PMC5705934_01
Literature search of primary intracranial leiomyosarcoma in adult population reported in the English literature till date
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F1
Extensive perilesional edema and mass effect with midline shift towards the contralateral side was visible [Figure 1].
Computed tomography (CT) images showing tumor in left frontotemporal and basal ganglia region with mass effect and midline shift with perilesional edema (a-d) noncontrast images; (e-h) contrast images
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F2
Brain MRI [Figure 2] again demonstrated a large heterogeneous mass with both solid and cystic components 5.9 x 4.4 x 5.2 cm in size.
Magnetic resonance imaging (MRI) of tumor tissue showing a solid (predominant) and cystic lesion in the left frontotemporal and basal ganglia region with mass effect and midline shift with perilesional edema (a-d) T1W axial images; (e-h) T2W axial images; (i-l) T1 with gadolinium contrast axial images; (m, n) coronal contrast images; and (o, p) sagittal contrast images
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F3
Microscopic examination [Figure 3] of the resected tissue specimen revealed a spindle cell tumor with marked nuclear atypia and very high mitotic index (17-20/10 HPF).