同意胶质瘤.

考虑弥漫浸润性星形细胞瘤. WHO2级.

以下是引用zhongshihua在2009-2-17 19:28:00的发言： 考虑弥漫浸润性星形细胞瘤. WHO2级.

同意。

星形细胞瘤， WHO2-3级.

 星形细胞瘤.WHO2级.

 2级是打不住的，3级又有一点点不够，那就2-3

 星形细胞瘤， WHO2-3级.

以下是引用wy1992在2009-2-19 11:45:00的发言：  星形细胞瘤， WHO2-3级.

同意

 星形细胞瘤， WHO2-3级.

 星形细胞瘤2级。

 弥漫型星形细胞瘤2级，但是核异型而且密集，如果能找到核分裂，就定肯定的3级！

 血管增生和坏死不十分明显，所以同意星形细胞瘤（2级）。

As many who have commented, I agree with the diagnosis of fibrillary astrocytoma. The grade of this neoplasm is difficult to decide based on the photos. There is calcification to suggest a low grade (WHO grade II) diffuse astrocytoma, but cellularity is high focally and nuclear atypia significant. I have not seen a mitotic figure in any of the photos. Please do a careful count of mitotic figures and look at the pre-surgical MRI of the lesion. If very rare mitoses are found (<3 per slide) and no contrast enhancement was detected on MRI, I would favor WHO grade II diffuse astrocytoma. On the other hand, if mitotic figures are easily seen (either focally or diffusely) and there was MRI contrast enhancement, I would favor WHO grade III anaplastic astrocytoma.

以下是引用xiaohl在2009-2-18 23:27:00的发言：  2级是打不住的，3级又有一点点不够，那就2-3

支持。

 弥漫星型细胞瘤

 j间变性星形胶质细胞瘤

 星形细胞瘤， WHO2-3级.