonal tumors with ependymoblastic rosettes. Acta Neuropathol 120(2):253–260. doi:10.​1007/​s00401-010-0688-8 PubMedCrossRef
14.
go back to reference La Spina M, Pizzolitto S, Skrap M, Nocerino A, Russo G, Di Cataldo A, Perilongo G (2006) Embryonal tumor with abundant neuropil and true rosettes. A new entity or only variations of a parent neoplasms (PNETs)? This is the dilemma. J Neurooncol 78(3):317–320. doi:10.1007/s11060-005-9105-x PubMedCrossRef La Spina M, Pizzolitto S, Skrap M, Nocerino A, Russo G, Di Cataldo A, Perilongo G (2006) Embryonal tumor with abundant neuropil and true rosettes. A new entity or only variations of a parent neoplasms (PNETs)? This is the dilemma. J Neurooncol 78(3):317–320. doi:10.​1007/​s11060-005-9105-x PubMedCrossRef
16.
go back to reference Li M, Lee KF, Lu Y, Clarke I, Shih D, Eberhart C, Collins VP, Van Meter T, Picard D, Zhou L, Boutros PC, Modena P, Liang ML, Scherer SW, Bouffet E, Rutka JT, Pomeroy SL, Lau CC, Taylor MD, Gajjar A, Dirks PB, Hawkins CE, Huang A (2009) Frequent amplification of a chr19q13.41 microRNA polycistron in aggressive primitive neuroectodermal brain tumors. Cancer Cell 16(6):533–546. doi:10.1016/j.ccr.2009.10.025 PubMedCrossRef Li M, Lee KF, Lu Y, Clarke I, Shih D, Eberhart C, Collins VP, Van Meter T, Picard D, Zhou L, Boutros PC, Modena P, Liang ML, Scherer SW, Bouffet E, Rutka JT, Pomeroy SL, Lau CC, Taylor MD, Gajjar A, Dirks PB, Hawkins CE, Huang A (2009) Frequent amplification of a chr19q13.41 microRNA polycistron in aggressive primitive neuroectodermal brain tumors. Cancer Cell 16(6):533–546. doi:10.​1016/​j.​ccr.​2009.​10.​025 PubMedCrossRef
17.
go back to reference Louis DN, Ohgaki H, Wiestler D, Cavanee WK (eds) (2007) WHO Classification of Tumours of the Central Nervous System, vol 4th Edition. IARC Press, Lyon Louis DN, Ohgaki H, Wiestler D, Cavanee WK (eds) (2007) WHO Classification of Tumours of the Central Nervous System, vol 4th Edition. IARC Press, Lyon
19.
go back to reference Pfister S, Remke M, Castoldi M, Bai AH, Muckenthaler MU, Kulozik A, von Deimling A, Pscherer A, Lichter P, Korshunov A (2009) Novel genomic amplification targeting the microRNA cluster at 19q13.42 in a pediatric embryonal tumor with abundant neuropil and true rosettes. Acta Neuropathol 117(4):457–464. doi:10.1007/s00401-008-0467-y PubMedCrossRef Pfister S, Remke M, Castoldi M, Bai AH, Muckenthaler MU, Kulozik A, von Deimling A, Pscherer A, Lichter P, Korshunov A (2009) Novel genomic amplification targeting the microRNA cluster at 19q13.42 in a pediatric embryonal tumor with abundant neuropil and true rosettes. Acta Neuropathol 117(4):457–464. doi:10.​1007/​s00401-008-0467-y PubMedCrossRef
20.
21.
go back to reference Smetana K, Karban J, Trneny M (2010) To the nucleolar bodies (nucleoli) in cells of the lymphocytic lineage in patients suffering from B—chronic lymphocytic leukemia. Neoplasma 57(6):495–500PubMedCrossRef Smetana K, Karban J, Trneny M (2010) To the nucleolar bodies (nucleoli) in cells of the lymphocytic lineage in patients suffering from B—chronic lymphocytic leukemia. Neoplasma 57(6):495–500PubMedCrossRef
22.
go back to reference Tornoczky T, Semjen D, Shimada H, Ambros IM (2007) Pathology of peripheral neuroblastic tumors: significance of prominent nucleoli in undifferentiated/poorly differentiated neuroblastoma. Pathol Oncol Res 13(4):269–275. doi:PAOR.2007.13.4.0269 PubMedCrossRef Tornoczky T, Semjen D, Shimada H, Ambros IM (2007) Pathology of peripheral neuroblastic tumors: significance of prominent nucleoli in undifferentiated/poorly differentiated neuroblastoma. Pathol Oncol Res 13(4):269–275. doi:PAOR.​2007.​13.​4.​0269 PubMedCrossRef
23.
go back to reference Wang Y, Chu SG, Xiong J, Cheng HX, Chen H, Yao XH (2011) Embryonal tumor with abundant neuropil and true rosettes (ETANTR) with a focal amplification at chromosome 19q13.42 locus: further evidence of two new instances in China. Neuropathology. doi:10.1111/j.1440-1789.2011.01215.x Wang Y, Chu SG, Xiong J, Cheng HX, Chen H, Yao XH (2011) Embryonal tumor with abundant neuropil and true rosettes (ETANTR) with a focal amplification at chromosome 19q13.42 locus: further evidence of two new instances in China. Neuropathology. doi:10.​1111/​j.​1440-1789.​2011.​01215.​x
Metadata
Title
Embryonal tumor with abundant neuropil and true rosettes (ETANTR) with loss of morphological but retained genetic key features during progression
Authors
Adelheid Woehrer
Irene Slavc
Andreas Peyrl
Thomas Czech
Christian Dorfer
Daniela Prayer
Susanne Stary
Berthold Streubel
Marina Ryzhova
Andrey Korshunov
Stefan M. Pfister
Christine Haberler
Publication date
01-12-2011
Publisher
Springer-Verlag
Published in
Acta Neuropathologica / Issue 6/2011
Print ISSN: 0001-6322
Electronic ISSN: 1432-0533
DOI
https://doi.org/10.1007/s00401-011-0903-2

Other articles of this Issue 6/2011

Acta Neuropathologica 6/2011 Go to the issue