Glioblastoma NOS (multifocal)

Case contributed by A.Prof Frank Gaillard

Patient Data

Age: Adult
CT

CT Brain

Mixed hypoattenuating and hyperattenuating changes are seen in the left hemisphere. 

MRI

MRI Brain

Multiple areas of contrast enhancement are present, some of which demonstrate central non-enhancement, are embedded in widespread high T2 signal change. Some of the enhancing components demonstrate restricted diffusion. 

Case Discussion

The patient went on to have surgery. 

Histology

Microscopic Description: Sections show a densely cellular glial neoplasm. The tumour cells have hyperchromatic, pleomorphic nuclei and abundant eosinophilic cytoplasm with fibrillary processes. There are areas where the tumour cells have scant cytoplasm and round nuclei that could represent focal oligodendroglial differentiation. Mitotic figures are frequent and there is abundant endothelial proliferation and tumour necrosis with pseudopalisading.

FINAL DIAGNOSIS: glioblastoma

 

Note: IDH mutation status is not provided in this case and according to the current (2016) WHO classification of CNS tumours, this tumour would, therefore, be designated as a glioblastoma NOS

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Case information

rID: 5367
Case created: 8th Jan 2009
Last edited: 23rd May 2017
Inclusion in quiz mode: Included

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