RT info:eu-repo/semantics/article T1 Identification of a novel BRCA1 alteration in recurrent melanocytoma resulting in an increased proliferation A1 San-Miguel, Teresa A1 Navarro Cerveró, Lara A1 Sánchez-Sendra, Beatriz A1 Megías Vericat, Javier A1 Muñoz-Hidalgo, Lisandra A1 Santonja-López, Nuria A1 López-Ginés, Concha A1 Cerdá-Nicolás, Miguel J. K1 BRCA1 K1 GNAQ K1 GSTP1 K1 Melanocytoma K1 Meningioma K1 MLPA K1 Uveal melanoma AB Primary meningeal melanocytomas are rare tumors of the central nervous system. Although they are considered benign neoplasms, some reports describe recurrent rates up to 45%. Little is known about their genetic and epigenetic landscape because of their infrequency. Even less has been described about markers with prognostic value. Here we describe a patient who developed a primary meningeal melanocytoma, suffered 3 recurrences in a period of 6 years and died of the tumor. The genetic and epigenetic changes explored confirmed GNAQ mutation as an initiating event. We found an epigenetic alteration of GSTP1, a feature that has recently been described in meningiomas, from the beginning of the disease. In addition, there was loss of heterozygosity in BRCA1 beginning in the second recurrence that was linked to an increase in the proliferation index; this suggested a progression pathway similar to the one described in uveal melanomas. These findings underscore the necessity of further research focused on these tumors. SN 0022-3069 YR 2020 FD 2020 LK http://riull.ull.es/xmlui/handle/915/36189 UL http://riull.ull.es/xmlui/handle/915/36189 LA en DS Repositorio institucional de la Universidad de La Laguna RD 15-may-2024