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Glioblastoma: Germline Mutation of TP53

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Tumors of the Central Nervous System, Volume 2

Abstract

Various brain tumors are components of familial cancer syndromes, and Li-Fraumeni syndrome and Li-Fraumeni-like syndromes are the most famous entities. A rare, sporadic occurrence of brain tumor in peculiarly young subjects, however, sometimes provides a clue to understanding of carcinogenesis due to germline mutations. In this section, two cases of glial tumors in subjects having germline mutation of TP53 are presented, and genetic etiology of brain tumor is discussed. The first case is a 41 year-old father of a fatal adrenocortical carcinoma case of a 4-years-old daughter, 16 years prior to the occurrence of astrocytoma of himself. The search for family history and previous clinical records in the four different community hospitals for the last three decades and the follow-ups of his family members disclosed cancer of urinary bladder, cancer of pancreas, hepatoblastoma, and thymoma in the relatives. Germline mutation E286A of TP53 was identified in the affected members. Another case is a 21-year-old male, without any family history of cancer, who suffered from brain tumor and colorectal cancer. An attending physician was sticky to find an etiology in this unusual occurrence of cancer. After several attempts in vain, an I195T germline mutation was identified and functional analysis was performed. These anecdotes highlight importance of genetic analysis in case of glial tumors in relatively young adult or in adolescence whether or not they have family history of cancer. The problems and strategies to find TP53 mutation carriers and to prevent or to delay the occurrence of the tumors in them are discussed.

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Correspondence to Haruhiko Sugimura .

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Sugimura, H. et al. (2011). Glioblastoma: Germline Mutation of TP53 . In: Hayat, M. (eds) Tumors of the Central Nervous System, Volume 2. Tumors of the Central Nervous System, vol 2. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-0618-7_4

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  • DOI: https://doi.org/10.1007/978-94-007-0618-7_4

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