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Washington University Experience | NEOPLASMS (GLIAL) | Astrocytoma, IDH-mutant, WHO Grade 4 | 9A1 ( Case 9) H&E smear 1
Case 9 History ---- The patient was a 45-year-old man with a history of oligodendroglioma, WHO grade II status post resection and chemoradiation. Brain MRI (9/2017) shows increased nodular FLAIR signal abnormality along the medial margin of the resection bed and increased contrast enhancement, concerning for recurrent disease. Operative procedure: Redo right temporal craniotomy for tumor resection with intraoperative use of MRI, microscope and frameless stereotaxy. ---- 9A1,2 This is an intraoperative smear preparation which shows origin of tufts of microvascular proliferation.
