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Mousa DPV, Mavrovounis G, Argyropoulos D, Stranjalis G, Kalamatianos T. Anaplastic Lymphoma Kinase (ALK) in Posterior Cranial Fossa Tumors: A Scoping Review of Diagnostic, Prognostic, and Therapeutic Perspectives. Cancers (Basel) 2024; 16:650. [PMID: 38339401 PMCID: PMC10854950 DOI: 10.3390/cancers16030650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2023] [Revised: 01/25/2024] [Accepted: 01/29/2024] [Indexed: 02/12/2024] Open
Abstract
Anaplastic Lymphoma Kinase (ALK) has been implicated in several human cancers. This review aims at mapping the available literature on the involvement of ALK in non-glial tumors localized in the posterior cranial fossa and at identifying diagnostic, prognostic, and therapeutic considerations. Following the PRISMA-ScR guidelines, studies were included if they investigated ALK's role in primary CNS, non-glial tumors located in the posterior cranial fossa. A total of 210 manuscripts were selected for full-text review and 16 finally met the inclusion criteria. The review included 55 cases of primary, intracranial neoplasms with ALK genetic alterations and/or protein expression, located in the posterior fossa, comprising of medulloblastoma, anaplastic large-cell lymphoma, histiocytosis, inflammatory myofibroblastic tumors, and intracranial myxoid mesenchymal tumors. ALK pathology was investigated via immunohistochemistry or genetic analysis. Several studies provided evidence for potential diagnostic and prognostic value for ALK assessment as well as therapeutic efficacy in its targeting. The available findings on ALK in posterior fossa tumors are limited. Nevertheless, previous findings suggest that ALK assessment is of diagnostic and prognostic value in medulloblastoma (WNT-activated). Interestingly, a substantial proportion of ALK-positive/altered CNS histiocytoses thus far identified have been localized in the posterior fossa. The therapeutic potential of ALK inhibition in histiocytosis warrants further investigation.
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Affiliation(s)
| | - Georgios Mavrovounis
- Department of Neurosurgery, Faculty of Medicine, School of Health Sciences, University of Thessaly, 41334 Larissa, Greece;
- Department of Neurosurgery, Evangelismos Hospital, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, 10676 Athens, Greece;
| | - Dionysios Argyropoulos
- Department of Psychiatry, Eginition Hospital, National and Kapodistrian University of Athens, 11528 Athens, Greece;
| | - George Stranjalis
- Department of Neurosurgery, Evangelismos Hospital, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, 10676 Athens, Greece;
| | - Theodosis Kalamatianos
- Department of Neurosurgery, Evangelismos Hospital, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, 10676 Athens, Greece;
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Colamaria A, Leone A, Carbone F, Dallos Laguado YA, Fochi NP, Sacco M, Fesce C, Sanguedolce F, Giordano G, Iaconetta G, Spetzger U, Coppola L, De Santis E, Coppola G, De Notaris M. Primary Anaplastic-Lymphoma-Kinase-Positive Large-Cell Lymphoma of the Central Nervous System: Comprehensive Review of the Literature. J Clin Med 2023; 12:7516. [PMID: 38137585 PMCID: PMC10743784 DOI: 10.3390/jcm12247516] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Revised: 11/27/2023] [Accepted: 12/04/2023] [Indexed: 12/24/2023] Open
Abstract
BACKGROUND Primary anaplastic-lymphoma-kinase (ALK)-positive large-cell lymphoma of the central nervous system (PCNS ALK-positive ALCL) is a rare entity, with a limited consensus reached regarding its management. While this pathology often presents as solitary lesions, the occurrence of multiple tumors within the brain is not uncommon. The lack of distinctive radiological features poses a diagnostic challenge, leading to delays in initiating targeted therapy. METHODS We conducted a comprehensive literature search, identifying seventeen publications for qualitative analysis. RESULTS The management options and reported patient outcomes in the literature varied significantly, emphasizing the need for a patient-specific approach. The emergence of ALK-specific inhibitors represents a new frontier in this field, demonstrating promising results. CONCLUSION PCNS ALK-positive ALCL necessitates a comprehensive understanding and optimized management strategies. A tailored therapeutic approach, integrating surgical intervention with radiotherapy and chemotherapy, appears pivotal in addressing this pathology. The implementation of a therapeutic protocol is anticipated for further advancement in this field.
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Affiliation(s)
- Antonio Colamaria
- Division of Neurosurgery, Policlinico “Riuniti”, 71122 Foggia, Italy;
| | - Augusto Leone
- Department of Neurosurgery, Städtisches Klinikum Karlsruhe, 76133 Karlsruhe, Germany; (A.L.); (F.C.); (U.S.)
- Faculty of Human Medicine, Charité Universitätsmedizin Berlin, 10117 Berlin, Germany
| | - Francesco Carbone
- Department of Neurosurgery, Städtisches Klinikum Karlsruhe, 76133 Karlsruhe, Germany; (A.L.); (F.C.); (U.S.)
| | | | - Nicola Pio Fochi
- Division of Neurosurgery, University of Foggia, 71122 Foggia, Italy
| | - Matteo Sacco
- Division of Neurosurgery, “Casa Sollievo della Sofferenza”, 71013 San Giovanni Rotondo, Italy;
| | - Cinzia Fesce
- Hematology Unit, University Hospital, 71122 Foggia, Italy;
| | | | - Guido Giordano
- Unit of Medical Oncology and Biomolecular Therapy, Department of Medical and Surgical Sciences, University of Foggia, 71122 Foggia, Italy;
| | - Giorgio Iaconetta
- Unit of Anatomy, Pathological Histology and Diagnostic Cytology, Department of Diagnostic and Pharma-Ceutical Services, Sandro Pertini Hospital, 00157 Rome, Italy; (G.I.); (L.C.)
| | - Uwe Spetzger
- Department of Neurosurgery, Städtisches Klinikum Karlsruhe, 76133 Karlsruhe, Germany; (A.L.); (F.C.); (U.S.)
| | - Luigi Coppola
- Unit of Anatomy, Pathological Histology and Diagnostic Cytology, Department of Diagnostic and Pharma-Ceutical Services, Sandro Pertini Hospital, 00157 Rome, Italy; (G.I.); (L.C.)
| | - Elena De Santis
- Department of Anatomical, Histological, Forensic Medicine and Orthopedic sciences, La Sapienza University, 00185 Roma, Italy;
| | - Giulia Coppola
- Department of Radiological, Oncological and Pathological Sciences, La Sapienza University, 00185 Roma, Italy;
| | - Matteo De Notaris
- Department of Neurosurgery, University of Salerno, 84084 Salerno, Italy;
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Rattanawong W, Tekarnjnavanit A, Marukatat C, Hemachudha P, Pongpitakmetha T, Anukoolwittaya P. Teaching NeuroImage: Branching Dura Mater in Primary CNS ALK-Positive Anaplastic Large Cell Lymphoma. Neurology 2023; 101:766-768. [PMID: 37536956 PMCID: PMC10624487 DOI: 10.1212/wnl.0000000000207752] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Accepted: 07/07/2023] [Indexed: 08/05/2023] Open
Affiliation(s)
- Wanakorn Rattanawong
- From the Department of Medicine (W.R., C.M.), Faculty of Medicine, King Mongkut's Institute of Technology Ladkrabang, Bangkok; Burapha University Hospital (A.T.), Chonburi; Charoenkrung Pracharak Hospital (A.T.), Bangkok; Division of Neurology (A.T., C.M., P.H., T.P., P.A.), Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok; Thai Red Cross Emerging Infectious Diseases Health Science Centre (P.H.), World Health Organization Collaborating Centre for Research and Training on Viral Zoonoses, King Chulalongkorn Memorial Hospital, Faculty of Medicine, Chulalongkorn University, Bangkok; Chula Neuroscience Center (T.P., P.A.), King Chulalongkorn Memorial Hospital, Faculty of Medicine, Chulalongkorn University, Bangkok; and Department of Pharmacology (T.P.), Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
| | - Arnant Tekarnjnavanit
- From the Department of Medicine (W.R., C.M.), Faculty of Medicine, King Mongkut's Institute of Technology Ladkrabang, Bangkok; Burapha University Hospital (A.T.), Chonburi; Charoenkrung Pracharak Hospital (A.T.), Bangkok; Division of Neurology (A.T., C.M., P.H., T.P., P.A.), Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok; Thai Red Cross Emerging Infectious Diseases Health Science Centre (P.H.), World Health Organization Collaborating Centre for Research and Training on Viral Zoonoses, King Chulalongkorn Memorial Hospital, Faculty of Medicine, Chulalongkorn University, Bangkok; Chula Neuroscience Center (T.P., P.A.), King Chulalongkorn Memorial Hospital, Faculty of Medicine, Chulalongkorn University, Bangkok; and Department of Pharmacology (T.P.), Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
| | - Chayoot Marukatat
- From the Department of Medicine (W.R., C.M.), Faculty of Medicine, King Mongkut's Institute of Technology Ladkrabang, Bangkok; Burapha University Hospital (A.T.), Chonburi; Charoenkrung Pracharak Hospital (A.T.), Bangkok; Division of Neurology (A.T., C.M., P.H., T.P., P.A.), Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok; Thai Red Cross Emerging Infectious Diseases Health Science Centre (P.H.), World Health Organization Collaborating Centre for Research and Training on Viral Zoonoses, King Chulalongkorn Memorial Hospital, Faculty of Medicine, Chulalongkorn University, Bangkok; Chula Neuroscience Center (T.P., P.A.), King Chulalongkorn Memorial Hospital, Faculty of Medicine, Chulalongkorn University, Bangkok; and Department of Pharmacology (T.P.), Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
| | - Pasin Hemachudha
- From the Department of Medicine (W.R., C.M.), Faculty of Medicine, King Mongkut's Institute of Technology Ladkrabang, Bangkok; Burapha University Hospital (A.T.), Chonburi; Charoenkrung Pracharak Hospital (A.T.), Bangkok; Division of Neurology (A.T., C.M., P.H., T.P., P.A.), Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok; Thai Red Cross Emerging Infectious Diseases Health Science Centre (P.H.), World Health Organization Collaborating Centre for Research and Training on Viral Zoonoses, King Chulalongkorn Memorial Hospital, Faculty of Medicine, Chulalongkorn University, Bangkok; Chula Neuroscience Center (T.P., P.A.), King Chulalongkorn Memorial Hospital, Faculty of Medicine, Chulalongkorn University, Bangkok; and Department of Pharmacology (T.P.), Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
| | - Thanakit Pongpitakmetha
- From the Department of Medicine (W.R., C.M.), Faculty of Medicine, King Mongkut's Institute of Technology Ladkrabang, Bangkok; Burapha University Hospital (A.T.), Chonburi; Charoenkrung Pracharak Hospital (A.T.), Bangkok; Division of Neurology (A.T., C.M., P.H., T.P., P.A.), Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok; Thai Red Cross Emerging Infectious Diseases Health Science Centre (P.H.), World Health Organization Collaborating Centre for Research and Training on Viral Zoonoses, King Chulalongkorn Memorial Hospital, Faculty of Medicine, Chulalongkorn University, Bangkok; Chula Neuroscience Center (T.P., P.A.), King Chulalongkorn Memorial Hospital, Faculty of Medicine, Chulalongkorn University, Bangkok; and Department of Pharmacology (T.P.), Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
| | - Prakit Anukoolwittaya
- From the Department of Medicine (W.R., C.M.), Faculty of Medicine, King Mongkut's Institute of Technology Ladkrabang, Bangkok; Burapha University Hospital (A.T.), Chonburi; Charoenkrung Pracharak Hospital (A.T.), Bangkok; Division of Neurology (A.T., C.M., P.H., T.P., P.A.), Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok; Thai Red Cross Emerging Infectious Diseases Health Science Centre (P.H.), World Health Organization Collaborating Centre for Research and Training on Viral Zoonoses, King Chulalongkorn Memorial Hospital, Faculty of Medicine, Chulalongkorn University, Bangkok; Chula Neuroscience Center (T.P., P.A.), King Chulalongkorn Memorial Hospital, Faculty of Medicine, Chulalongkorn University, Bangkok; and Department of Pharmacology (T.P.), Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
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Perillo T, Forte J, Messina R, Muggeo P, Grassi M, Pentassuglia E, Raguseo C, Ingravallo G, d'Amati A, Resta M, Speranzon L, Signorelli F, Santoro N. Primary central nervous system anaplastic large cell lymphoma in children: Case presentation and systematic review of literature. Pediatr Blood Cancer 2023; 70:e30529. [PMID: 37402611 DOI: 10.1002/pbc.30529] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/07/2023] [Accepted: 06/18/2023] [Indexed: 07/06/2023]
Affiliation(s)
- Teresa Perillo
- Pediatric Hematology and Oncology, University Hospital Policlinico of Bari, Bari, Italy
| | - Jessica Forte
- Pediatric Hematology and Oncology, University Hospital Policlinico of Bari, Bari, Italy
| | - Raffaella Messina
- Division of Neurosurgery, Department of Translational Biomedicine and Neurosciences (DiBraiN), University of Bari "Aldo Moro,", Bari, Italy
| | - Paola Muggeo
- Pediatric Hematology and Oncology, University Hospital Policlinico of Bari, Bari, Italy
| | - Massimo Grassi
- Pediatric Hematology and Oncology, University Hospital Policlinico of Bari, Bari, Italy
| | - Enza Pentassuglia
- Pediatric Hematology and Oncology, University Hospital Policlinico of Bari, Bari, Italy
| | - Celeste Raguseo
- Pediatric Hematology and Oncology, University Hospital Policlinico of Bari, Bari, Italy
| | - Giuseppe Ingravallo
- Section of Pathology - Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari "Aldo Moro,", Bari, Italy
| | - Antonio d'Amati
- Section of Pathology - Department of Precision and Regenerative Medicine and Ionian Area (DiMePRe-J), University of Bari "Aldo Moro,", Bari, Italy
| | - Mariachiara Resta
- Neuroradiology, University Hospital Policlinico of Bari, Bari, Italy
| | - Luca Speranzon
- Division of Neurosurgery, Department of Translational Biomedicine and Neurosciences (DiBraiN), University of Bari "Aldo Moro,", Bari, Italy
| | - Francesco Signorelli
- Division of Neurosurgery, Department of Translational Biomedicine and Neurosciences (DiBraiN), University of Bari "Aldo Moro,", Bari, Italy
| | - Nicola Santoro
- Pediatric Hematology and Oncology, University Hospital Policlinico of Bari, Bari, Italy
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