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Journal of Child Neurology
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Topical Review Article: Brainstem and Other Malignant Gliomas: II. Possible Mechanisms of Brain Infiltration by Tumor Cells

Bernard L. Maria, MD

Pediatric Neuro-Oncology Program, the Developmental Neuro-Oncology Laboratory, and the Department of Pediatrics, Department of Neuroscience, University of Florida College of Medicine, Gainesville, FL

Thomas A. Eskin, MD

Department of Pathology

Ronald G. Quisling, MD

Department of Radiology

Gliomas that arise in the brain stem and other malignant gliomas constitute approximately 60% of all brain tumors and have eluded effective therapy, in part because they are able to infiltrate the normal brain. Histopathologic studies have confirmed the presence of infiltrating tumor cells very distant from the glioma mass. We review the neuroimaging and pathologic features of glioma-cell infiltration and some of the complex cellular and biochemical determinants of tumor-cell motility and invasiveness. Understanding how glioma cells become motile and invasive is pivotal to therapeutically targeting the machinery that enables gliomas to infiltrate the brain. (J Child Neurol 1993;8:292-305).

Journal of Child Neurology, Vol. 8, No. 4, 292-305 (1993)
DOI: 10.1177/088307389300800402
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