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Article Dans Une Revue British Journal of Neurosurgery Année : 2018

The enigma of multicentric glioblastoma: physiopathogenic hypothesis and discussion about two cases

Résumé

Two men were admitted following generalized seizures. Cerebral MRI-scans showed multiple independent enhancing lesions which were bilateral (first case) and unilateral but disseminated to the brainstem (second case). Whole-body CT-scans showed no primaries. Both cases were diagnosed by biopsy as IDH1 wild-type multicentric glioblastoma. Treatment of both was palliative. The natural history of this entity remains matter of debate but 2 genomic analysis strikingly revealed that foci from the same patient were of monoclonal origin. Consistently, these 2 cases could sustain the hypothesis that an anatomical connectivity exists between the different foci of a multicentric glioblastoma.
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hal-02315538 , version 1 (14-10-2019)

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Thiébaud Picart, Marine Le Corre, Emilie Chan-Seng, Jérôme Cochereau, Hugues Duffau. The enigma of multicentric glioblastoma: physiopathogenic hypothesis and discussion about two cases. British Journal of Neurosurgery, 2018, 32 (6), pp.610-613. ⟨10.1080/02688697.2018.1501465⟩. ⟨hal-02315538⟩
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