Diffuse leptomeningeal glioneuronal tumor

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Diffuse leptomeningeal glioneuronal tumor (DLGNT) is a rare, primary CNS tumor, classified as distinct entity in 2016[1] and described as diffuse oligodendroglial-like leptomeningeal tumor of children in the 2016 classification of CNS neoplasms by the WHO.,[2] Typically, it's considered juvenile tumors[3] but can occur in adults,[4] the average age of diagnosis is five years.[3] It's characterised by wide leptomeningeal spread[5] with male predominance,[6] like histopathology of neurocytoma,[7] oligodendrocyte-like cytopathology,[8] bland appearance, and severe clinical behaviour.[9][10] Children's basal cisterns and inter-hemispheric fissures are typically involved in plaque like subarachnoid tumors. A common related intraparenchymal lesion is a spinal lesion.[11] However, in certain situations, superficial parenchyma or Virchow-Robin gaps were affected.[12][13]
Molecular and genetic investigations frequently show a combination of KIAA1549 and the serine/threonine protein kinase BRAF gene, and also deletions of the short arm of chromosome number 1 and/or the long arm of chromosome number 19.[14]

Diagnosis

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