Medulloblastoma, SHH-activated, and TP53-mutant
Typical in childhood. Male:female = 1:1. Predominant histologic variant: large cell/anaplastic. The putative cell of origin: cerebellar granule neuron cell precursors of the external granule cell layer and cochlear nucleus; less likely neural stem cells of the subventricular zone. Frequent genetic mutations: TP53.
▶ Classic morphology. Prognosis: high-risk tumor. Uncommon.
▶ Large cell/anaplastic morphology. Prognosis: high-risk tumor. Prevalent in ages 7–17 years.
▶ Desmoplastic/nodular morphology. Very rare. Uncertain clinical significance.