[Diagnostic challenges of pediatric gliomas; the role of molecular profiling in everyday diagnostics].

Magyar onkologia Pub Date : 2024-12-10 Epub Date: 2024-10-17
Livia Vida, László Kereskai, Kitti Laura Kovács, Béla Kajtár
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Abstract

Aim: This study aims to evaluate the diagnostic challenges and molecular aspects of pediatric gliomas, among the most common brain tumors in children, focusing on improving early detection and personalized treatment strategies.

Methods: We conducted a comprehensive review of recent literature, examining current diagnostic techniques, including imaging and histopathological analysis, alongside molecular profiling methods such as next-generation sequencing (NGS) and methylation profiling.

Results: The findings highlight significant diagnostic challenges due to the heterogeneity of pediatric gliomas. Molecular profiling has proven essential in identifying key genetic alterations, such as those in the H3F3A and MAPK pathway genes, offering insights into tumor behavior and therapeutic targets.

Conclusions: Early and accurate diagnosis of pediatric gliomas is hampered by their molecular diversity. Integrating molecular diagnostics with traditional methods is crucial for enhancing diagnostic accuracy and guiding personalized treatment approaches.

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[小儿胶质瘤的诊断挑战;分子图谱分析在日常诊断中的作用]。
目的:本研究旨在评估儿童胶质瘤(儿童最常见的脑肿瘤之一)的诊断挑战和分子方面的问题,重点是改善早期检测和个性化治疗策略:我们对最近的文献进行了全面回顾,研究了当前的诊断技术,包括影像学和组织病理学分析,以及分子图谱分析方法,如新一代测序(NGS)和甲基化图谱分析:结果:研究结果表明,由于小儿胶质瘤的异质性,诊断面临巨大挑战。事实证明,分子图谱分析在确定关键基因改变(如 H3F3A 和 MAPK 通路基因中的基因改变)方面至关重要,有助于深入了解肿瘤行为和治疗靶点:结论:小儿胶质瘤的分子多样性阻碍了其早期准确诊断。将分子诊断与传统方法相结合对于提高诊断准确性和指导个性化治疗方法至关重要。
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[Advances in immunotherapy of colorectal cancer]. [Diagnostic and therapeutic perspectives in RASopathies]. [Diagnostic challenges of pediatric gliomas; the role of molecular profiling in everyday diagnostics]. [Molecular pathology of gastrointestinal neoplasms]. [Molecular pathology of lung adenocarcinomas, EGFR T790M resistance mutation study].
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