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NP (1) - WHO grade I pilocytic astrocytoma

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楼主 发表于 2006-10-09 11:59|举报|关注(2)
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The photos below are taken from frozen section of a resected cerebellar tumor (focally cystic with enhancing solid nodule) from a 2 year old girl.
  • NP (1) - WHO grade I pilocytic astrocytoma图1
    图1
  • NP (1) - WHO grade I pilocytic astrocytoma图2
    图2
  • NP (1) - WHO grade I pilocytic astrocytoma图3
    图3
  • NP (1) - WHO grade I pilocytic astrocytoma图4
    图4
  • NP (1) - WHO grade I pilocytic astrocytoma图5
    图5
  • NP (1) - WHO grade I pilocytic astrocytoma图6
    图6
  • NP (1) - WHO grade I pilocytic astrocytoma图7
    图7
  • NP (1) - WHO grade I pilocytic astrocytoma图8
    图8
  • NP (1) - WHO grade I pilocytic astrocytoma图9
    图9
  • NP (1) - WHO grade I pilocytic astrocytoma图10
    图10
  • NP (1) - WHO grade I pilocytic astrocytoma图11
    图11
  • NP (1) - WHO grade I pilocytic astrocytoma图12
    图12
  • NP (1) - WHO grade I pilocytic astrocytoma图13
    图13
  • NP (1) - WHO grade I pilocytic astrocytoma图14
    图14
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本帖最后由 于 2006-10-19 08:50:00 编辑
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聞道有先後,術業有專攻

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mjma 离线

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1 楼    发表于2006-10-09 21:39:00举报|引用
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本帖最后由 于 2006-10-09 22:13:00 编辑 1     2    3    4
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13  14

Figures 1~4 were taken from frozen sections, and were uploaded first. The remaining photos were taken from permanent sections, and were planned to be posted later. I uploaded and placed them in the same folder as the first 4 photos, and unknowingly posted all of them together. Now I know and will not make the same mistake again. Figures 1~12 show very classic features of a WHO grade I pilocytic astrocytoma. Figures 11~12 are taken from the cystic wall of the tumor. As you can see, neither eosinophilic granular bosies nor Rosenthal fibers are necessary for the diagnosis of pilocytic astrocytoma.

Figures 13~14 show Bergman gliosis of adjacent degenerated cerebellar cortex that may be confused with gliomatous involvement. This can be difficult to tell at intraoperative consultation. One helpful hint is its laminated appearance conforming to the pre-existing interface of molecular and Purkinje cell layers. If one or two residual Purkinje cells remain, the task will be a lot easier.
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聞道有先後,術業有專攻

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