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. 2016 Dec;7(Suppl 1):S120-S122.
doi: 10.4103/0976-3147.196446.

Synchronous Pediatric Supratentorial Glioblastoma Multiforme with Noncontiguous Infratentorial Pilocytic Astrocytoma: A Rare Event

Jitender Chaturvedi  1 , Bevinahalli N Nandeesh  2 , Dwarakanath Srinivas  1 , Anita Mahadevan  2 , S Sampath  1
Affiliations

Synchronous Pediatric Supratentorial Glioblastoma Multiforme with Noncontiguous Infratentorial Pilocytic Astrocytoma: A Rare Event

Jitender Chaturvedi et al. J Neurosci Rural Pract. 2016 Dec.
No abstract available

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
(a) Fluid-attenuated inversion recovery axial magnetic resonance image showing left temporoparietal lesion with diffuse cerebral edema and mass effect. (b) T2-weighted axial magnetic resonance image showing hyperintense left temporoparietal lesion. (c) T1-weighted axial magnetic resonance image with gadolinium injection showing diffuse enhancement in left temporal lesion with partial but brilliant enhancement in the vermian lesion. (d) T1-weighted coronal magnetic resonance image after gadolinium injection showing contrast-enhancing lesions in the left temporal lobe and vermis. (e) Postoperative computed tomography scan (with contrast) image after the first surgery showing good decompression of the left temporal lesion with no contrast-enhancing residue or hematoma
Figure 2
Figure 2
(a) Fluid-attenuated inversion recovery axial magnetic resonance image showing vermain lesion with left cerebellar hemispheric extension. Cystic areas can be appreciated in this lesion. (b) T2-weighted axial magnetic resonance image showing hyperintense vermain lesion with compression over the brain stem. (c) T1-weighted axial magnetic resonance image after gadolinium injection showing enhancing part of vermain lesion with cystic changes in left cerebellar hemispheric lesion. (d) Postoperative computed tomography scan (with contrast) image after the second surgery showing near total resection of the vermian lesion with no contrast-enhancing residue or hematoma
Figure 3
Figure 3
(a) Microphotograph showing undifferentiated glial cells of glioblastoma (H and E, ×200). (b) Microphotograph showing undifferentiated glial cells of glioblastoma (H and E, ×400). (c) Microphotograph showing p53 staining of the tumor cells (immunohistochemistry, p53, ×200). (d) Microphotograph showing MIB-1 staining of the tumor cells (immunohistochemistry, MIB-1, ×200]. (d1 inset) Microphotograph showing glial fibrillary acidic protein staining of the tumor cells (immunohistochemistry, GFAP, ×200). (e) Microphotograph showing pilocytic astrocytoma with Rosenthal fibers and eosinophilic granular bodies (H and E, ×200). (f) Microphotograph showing pilocytic astrocytoma with Rosenthal fibers and eosinophilic granular bodies (H and E, ×400)
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