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abnormalities, histopathological and other tumor and patient characteristics of meningiomas<br />

are scarce (Zang, 1982; Al Saadi et aI., 1987; Maltby et aI., 1988; Casalone et aI., 1990;<br />

Sanson et aI., 1992; Vagner-Capodano et aI., 1993) and in only two of these studies<br />

statistical analyses on some of these characteristics (Casal one et aI., 1990; Vagner-Capodano<br />

et aI., 1993) were performed. Investigation of the different characteristics of meningiomas<br />

could help in identifying different subclasses, which might explain the genetic alterations, not<br />

affecting the NF2 gene, found in a subset of tumors. This study describes cytogenetic and<br />

molecular genetic findings in a large number of meningiomas. A significant association was<br />

found between characteristics like sex, site of tumor origin, histological subtype, grade,<br />

chromosome 22 loss and number of chromosomal abnormalities.<br />

Matedals and methods:<br />

Tumor collection and tissue culture:<br />

From November 1988 to September 1993 we collected 126 meningiomas (Table 1). If<br />

possible, tumor material obtained at surgery was divided in three or more parts. These parts<br />

were used for: 1) histopathology, 2) DNA isolation and 3) cytogenetic analysis. Tumor parts<br />

were frozen and stored in liquid nitrogen prior to DNA isolation and pieces were used<br />

directly for interphase in situ hybridization and tissue culture. Both preparation for tissue<br />

culture and tissue culture conditions were as described elsewhere (Koper et aI., 1990).<br />

Histological examination and localization:<br />

Histopathological assessment was performed on formalin fixed 5 I'm paraffin embedded<br />

tumor sections. The tumors were classified according to the WHO histological typing of<br />

tumors of the central nervous system (ZUlch 1979) and Kepes et al. (1982). The following<br />

subtypes or mixtures of them were identified in our series: transitional (T), fibroblastic (F),<br />

meningotheliomatous (M), psammomatous (Ps) , angiomatous (A), papillomatous (P),<br />

anaplastic (Ana), xanthomatous (X), lipoblastic (L), pleiomorphic (PI), oncocytic (0), and<br />

haemangiopericytic (H).<br />

The grading system used in this study was as described by JiUiskeUiinen et al. (1985).<br />

In this system a higher grade corresponds to an increased degree of anaplasia, which is<br />

69

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