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OtherBRAIN

Secondary Supratentorial Primitive Neuroectodermal Tumor following Irradiation in a Patient with Low-Grade Astrocytoma

Allan Y. Chen, Haidy Lee, Jonathan Hartman, Claudia Greco, Janice K. Ryu, Robert O’Donnell and James Boggan
American Journal of Neuroradiology January 2005, 26 (1) 160-162;
Allan Y. Chen
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Haidy Lee
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Jonathan Hartman
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Claudia Greco
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Janice K. Ryu
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Robert O’Donnell
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James Boggan
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    Fig 1.

    MR imaging shows a 5.1 × 6.4 cm heterogeneous mass in the right frontal lobe with areas of necrosis and surrounding edema.

    A, Axial T1-weighted postgadolinium image (500/8/2; TR/TE/NEX).

    B, Axial FLAIR image (8002/158/1; TI, 2000).

    C, Axial FLAIR image (8002/158/1; TI, 2000) immediately after surgical resection.

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    Fig 2.

    Histopathologic findings (original magnification ×400).

    A, Hematoxylin-eosin stained sections show sheets of undifferentiated tumor with frequent apoptotic figures and endothelial proliferation. Malignant gemistocytes indicate astrocytic differentiation (arrows).

    B, Immunostaining with anti-GFAP antibody shows positive staining of fibrillary tumor cell processes as well as of the rounded cell bodies of malignant gemistocytic astrocytes (arrows).

    C, Scytplasmic staining of many tumor cells, indicating neuroblastic differentiation. Cells showing absent cytoplasmic staining (arrows) correspond to cells with astrocytic differentiation.

  • Fig 3.
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    Fig 3.

    Follow-up MR imaging 4 months after resection shows a stable appearance of her right frontal tumor with decreased edema and mass effect.

    A, Axial T1-weighted postgadolinium image (400/8/2).

    B, Axial FLAIR image (8002/158/1; T1, 2000).

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American Journal of Neuroradiology: 26 (1)
American Journal of Neuroradiology
Vol. 26, Issue 1
1 Jan 2005
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Cite this article
Allan Y. Chen, Haidy Lee, Jonathan Hartman, Claudia Greco, Janice K. Ryu, Robert O’Donnell, James Boggan
Secondary Supratentorial Primitive Neuroectodermal Tumor following Irradiation in a Patient with Low-Grade Astrocytoma
American Journal of Neuroradiology Jan 2005, 26 (1) 160-162;

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Secondary Supratentorial Primitive Neuroectodermal Tumor following Irradiation in a Patient with Low-Grade Astrocytoma
Allan Y. Chen, Haidy Lee, Jonathan Hartman, Claudia Greco, Janice K. Ryu, Robert O’Donnell, James Boggan
American Journal of Neuroradiology Jan 2005, 26 (1) 160-162;
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