PMC4862293_01
Preoperative computed tomography brain with contrast showing the lesion
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F1
Magnetic resonance imaging (MRI) brain with gadolinium contrast was done which revealed contrast enhancing bright lesion in right temporal lobe with intraventricular extension, with significant edema and mass effect [Figures 1-3].
Preoperative magnetic resonance imaging brain T1-weighted images with contrast showing the lesion
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F2
Magnetic resonance imaging (MRI) brain with gadolinium contrast was done which revealed contrast enhancing bright lesion in right temporal lobe with intraventricular extension, with significant edema and mass effect [Figures 1-3].
Preoperative magnetic resonance imaging brain T2-weighted images
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F3
Magnetic resonance imaging (MRI) brain with gadolinium contrast was done which revealed contrast enhancing bright lesion in right temporal lobe with intraventricular extension, with significant edema and mass effect [Figures 1-3].
(a and b) Postoperative computed tomography brain with contrast showing complete exision of lesion
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F4
Postoperative CT brain showed gross total resection with postoperative changes [Figure 4].
(a) Rhabdoid cells with vesicular nuclei, prominent nucleoli, and spherical cytoplasmic filamentous inclusions (H and E, x200). (b) Small hyperchromatic cells similar to PNET showing dense nuclei, dispersed chromatin, small to inconspicuous nucleoli, with scant cytoplasm and indistinct cell borders, arranged in a solid pattern (H and E)
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F5
The patient was referred further planned for chemotherapy and radiotherapy at a specialist center [Figure 5].