The Current Landscape of Molecular Pathology for the Diagnosis and Treatment of Pediatric Medulloblastoma

Medulloblastoma (MB) is a malignant brain tumor that requires intense multimodal treatment. There is significant treatment-related morbidity associated with MB, and overall prognosis varies between the subgroups of the disease. These tumors were previously risk-stratified based solely on histopathol...

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Main Authors: Alayna Koch, Ashley Childress, Emma Vallee, Alyssa Steller, Scott Raskin
Format: Article
Language:English
Published: MDPI AG 2025-06-01
Series:Journal of Molecular Pathology
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Online Access:https://www.mdpi.com/2673-5261/6/2/11
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author Alayna Koch
Ashley Childress
Emma Vallee
Alyssa Steller
Scott Raskin
author_facet Alayna Koch
Ashley Childress
Emma Vallee
Alyssa Steller
Scott Raskin
author_sort Alayna Koch
collection DOAJ
description Medulloblastoma (MB) is a malignant brain tumor that requires intense multimodal treatment. There is significant treatment-related morbidity associated with MB, and overall prognosis varies between the subgroups of the disease. These tumors were previously risk-stratified based solely on histopathological features. However, advancements in oncologic molecular research have led to novel changes to MB tumor classification, which also affects the prognosis and treatment strategies for individual patients. The WHO CNS5 now recognizes four main molecular subgroups of MB. Each subgroup contains its own genomic heterogeneity that correlates with a unique way to risk stratify patients, determine overall prognosis, and inform treatment. These discoveries have already impacted the implications and outcomes of current treatments based on the subgroup of patients. Ongoing research to better understand this classification system has paved the way for the development of molecular targeted therapy.
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spelling doaj-art-4c58aec7d56542f2b85af3272a8c46c82025-06-25T14:01:00ZengMDPI AGJournal of Molecular Pathology2673-52612025-06-01621110.3390/jmp6020011The Current Landscape of Molecular Pathology for the Diagnosis and Treatment of Pediatric MedulloblastomaAlayna Koch0Ashley Childress1Emma Vallee2Alyssa Steller3Scott Raskin4Department of Pediatrics, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH 45229-3039, USADepartment of Pediatrics, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH 45229-3039, USADepartment of Pediatrics, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH 45229-3039, USADepartment of Pediatrics, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH 45229-3039, USADepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH 45229-3039, USAMedulloblastoma (MB) is a malignant brain tumor that requires intense multimodal treatment. There is significant treatment-related morbidity associated with MB, and overall prognosis varies between the subgroups of the disease. These tumors were previously risk-stratified based solely on histopathological features. However, advancements in oncologic molecular research have led to novel changes to MB tumor classification, which also affects the prognosis and treatment strategies for individual patients. The WHO CNS5 now recognizes four main molecular subgroups of MB. Each subgroup contains its own genomic heterogeneity that correlates with a unique way to risk stratify patients, determine overall prognosis, and inform treatment. These discoveries have already impacted the implications and outcomes of current treatments based on the subgroup of patients. Ongoing research to better understand this classification system has paved the way for the development of molecular targeted therapy.https://www.mdpi.com/2673-5261/6/2/11medulloblastoma (MB)molecular pathologymethylation profilingwingless (WNT)sonic hedgehog (SHH)group 3
spellingShingle Alayna Koch
Ashley Childress
Emma Vallee
Alyssa Steller
Scott Raskin
The Current Landscape of Molecular Pathology for the Diagnosis and Treatment of Pediatric Medulloblastoma
Journal of Molecular Pathology
medulloblastoma (MB)
molecular pathology
methylation profiling
wingless (WNT)
sonic hedgehog (SHH)
group 3
title The Current Landscape of Molecular Pathology for the Diagnosis and Treatment of Pediatric Medulloblastoma
title_full The Current Landscape of Molecular Pathology for the Diagnosis and Treatment of Pediatric Medulloblastoma
title_fullStr The Current Landscape of Molecular Pathology for the Diagnosis and Treatment of Pediatric Medulloblastoma
title_full_unstemmed The Current Landscape of Molecular Pathology for the Diagnosis and Treatment of Pediatric Medulloblastoma
title_short The Current Landscape of Molecular Pathology for the Diagnosis and Treatment of Pediatric Medulloblastoma
title_sort current landscape of molecular pathology for the diagnosis and treatment of pediatric medulloblastoma
topic medulloblastoma (MB)
molecular pathology
methylation profiling
wingless (WNT)
sonic hedgehog (SHH)
group 3
url https://www.mdpi.com/2673-5261/6/2/11
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