Читать книгу Intracranial Gliomas Part II - Adjuvant Therapy - Группа авторов - Страница 18
Gliomatosis Cerebri
ОглавлениеThe term “gliomatosis cerebri” has been applied to exceptionally invasive diffusely infiltrating gliomas with involvement of at least three cerebral lobes, frequent bilateral growth and infratentorial extension [3, 11]. These tumors mostly display an astrocytic phenotype, while oligodendroglial and mixed morphology can also present with such extensive growth patterns. Gliomatosis cerebri is a genetically heterogeneous group of lesions carrying either wild-type or mutant IDH1/IDH2. Their biological behavior usually corresponds to WHO grade III [3]. Nevertheless, this pathological designation was abandoned in the updated WHO classification of CNS tumors (2016) [11] as a distinct entity and currently is considered a growth pattern found in many gliomas. Further studies are necessary to clarify the biological basis for the unusually widespread neoplastic infiltration in such cases [11].