Epithelioid glioblastoma arising from pleomorphic xanthoastrocytoma with the BRAF V600E mutation

Brain Tumor Pathol. 2014 Jul;31(3):172-6. doi: 10.1007/s10014-014-0192-2. Epub 2014 Jun 4.

Abstract

Pleomorphic xanthoastrocytoma (PXA) is classified by the World Health Organization as a grade II astrocytic tumor with relatively favorable prognosis among gliomas. A valine-to-glutamic acid substitution at position 600 of the serine/threonine-protein kinase BRAF (BRAF V600E) mutation, which is commonly found in PXA, has recently been detected in approximately 50% of all epithelioid glioblastoma (GBM) cases. We herein report a case of epithelioid GBM developing at the site of a left temporal PXA 13 years after the treatment of the primary tumor. The BRAF V600E mutation was detected in both tumors. These findings suggest that epithelioid GBM may arise from a PXA with a BRAF V600E mutation.

Publication types

  • Case Reports

MeSH terms

  • Amino Acid Substitution / genetics*
  • Astrocytoma / genetics*
  • Astrocytoma / pathology*
  • Brain Neoplasms / genetics*
  • Brain Neoplasms / pathology*
  • Child
  • Female
  • Glioblastoma / genetics*
  • Glioblastoma / pathology*
  • Glutamic Acid
  • Humans
  • Magnetic Resonance Imaging
  • Mutation*
  • Neoplasms, Second Primary / genetics*
  • Neoplasms, Second Primary / pathology*
  • Proto-Oncogene Proteins B-raf / genetics*
  • Time Factors
  • Valine

Substances

  • Glutamic Acid
  • BRAF protein, human
  • Proto-Oncogene Proteins B-raf
  • Valine