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CAP Home > Case of the Month > 2010 - Case Archives > Clinical Summary: Brain

2010 — May Case of the Month

Posted October 07, 2010


CAP Foundation May 2010 Online Case of the Month

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A 42-year-old man presented with progressive change in personality, confusion, and difficulty walking. MRI of the brain showed diffuse high T2 signal throughout the white matter bilaterally, with only focal enhancement. Following a brain biopsy, he received radiation therapy but declined neurologically and died 30 months after initial diagnosis. At autopsy, the deep cerebral white matter was expanded bilaterally and the gray-white junction was indistinct.

The master list with the correct answer

  • Anaplastic astrocytoma
  • Diffuse fibrillary astrocytoma
  • Glioblastoma
  • Gliomatosis cerebri
  • Oligodendroglioma
  • Radiation necrosis, late-delayed type

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