PMC10316183_01
(a) T2-weighted axial magnetic resonance imaging showing a tumor within the left frontal lobe with vasogenic edema causing significant mass effect and midline shift. (b) 8-h postoperative tomography.
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F1
A contrast-enhanced magnetic resonance study (MRI) showed an 8-cm intraaxial frontoparietal mass on the left side of the brain, with significant vasogenic edema causing mass effect and anatomical distortion of the lateral ventricles [Figure 1].
(a and b) Contrast-enhanced T1-weighted axial and sagittal magnetic resonance imaging (MRI) showing extensive tumor recurrence within the temporal lobe and deep structures; (c) T2-weighted axial MRI; (d) 10-h postoperative tomography showing tumor resection area.
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F2
A control MRI revealed a new lesion in the left temporal area with a 5 cm diameter [Figure 2].
Chest computed tomography with coronal plane shows the tumor mass found in the left lung. The patient did not present pulmonary symptoms, it was considered an incidental finding, which was later confirmed to be associated with the primary tumor.
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F3
A new surgical intervention was scheduled, however, between the preoperative evaluations, a chest tomography was requested, with an incidental finding of a tumor mass located in the left lung [Figure 3].
(a and b) During the second surgical intervention, an extended frontotemporal approach was performed to obtain a better visualization of the tumor and subsequent cranioplasty. (c) After resecting the tumor, due to its malignant characteristics and high vascularization, bleeding was controlled with hemostatic agents. (d) The surgical specimen that after pathological analysis reported a glioblastoma.
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F4
No intraoperative complications were reported during the procedures [Figure 4].