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Washington University Experience | NEOPLASMS (GLIAL) | Glioblastoma - Gross Pathology | 2A0 Case 2 History
Case 2 History ---- The patient was a 69-year-old female with a history of diabetes, hypertension, and hyperlipidemia who presented with complaints of nausea, vomiting, and diarrhea. The patient felt dizzy, with confusion, slurred speech, and left-sided facial droop with possible seizures. MRI showed a large, poorly circumscribed, spongy, enhancing lesion in the right medial temporal lobe consistent with a primary glial neoplasm. On neurological exam she was noted to have mild left hemiparesis and was also noted to have intermittent focal seizures. A brain biopsy showed glioblastoma. The patient was scheduled for followup with neurosurgery, radiation oncology, and medical oncology. In the interim she was discharged home. Shortly thereafter she was found to be in respiratory distress. EMS was called but the patient was pulseless and apneic and could not be resuscitated. As case #1 previously shown, this patient’s tumor was also untreated by radiation or chemotherapy.
