Next-generation sequencing reveals novel mutations in a collision tumor of glioblastoma and meningioma

Primary intracranial collision tumors are rare in patients without predisposing factors. We report such a case in a 42-year-old female who presented with headaches and altered mental status. Imaging revealed a single heterogeneous, rim-enhancing lesion in the left parieto-occipital periventricular r...

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Published in:CNS Oncology
Main Authors: Kelly Chamberlin, Gregory Chamberlin, Katherine Saunders, Simon Khagi
Format: Article
Language:English
Published: Taylor & Francis Group 2021-06-01
Subjects:
Online Access:https://www.futuremedicine.com/doi/10.2217/cns-2020-0029
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author Kelly Chamberlin
Gregory Chamberlin
Katherine Saunders
Simon Khagi
author_facet Kelly Chamberlin
Gregory Chamberlin
Katherine Saunders
Simon Khagi
author_sort Kelly Chamberlin
collection DOAJ
container_title CNS Oncology
description Primary intracranial collision tumors are rare in patients without predisposing factors. We report such a case in a 42-year-old female who presented with headaches and altered mental status. Imaging revealed a single heterogeneous, rim-enhancing lesion in the left parieto-occipital periventricular region, involving the corpus callosum. Stereotactic biopsy demonstrated glioblastoma. Subsequent tumor resection showed histologic evidence of glioblastoma and meningioma. Next-generation sequencing was performed on both tumor components. The glioblastoma exhibited a CDKN2A homozygous deletion and novel missense mutations in TAF1L and CSMD3, while no definitive genetic alterations were identified in the meningioma. Next-generation sequencing may yield insight into molecular drivers of intracranial collision tumors and aid in identifying future therapeutic targets.
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spelling doaj-art-18cc9984fb7b476c8d82a4f2db2437e32025-08-20T02:26:02ZengTaylor & Francis GroupCNS Oncology2045-09072045-09152021-06-0110210.2217/cns-2020-0029Next-generation sequencing reveals novel mutations in a collision tumor of glioblastoma and meningiomaKelly Chamberlin0Gregory Chamberlin1Katherine Saunders2Simon Khagi31Department of Neurosurgery, UNC Hospitals, Chapel Hill, NC 27514, USA2Department of Pathology & Laboratory Medicine, UNC Hospitals, Chapel Hill, NC 27514, USA2Department of Pathology & Laboratory Medicine, UNC Hospitals, Chapel Hill, NC 27514, USA1Department of Neurosurgery, UNC Hospitals, Chapel Hill, NC 27514, USAPrimary intracranial collision tumors are rare in patients without predisposing factors. We report such a case in a 42-year-old female who presented with headaches and altered mental status. Imaging revealed a single heterogeneous, rim-enhancing lesion in the left parieto-occipital periventricular region, involving the corpus callosum. Stereotactic biopsy demonstrated glioblastoma. Subsequent tumor resection showed histologic evidence of glioblastoma and meningioma. Next-generation sequencing was performed on both tumor components. The glioblastoma exhibited a CDKN2A homozygous deletion and novel missense mutations in TAF1L and CSMD3, while no definitive genetic alterations were identified in the meningioma. Next-generation sequencing may yield insight into molecular drivers of intracranial collision tumors and aid in identifying future therapeutic targets.https://www.futuremedicine.com/doi/10.2217/cns-2020-0029collision tumorCSMD3glioblastomameningiomanext-generation sequencingTAF1L
spellingShingle Kelly Chamberlin
Gregory Chamberlin
Katherine Saunders
Simon Khagi
Next-generation sequencing reveals novel mutations in a collision tumor of glioblastoma and meningioma
collision tumor
CSMD3
glioblastoma
meningioma
next-generation sequencing
TAF1L
title Next-generation sequencing reveals novel mutations in a collision tumor of glioblastoma and meningioma
title_full Next-generation sequencing reveals novel mutations in a collision tumor of glioblastoma and meningioma
title_fullStr Next-generation sequencing reveals novel mutations in a collision tumor of glioblastoma and meningioma
title_full_unstemmed Next-generation sequencing reveals novel mutations in a collision tumor of glioblastoma and meningioma
title_short Next-generation sequencing reveals novel mutations in a collision tumor of glioblastoma and meningioma
title_sort next generation sequencing reveals novel mutations in a collision tumor of glioblastoma and meningioma
topic collision tumor
CSMD3
glioblastoma
meningioma
next-generation sequencing
TAF1L
url https://www.futuremedicine.com/doi/10.2217/cns-2020-0029
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AT katherinesaunders nextgenerationsequencingrevealsnovelmutationsinacollisiontumorofglioblastomaandmeningioma
AT simonkhagi nextgenerationsequencingrevealsnovelmutationsinacollisiontumorofglioblastomaandmeningioma