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Topics {✒️}

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         headline:Molecular subgroups of medulloblastoma: the current consensus
         description:Medulloblastoma, a small blue cell malignancy of the cerebellum, is a major cause of morbidity and mortality in pediatric oncology. Current mechanisms for clinical prognostication and stratification include clinical factors (age, presence of metastases, and extent of resection) as well as histological subgrouping (classic, desmoplastic, and large cell/anaplastic histology). Transcriptional profiling studies of medulloblastoma cohorts from several research groups around the globe have suggested the existence of multiple distinct molecular subgroups that differ in their demographics, transcriptomes, somatic genetic events, and clinical outcomes. Variations in the number, composition, and nature of the subgroups between studies brought about a consensus conference in Boston in the fall of 2010. Discussants at the conference came to a consensus that the evidence supported the existence of four main subgroups of medulloblastoma (Wnt, Shh, Group 3, and Group 4). Participants outlined the demographic, transcriptional, genetic, and clinical differences between the four subgroups. While it is anticipated that the molecular classification of medulloblastoma will continue to evolve and diversify in the future as larger cohorts are studied at greater depth, herein we outline the current consensus nomenclature, and the differences between the medulloblastoma subgroups.
         datePublished:2011-12-02T00:00:00Z
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      headline:Molecular subgroups of medulloblastoma: the current consensus
      description:Medulloblastoma, a small blue cell malignancy of the cerebellum, is a major cause of morbidity and mortality in pediatric oncology. Current mechanisms for clinical prognostication and stratification include clinical factors (age, presence of metastases, and extent of resection) as well as histological subgrouping (classic, desmoplastic, and large cell/anaplastic histology). Transcriptional profiling studies of medulloblastoma cohorts from several research groups around the globe have suggested the existence of multiple distinct molecular subgroups that differ in their demographics, transcriptomes, somatic genetic events, and clinical outcomes. Variations in the number, composition, and nature of the subgroups between studies brought about a consensus conference in Boston in the fall of 2010. Discussants at the conference came to a consensus that the evidence supported the existence of four main subgroups of medulloblastoma (Wnt, Shh, Group 3, and Group 4). Participants outlined the demographic, transcriptional, genetic, and clinical differences between the four subgroups. While it is anticipated that the molecular classification of medulloblastoma will continue to evolve and diversify in the future as larger cohorts are studied at greater depth, herein we outline the current consensus nomenclature, and the differences between the medulloblastoma subgroups.
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            name:St. Jude Children’s Research Hospital
            address:
               name:Department of Developmental Neurobiology, St. Jude Children’s Research Hospital, Memphis, USA
               type:PostalAddress
            type:Organization
      name:Scott L. Pomeroy
      affiliation:
            name:Harvard Medical School
            address:
               name:Department of Neurology, Children’s Hospital Boston, Harvard Medical School, Boston, USA
               type:PostalAddress
            type:Organization
      name:Marcel Kool
      affiliation:
            name:German Cancer Research Center
            address:
               name:Division of Molecular Genetics, German Cancer Research Center, Heidelberg, Germany
               type:PostalAddress
            type:Organization
      name:Stefan M. Pfister
      affiliation:
            name:German Cancer Research Center
            address:
               name:Division of Molecular Genetics, German Cancer Research Center, Heidelberg, Germany
               type:PostalAddress
            type:Organization
            name:Heidelberg University Hospital
            address:
               name:Department of Pediatric Hematology and Oncology, Heidelberg University Hospital, Heidelberg, Germany
               type:PostalAddress
            type:Organization
      email:[email protected]
PostalAddress:
      name:Division of Neurosurgery, Hospital for Sick Children, University of Toronto, Toronto, Canada
      name:Program in Developmental and Stem Cell Biology, Arthur and Sonia Labatt Brain Tumour Research Centre, Hospital for Sick Children, University of Toronto, Toronto, Canada
      name:Program in Developmental and Stem Cell Biology, Arthur and Sonia Labatt Brain Tumour Research Centre, Hospital for Sick Children, University of Toronto, Toronto, Canada
      name:Clinical Cooperation Unit Neuropathology, German Cancer Research Center, Heidelberg, Germany
      name:Division of Molecular Genetics, German Cancer Research Center, Heidelberg, Germany
      name:Department of Pediatric Hematology and Oncology, Heidelberg University Hospital, Heidelberg, Germany
      name:Department of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, USA
      name:Northern Institute for Cancer Research, Newcastle University, Newcastle upon Tyne, UK
      name:Departments of Pathology, Ophthalmology and Oncology, Johns Hopkins University School of Medicine, Baltimore, USA
      name:Department of Pediatrics, Texas Children’s Cancer Center, Baylor College of Medicine, Houston, USA
      name:Department of Pediatric Hematology and Oncology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
      name:Department of Oncology, St. Jude Children’s Research Hospital, Memphis, USA
      name:Department of Pathology, St. Jude Children’s Research Hospital, Memphis, USA
      name:Division of Molecular Genetics, German Cancer Research Center, Heidelberg, Germany
      name:Department of Developmental Neurobiology, St. Jude Children’s Research Hospital, Memphis, USA
      name:Department of Neurology, Children’s Hospital Boston, Harvard Medical School, Boston, USA
      name:Division of Molecular Genetics, German Cancer Research Center, Heidelberg, Germany
      name:Division of Molecular Genetics, German Cancer Research Center, Heidelberg, Germany
      name:Department of Pediatric Hematology and Oncology, Heidelberg University Hospital, Heidelberg, Germany

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