Table 2.

Case With CDKN2A/B Copy Number Alteration (n = 16)

CaseIntegrated diagnosis (grade)Pathological diagnosisMolecular diagnosis
Histologyp16
(score)
MTAPIDH1
(VAF, %)
1p/19q codelpTERTCDKN2A/B
status
CDKN2A methylation
(M/U)
Others
1Astrocytoma,
IDH-mut. (4)
AANegative
(0)
LossR132H
(47.0)
WtHomo
2Astrocytoma,
IDH-mut. (4) b
DANegative
(0)
LossR132H
(22.9)
WtHomoTP53 hemi
3Astrocytoma,
IDH-mut. (4)
ODN/AN/AR132H
(49.1)
WtHomoEGFR gain, CDK4 gain
4Astrocytoma,
IDH-mut. (3)
AANegative
(0)
RetainR132H
(43.4)
WtHemiM
5Astrocytoma,
IDH-mut. (3)
AANegative
(1)
RetainR132H
(36.7)
WtHemiMEGFR gain
6Astrocytoma,
IDH-mut. (3)
AANegative
(1)
RetainR132H
(42.3)
WtHemiUPDGFRA amp
7Astrocytoma,
IDH-mut. (3)
AANegative
(1)
RetainR132H
(42.8)
WtHemiU
8Astrocytoma,
IDH-mut. (2)
OANegative
(1)
RetainR132H
(28.5)
WtHemiUTP53 hemi
9Astrocytoma,
IDH-mut. (2)
OANegative
(0)
RetainR132H
(41.5)
WtHemiMTP53 hemi
10Astrocytoma,
IDH-mut. (2)
DANegative
(1)
RetainR132H
(44.5)
WtHemiM
11Astrocytoma,
IDH-mut. (2)
DANegative
(1)
RetainR132H
(40.5)
WtHemiM
12Astrocytoma,
IDH-mut. (2)
DANegative
(1)
RetainR132H
(52.0)
WtHemiMTP53 homo
13Oligodendroglioma,
IDH-mut. (3)
AONegative
(0)
LossR132H
(32.7)
+C228THomo
14Oligodendroglioma,
IDH-mut. (3)
AON/AN/AR132H
(44.0)
+C250THemiMEGFR gain
15Oligodendroglioma,
IDH-mut. (3)
AONegative
(1)
RetainR132H
(57.8)
+C228THemiUEGFR gain, TP53 hemi
16Oligodendroglioma,
IDH-mut. (3)
AOANegative
(1)
RetainR132H
(47.6)
+C228THemiMTP53 hemi
CaseIntegrated diagnosis (grade)Pathological diagnosisMolecular diagnosis
Histologyp16
(score)
MTAPIDH1
(VAF, %)
1p/19q codelpTERTCDKN2A/B
status
CDKN2A methylation
(M/U)
Others
1Astrocytoma,
IDH-mut. (4)
AANegative
(0)
LossR132H
(47.0)
WtHomo
2Astrocytoma,
IDH-mut. (4) b
DANegative
(0)
LossR132H
(22.9)
WtHomoTP53 hemi
3Astrocytoma,
IDH-mut. (4)
ODN/AN/AR132H
(49.1)
WtHomoEGFR gain, CDK4 gain
4Astrocytoma,
IDH-mut. (3)
AANegative
(0)
RetainR132H
(43.4)
WtHemiM
5Astrocytoma,
IDH-mut. (3)
AANegative
(1)
RetainR132H
(36.7)
WtHemiMEGFR gain
6Astrocytoma,
IDH-mut. (3)
AANegative
(1)
RetainR132H
(42.3)
WtHemiUPDGFRA amp
7Astrocytoma,
IDH-mut. (3)
AANegative
(1)
RetainR132H
(42.8)
WtHemiU
8Astrocytoma,
IDH-mut. (2)
OANegative
(1)
RetainR132H
(28.5)
WtHemiUTP53 hemi
9Astrocytoma,
IDH-mut. (2)
OANegative
(0)
RetainR132H
(41.5)
WtHemiMTP53 hemi
10Astrocytoma,
IDH-mut. (2)
DANegative
(1)
RetainR132H
(44.5)
WtHemiM
11Astrocytoma,
IDH-mut. (2)
DANegative
(1)
RetainR132H
(40.5)
WtHemiM
12Astrocytoma,
IDH-mut. (2)
DANegative
(1)
RetainR132H
(52.0)
WtHemiMTP53 homo
13Oligodendroglioma,
IDH-mut. (3)
AONegative
(0)
LossR132H
(32.7)
+C228THomo
14Oligodendroglioma,
IDH-mut. (3)
AON/AN/AR132H
(44.0)
+C250THemiMEGFR gain
15Oligodendroglioma,
IDH-mut. (3)
AONegative
(1)
RetainR132H
(57.8)
+C228THemiUEGFR gain, TP53 hemi
16Oligodendroglioma,
IDH-mut. (3)
AOANegative
(1)
RetainR132H
(47.6)
+C228THemiMTP53 hemi

AA, anaplastic astrocytoma; amp, amplification; AO, anaplastic oligodendroglioma; AOA, anaplastic oligoastrocytoma; CDK4, cyclin-dependent kinase 4; CDKN2A/B, cyclin-dependent kinase inhibitor 2A/B; codel, codeletion; DA, diffuse astrocytoma; EGFR, epidermal growth factor receptor; Hemi, hemizygous deletion; Homo, homozygous deletion; IDH, isocitrate dehydrogenase; mut, mutant; N/A, not available; OA, oligoastrocytoma; pTERT, promoter of telomerase reverse transcriptase; TP53, tumor protein P53; VAF, valiant allele frequency; Wt, wild type.

Heterogeneity within the tumor was found. p16-positive (score 3) and p16-negative (score 1) cells were coexisting. The score of the region with the lowest expression was adopted for the p16 status.

Table 2.

Case With CDKN2A/B Copy Number Alteration (n = 16)

CaseIntegrated diagnosis (grade)Pathological diagnosisMolecular diagnosis
Histologyp16
(score)
MTAPIDH1
(VAF, %)
1p/19q codelpTERTCDKN2A/B
status
CDKN2A methylation
(M/U)
Others
1Astrocytoma,
IDH-mut. (4)
AANegative
(0)
LossR132H
(47.0)
WtHomo
2Astrocytoma,
IDH-mut. (4) b
DANegative
(0)
LossR132H
(22.9)
WtHomoTP53 hemi
3Astrocytoma,
IDH-mut. (4)
ODN/AN/AR132H
(49.1)
WtHomoEGFR gain, CDK4 gain
4Astrocytoma,
IDH-mut. (3)
AANegative
(0)
RetainR132H
(43.4)
WtHemiM
5Astrocytoma,
IDH-mut. (3)
AANegative
(1)
RetainR132H
(36.7)
WtHemiMEGFR gain
6Astrocytoma,
IDH-mut. (3)
AANegative
(1)
RetainR132H
(42.3)
WtHemiUPDGFRA amp
7Astrocytoma,
IDH-mut. (3)
AANegative
(1)
RetainR132H
(42.8)
WtHemiU
8Astrocytoma,
IDH-mut. (2)
OANegative
(1)
RetainR132H
(28.5)
WtHemiUTP53 hemi
9Astrocytoma,
IDH-mut. (2)
OANegative
(0)
RetainR132H
(41.5)
WtHemiMTP53 hemi
10Astrocytoma,
IDH-mut. (2)
DANegative
(1)
RetainR132H
(44.5)
WtHemiM
11Astrocytoma,
IDH-mut. (2)
DANegative
(1)
RetainR132H
(40.5)
WtHemiM
12Astrocytoma,
IDH-mut. (2)
DANegative
(1)
RetainR132H
(52.0)
WtHemiMTP53 homo
13Oligodendroglioma,
IDH-mut. (3)
AONegative
(0)
LossR132H
(32.7)
+C228THomo
14Oligodendroglioma,
IDH-mut. (3)
AON/AN/AR132H
(44.0)
+C250THemiMEGFR gain
15Oligodendroglioma,
IDH-mut. (3)
AONegative
(1)
RetainR132H
(57.8)
+C228THemiUEGFR gain, TP53 hemi
16Oligodendroglioma,
IDH-mut. (3)
AOANegative
(1)
RetainR132H
(47.6)
+C228THemiMTP53 hemi
CaseIntegrated diagnosis (grade)Pathological diagnosisMolecular diagnosis
Histologyp16
(score)
MTAPIDH1
(VAF, %)
1p/19q codelpTERTCDKN2A/B
status
CDKN2A methylation
(M/U)
Others
1Astrocytoma,
IDH-mut. (4)
AANegative
(0)
LossR132H
(47.0)
WtHomo
2Astrocytoma,
IDH-mut. (4) b
DANegative
(0)
LossR132H
(22.9)
WtHomoTP53 hemi
3Astrocytoma,
IDH-mut. (4)
ODN/AN/AR132H
(49.1)
WtHomoEGFR gain, CDK4 gain
4Astrocytoma,
IDH-mut. (3)
AANegative
(0)
RetainR132H
(43.4)
WtHemiM
5Astrocytoma,
IDH-mut. (3)
AANegative
(1)
RetainR132H
(36.7)
WtHemiMEGFR gain
6Astrocytoma,
IDH-mut. (3)
AANegative
(1)
RetainR132H
(42.3)
WtHemiUPDGFRA amp
7Astrocytoma,
IDH-mut. (3)
AANegative
(1)
RetainR132H
(42.8)
WtHemiU
8Astrocytoma,
IDH-mut. (2)
OANegative
(1)
RetainR132H
(28.5)
WtHemiUTP53 hemi
9Astrocytoma,
IDH-mut. (2)
OANegative
(0)
RetainR132H
(41.5)
WtHemiMTP53 hemi
10Astrocytoma,
IDH-mut. (2)
DANegative
(1)
RetainR132H
(44.5)
WtHemiM
11Astrocytoma,
IDH-mut. (2)
DANegative
(1)
RetainR132H
(40.5)
WtHemiM
12Astrocytoma,
IDH-mut. (2)
DANegative
(1)
RetainR132H
(52.0)
WtHemiMTP53 homo
13Oligodendroglioma,
IDH-mut. (3)
AONegative
(0)
LossR132H
(32.7)
+C228THomo
14Oligodendroglioma,
IDH-mut. (3)
AON/AN/AR132H
(44.0)
+C250THemiMEGFR gain
15Oligodendroglioma,
IDH-mut. (3)
AONegative
(1)
RetainR132H
(57.8)
+C228THemiUEGFR gain, TP53 hemi
16Oligodendroglioma,
IDH-mut. (3)
AOANegative
(1)
RetainR132H
(47.6)
+C228THemiMTP53 hemi

AA, anaplastic astrocytoma; amp, amplification; AO, anaplastic oligodendroglioma; AOA, anaplastic oligoastrocytoma; CDK4, cyclin-dependent kinase 4; CDKN2A/B, cyclin-dependent kinase inhibitor 2A/B; codel, codeletion; DA, diffuse astrocytoma; EGFR, epidermal growth factor receptor; Hemi, hemizygous deletion; Homo, homozygous deletion; IDH, isocitrate dehydrogenase; mut, mutant; N/A, not available; OA, oligoastrocytoma; pTERT, promoter of telomerase reverse transcriptase; TP53, tumor protein P53; VAF, valiant allele frequency; Wt, wild type.

Heterogeneity within the tumor was found. p16-positive (score 3) and p16-negative (score 1) cells were coexisting. The score of the region with the lowest expression was adopted for the p16 status.

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