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Brief ReportBrief Communication
Open Access

Spectrum of medulloblastoma subtypes and frequency of MYC amplification; Experience from a tertiary care center in Saudi Arabia

Ali H. Alassiri, Fahd M. Alsufiani, Ahmed A. Almutairi, Ibrahim A. Almohini, Mohammed A. Aldosari and Mohammed F. Essa
Neurosciences Journal July 2020, 25 (3) 218-221; DOI: https://doi.org/10.17712/nsj.2020.3.20190124
Ali H. Alassiri
From the Division of Anatomical Pathology (Alassiri, Alsufiani), Department of Pathology and Laboratory Medicine, and Department of Pediatric Hematology/Oncology (Essa), from the College of Medicine (Alassiri, Almutairi, Almohini, Aldosari, Essa), King Saud bin Abdulaziz University for Health Sciences, and from the King Abdullah International Medical Research Center (Alassiri, Essa), Riyadh, Kingdom of Saudi Arabia.
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  • For correspondence: [email protected]
Fahd M. Alsufiani
From the Division of Anatomical Pathology (Alassiri, Alsufiani), Department of Pathology and Laboratory Medicine, and Department of Pediatric Hematology/Oncology (Essa), from the College of Medicine (Alassiri, Almutairi, Almohini, Aldosari, Essa), King Saud bin Abdulaziz University for Health Sciences, and from the King Abdullah International Medical Research Center (Alassiri, Essa), Riyadh, Kingdom of Saudi Arabia.
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Ahmed A. Almutairi
From the Division of Anatomical Pathology (Alassiri, Alsufiani), Department of Pathology and Laboratory Medicine, and Department of Pediatric Hematology/Oncology (Essa), from the College of Medicine (Alassiri, Almutairi, Almohini, Aldosari, Essa), King Saud bin Abdulaziz University for Health Sciences, and from the King Abdullah International Medical Research Center (Alassiri, Essa), Riyadh, Kingdom of Saudi Arabia.
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Ibrahim A. Almohini
From the Division of Anatomical Pathology (Alassiri, Alsufiani), Department of Pathology and Laboratory Medicine, and Department of Pediatric Hematology/Oncology (Essa), from the College of Medicine (Alassiri, Almutairi, Almohini, Aldosari, Essa), King Saud bin Abdulaziz University for Health Sciences, and from the King Abdullah International Medical Research Center (Alassiri, Essa), Riyadh, Kingdom of Saudi Arabia.
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Mohammed A. Aldosari
From the Division of Anatomical Pathology (Alassiri, Alsufiani), Department of Pathology and Laboratory Medicine, and Department of Pediatric Hematology/Oncology (Essa), from the College of Medicine (Alassiri, Almutairi, Almohini, Aldosari, Essa), King Saud bin Abdulaziz University for Health Sciences, and from the King Abdullah International Medical Research Center (Alassiri, Essa), Riyadh, Kingdom of Saudi Arabia.
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Mohammed F. Essa
From the Division of Anatomical Pathology (Alassiri, Alsufiani), Department of Pathology and Laboratory Medicine, and Department of Pediatric Hematology/Oncology (Essa), from the College of Medicine (Alassiri, Almutairi, Almohini, Aldosari, Essa), King Saud bin Abdulaziz University for Health Sciences, and from the King Abdullah International Medical Research Center (Alassiri, Essa), Riyadh, Kingdom of Saudi Arabia.
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    Figure 1

    Kaplan Meier survival curves. a) The 2 MYC amplified (green), one MYCN amplified (blue), and the remaining 15 non-amplified cases (yellow); b) The two MYC amplified cases (blue) versus the remaining 17 non-amplified cases (green). c) The one MYCN amplified case (blue) versus the remaining 18 non-amplified cases (green).

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    Table 1

    Demographics and clinicopathological data. N=57

    DemographicsTotaln (%)
    Sex
    Male27 (47.4)
    Female30 (52.6)
    Age
    ≤14 years29 (50.9)
    >14 years28 (49.1)
    Histology Subtypes
    Classic39 (68.4)
    Desmoplastic/nodular12 (21.1)
    Anaplastic/large-cell4 (7.2)
    With extensive nodularity2 (3.5)
    Molecular Subtypes
    Non-WNT/non-SHH12 (63.2)
    SHH-activated6 (31.6)
    WNT-activated1 (5.3)
    MYC Status
    Amplified2 (10.5)
    Not-amplified17 (89.5)
    MYCN Status
    Amplified1 (5.3)
    Not-amplified18 (94.7)
    • View popup
    Table 2

    MYC and MYCN amplification statuses and outcomes parameters in relation to the histologic subtypes.

    Histological subtypesTotal
    ClassicWith extensive nodularityAnaplastic/large-cellDesmoplastic/nodularn (%)
    MYC amplification
    Positive0ND**202 (10.5)
    Negative9ND**2617 (89.5)
    MYCN amplification
    Positive1ND**001 (5.3)
    Negative8ND**4618 (94.7)
    *Metastasis50117 (17.9)
    *Recurrence42208 (14)
    *Mortality20215 (8.8)
    • ↵* Follow up period is 5 years from the date of diagnosis

    • ↵** ND - Not done

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Neurosciences Journal: 25 (3)
Neurosciences Journal
Vol. 25, Issue 3
1 Jul 2020
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Spectrum of medulloblastoma subtypes and frequency of MYC amplification; Experience from a tertiary care center in Saudi Arabia
Ali H. Alassiri, Fahd M. Alsufiani, Ahmed A. Almutairi, Ibrahim A. Almohini, Mohammed A. Aldosari, Mohammed F. Essa
Neurosciences Journal Jul 2020, 25 (3) 218-221; DOI: 10.17712/nsj.2020.3.20190124

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Spectrum of medulloblastoma subtypes and frequency of MYC amplification; Experience from a tertiary care center in Saudi Arabia
Ali H. Alassiri, Fahd M. Alsufiani, Ahmed A. Almutairi, Ibrahim A. Almohini, Mohammed A. Aldosari, Mohammed F. Essa
Neurosciences Journal Jul 2020, 25 (3) 218-221; DOI: 10.17712/nsj.2020.3.20190124
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