Tuesday 17 March 2020

Mcq Brain tumour

All are true regarding bain tumour except
1.increased  emphasis on molecular and genetic data in updated  2016 WHOCNS tumour classification
2.Sonic hedgehog activated medulloblastoma generally have good prognosis
3.diffuse leptomeningeal glioneuronal tumour
and multinodular and vacuolating tumour of cerebrum added as new entities
4. 2 hydroxy glutarate spectroscopy in infiltrating glioma may be useful
5.1p/19q codeletion is seen in astrocytoma
And -- 5
1p/29q codeletion is seen in oligodendroglioma 

Sunday 15 March 2020

Hydroxyglutarate imaging role

Q.
Brain tumor may harbor mutations in the genes for the isocitrate dehydrogenases (IDH) 
and produce 2 - hydroxyglutarate which may be identified by imaging and help in characterization of tumor . Identify the tumor 
1.Infiltrating gloms 
2.infiltrating meningioma
3.infiltrating medulloblastoma
4.infiltrating teratoma
5.infiltrating ependymoma 

Ans ——- 1 .

Figure 2.
For the WHO 2016 revision, IDH mutation has become definitional for infiltrating gliomas in adults, with 1p/19q codeletion further characterizing the type .Oligodendroglioma is an infiltrating glioma that carries both IDH mutation and 1p/19q codeletion (which does not occur in the absence of IDH mutation). Astrocytoma is an infiltrating glioma that is subdivided in the classification by the presence of IDH mutation and never contains 1p/19q codeletion.
REF —- Radiographics