Central nervous system schwannoma, VGLL-fused (EWSR1::VGLL1 fusion) with neuroblastoma-like cell dense areas in the frontal lobe of a young man with schwannomatosis due to a germline LZTR1 mutation

Authors

  • David G. Munoz Laboratory Medicine and Pathobiology, University of Toronto, Toronto, ON, Canada and Department of Laboratory Medicine, Unity Health Toronto, Toronto, ON, Canada
  • Sunit Das Department of Surgery, Division of Neurosurgery, Unity Health Toronto, Toronto, ON, Canada
  • Ju-Yoon Yoon Laboratory Medicine and Pathobiology, University of Toronto, Toronto, ON, Canada and Department of Laboratory Medicine, Unity Health Toronto, Toronto, ON, Canada
  • Robert Siddaway Department of Laboratory Medicine, Hospital for Sick Children, Toronto, ON, Canada
  • Adrian Levine Department of Laboratory Medicine, Hospital for Sick Children, Toronto, ON, Canada
  • Kenneth D. Aldape Laboratory of Pathology, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA

DOI:

https://doi.org/10.17879/freeneuropathology-2026-8898

Keywords:

EWSR1::VGLL1 fusion, LZTR1 mutation, Central nervous system schwannoma

Abstract

We report a central nervous system schwannoma, VGLL-fused in a young man’s frontal lobe. Somatic abnormalities included an EWSR1::VGLL1 fusion, which incorporated the entire translated region of VGLL1, but excluded most domains of EWSR1. The tumor histologically merged with the brain, and showed both schwannoma-like and neuroblastoma-like areas. A germline LZTR1 mutation was subsequently identified, implying the patient suffered from schwannomatosis.

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Published

2026-01-08

How to Cite

Munoz, D. G., Das, S., Yoon, J.-Y., Siddaway, R., Levine, A., & Aldape, K. D. (2026). Central nervous system schwannoma, VGLL-fused (EWSR1::VGLL1 fusion) with neuroblastoma-like cell dense areas in the frontal lobe of a young man with schwannomatosis due to a germline LZTR1 mutation. Free Neuropathology, 7, 1. https://doi.org/10.17879/freeneuropathology-2026-8898

Issue

Section

Case Reports