Table 3.
Main histological, immunohistochemical and molecular features of diffuse gliomas with FGFR3‐TACC3 fusion.
Features | Diffuse gliomas with FGFR3‐TACC3 fusion |
---|---|
N | 30 |
M:F | 1:1 |
Mean age at diagnosis | 62y ±12 (range 42–87 y) |
Resection/Biopsy | 21/9 (70%)/(30%) |
Localization | |
Right/left side | 18 (60%)/12 (40%) |
Frontal | 10 (33%) |
Temporal | 8 (27%) |
Parieto‐occipital | 7 (23%) |
Parietal | 3 (10%) |
Temporo‐parietal | 1 (3%) |
Fronto‐temporal | 1 (3%) |
Tumor type | |
Glioblastoma, IDH‐wildtype grade IV | 25 (83%) |
Gliosarcoma, IDH‐wildtype grade IV | 1 (3%) |
Glioblastoma, NOS grade IV | 1 (3%) |
Diffuse astrocytoma, IDH‐wildtype grade II | 3 (10%) |
Histological features | |
Recurrent morphological features* | 22 (73%) |
Monomorphous ovoid nuclei | 26 (87%) |
Calcifications | 17 (57%) |
Desmoplastic changes | 15 (50%) |
Endocrinoid vascular network | 26 (87%) |
Immunohistochemical features | |
IDH1 R132H positivity | 0/28 (0%) |
ATRX loss of expression | 0/28 (0%) |
P53 | 4/28 (14%) |
Mean Ki67 index grade II | 3% ±2 |
Mean Ki67 index grade IV | 16% ±11 |
CD34 | 16/29 (55%) |
EGFR score (from 0 to 400) | 131 ± 93 (n = 29) |
EMA | 16/29 (55%) |
Molecular features | |
IDH1 or IDH2 mutation | 0/28 (0%) |
TERT promoter mutation | 17/23 (74%) |
1p/19q codeletion | 0/26 (0%) |
7p gain and 10q loss | 16/25 (64%) |
10q loss, 13q loss, 14q loss | 2/22 (9%) |
EGFR amplification | 0/29 (0%) |
MDM2 amplification | 5/26 (19%) |
CDK4 amplification | 5/26 (10%) |
P16 deletion | 11/26 (42%) |
* Recurrent morphological features are monomorphous ovoid nuclei, endocrinoid network of thin capillaries, nuclear palisading, attachment of tumor cells to vessels by equidistant thin parallel cytoplasmic processes producing vague pseudorosettes.