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[Multiple gliomas. Illustrative cases of 4 different presentations]. / Gliomas múltiplos: casos ilustrativos de quatro formas de apresentação.
Franco, C M; Malheiros, S M; Nogueira, R G; Batista, M A; Santos, A J; Abdala, N; Stávale, J N; Ferraz, F A; Gabbai, A A.
Afiliação
  • Franco CM; Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP. clelia@unisys.com.br
Arq Neuropsiquiatr ; 58(1): 150-6, 2000 Mar.
Article em Pt | MEDLINE | ID: mdl-10770881
Multiple gliomas are uncommon and may be classified according to: a) the time of presentation in early (at diagnosis) or late (during treatment); b) the characteristics of computed tomography or magnetic resonance imaging (CT/MRI) in multifocal (with evidence of spread) and multicentric (without evidence of spread). From 212 patients with histopathologic diagnosis of glioma evaluated from March/90 to September/99, 15 (7%) had multiple lesions. We describe 4 patients: early multicentric, late multicentric, early multifocal and late multifocal, with emphasis on characteristics of CT/MRI and possible differential diagnosis. The differential diagnosis of multiple lesions in the central nervous system includes mainly infectious/inflammatory diseases and metastasis, however multiple gliomas should always be considered, even in patients with known systemic cancer, as described by others. Considering that CT/MRI features are not definite, the diagnosis should always be confirmed by histopathologic examination.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Astrocitoma / Neoplasias Encefálicas / Neoplasias Primárias Múltiplas Tipo de estudo: Diagnostic_studies / Observational_studies Limite: Adult / Female / Humans / Middle aged Idioma: Pt Revista: Arq Neuropsiquiatr Ano de publicação: 2000 Tipo de documento: Article País de publicação: Alemanha
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Astrocitoma / Neoplasias Encefálicas / Neoplasias Primárias Múltiplas Tipo de estudo: Diagnostic_studies / Observational_studies Limite: Adult / Female / Humans / Middle aged Idioma: Pt Revista: Arq Neuropsiquiatr Ano de publicação: 2000 Tipo de documento: Article País de publicação: Alemanha