Chordoid gliomas of the third ventricle share TTF-1 expression with organum vasculosum of the lamina terminalis

Am J Surg Pathol. 2015 Jul;39(7):948-56. doi: 10.1097/PAS.0000000000000421.

Abstract

Chordoid glioma of the third ventricle (CG3V) is a rare tumor developing in a stereotyped localization. It has been related to the circumventricular organ of the lamina terminalis, in the anterior part of the third ventricle, but its oncogenesis is poorly understood. TTF-1 transcription factor is involved in the development and adult physiology of the ventral forebrain. We studied the histopathologic and immunohistochemical features of a multicentric series of 17 cases of CG3V. We described additional histologic patterns (solid, fibrosing, and fusiform) to the typical chordoid pattern. TTF-1 was constantly expressed in CG3V, as in developing and adult lamina terminalis. The anti-TTF-1 SPT24 clone was more sensitive than the 8G7G3/1 clone. No mutation of IDH1 R132, IDH2 R172, or BRAF V600 codons was found. We showed TTF-1 as a useful marker for the diagnosis of CG3V and the understanding of its oncogenesis.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Cerebral Ventricle Neoplasms / metabolism*
  • Cerebral Ventricle Neoplasms / pathology*
  • Female
  • Glioma / metabolism*
  • Glioma / pathology*
  • Humans
  • Male
  • Middle Aged
  • Nuclear Proteins / biosynthesis*
  • Organum Vasculosum / metabolism*
  • Retrospective Studies
  • Third Ventricle / metabolism*
  • Thyroid Nuclear Factor 1
  • Transcription Factors / biosynthesis*

Substances

  • NKX2-1 protein, human
  • Nuclear Proteins
  • Thyroid Nuclear Factor 1
  • Transcription Factors