PMC5339916_01
Gadolinium-enhanced magnetic resonance images (a, axial b, coronal) reveal a ring-shaped enhancement in the left parietal lobe and peritumoral cerebral edema associated with a cystic lesion
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F1
Contrast-enhanced magnetic resonance imaging (MRI) revealed ring-enhancement lesions in the left parietal lobe and peritumoral cerebral edema associated with a cystic mass lesion [Figure 1].
Intraoperative echo examination. (a) Pre-punctured cystic tumor is stored its fluid contents. (b) Post-punctured cystic tumor is deflated by aspirating its fluid contents
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F2
After the craniotomy, we determined the tumor cyst location and depth by ultrasonography [Figure 2a]. After puncture and aspiration, we reconfirmed the location of the tumor by ultrasonography [Figure 2b].
Resected tumor: thin cyst wall is well stained of pyoctanin blue (arrow) and fibrin glue is in the tumoral cavity (arrow head)
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F3
The resected tumor [Figure 3], permanent sections [Figure 4], and MRI image one day after surgery [Figure 5] were observed.
Permanent histopathology is glioblastoma multiforme (GBM). (a) H and E staining pathology show the central necrosis, pseudopalisading, and mitosis. (b) Atypical cell is presented in the cystic liquid contents by Papanicolaou staining pathology (Class IV)
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F4
The resected tumor [Figure 3], permanent sections [Figure 4], and MRI image one day after surgery [Figure 5] were observed.
Gadolinium-enhanced magnetic resonance images (a, axial b, coronal) show no contrast tumor as of one day postoperatively
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F5
The resected tumor [Figure 3], permanent sections [Figure 4], and MRI image one day after surgery [Figure 5] were observed.