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Case: Embryonal Tumor With Multilayered Rosettes

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Here's another patient with a discreet

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lesion in the brainstem.

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It was called the DIPG, um, but we felt it was discreet.

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So, and not infiltrated.

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We resected it by, um, here's the first intraop, MRI.

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Here's the second intraoperative, MRI,

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and this is a gross total resection.

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These little bright areas here

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we're actually present on the pre contrast.

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And this actually related to electrocautery use.

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And this patient did not have A-D-I-P-G.

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This was an embr tumor with multilayered rosettes.

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Um, they got a gross total resection.

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And, um, at four years, um, they had disease free, uh,

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survival, which was the, in, in our series, the, um,

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by far the longest, um, uh, survival

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of any patient with this entity.

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And that was guided by an understanding of the imaging

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to help get, allow the surgeon to make the, those

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that resection and then, which then allowed the oncologists

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and, um, to have, you know, to not have to deal

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with the whole tumor, but to only deal

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with potential microscopic disease at the margins.

Report

Faculty

Asim F Choudhri, MD

Chief, Pediatric Neuroradiology

Le Bonheur Children's Hospital

Tags

Oncologic Imaging

Neuroradiology

Neoplastic

MRI

Brain