M1024: Brain
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Clinical history : A 44 year old male who underwent an operation a year ago for a glioma in the part of the thalamus and developed hydrocephalus which was treated with a ventriculoperitoneal diversion.
The patient had completed a full course of radiation but later became badly confused.
A report of bilateral frontal infiltration was seen and eventually died in a coma.
Autopsy findings : 1. Midbrain astrocytoma with spreading to the optic chiasm, the right tempero-parietal area and frontal lobe.
2. The tumor had infiltrated the ventricular system.
3. Bilateral bronchopneumonia.
Diagnosis: Grade III astrocytoma of the midbrain with spreading to the tempero-parietal lobe, ventricular system and the frontal lobe
The patient had completed a full course of radiation but later became badly confused.
A report of bilateral frontal infiltration was seen and eventually died in a coma.
Autopsy findings : 1. Midbrain astrocytoma with spreading to the optic chiasm, the right tempero-parietal area and frontal lobe.
2. The tumor had infiltrated the ventricular system.
3. Bilateral bronchopneumonia.
Diagnosis: Grade III astrocytoma of the midbrain with spreading to the tempero-parietal lobe, ventricular system and the frontal lobe