fox
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47 yo with history of nephrectomy for renal cell carcinoma presents to doctor with complaints of progressive right arm and led weakness for 2 months, headache for two weeks, neurologic exam: right hemiparesis, CT shows parietal lobe mass with ibfiltrative borders extending into gray-white junction and surrounded with cerebral edema,. CT guided with stereotatic biopsy shows many pleomorphic large cell with bizarre giant nuclei, numerous mitotic figures & extensive necrosis. Which of the following is the most likely diagnosis ?
a. Glioblastoma multiforme
b. Medulloblastoma
c. Meningioma
d. Metastatic renal cell carcinoła
e. Pituitary adenoma
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| ssrpk
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d. Metastatic renal cell carcinoła
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| sandra
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d
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| ManuNastai
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I'd also go with D
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| fox
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Okay so D it is....but why not A?
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| bhallaji
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I'll go with A.
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| suravi
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I wud go for A too..
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| MRMAVERICK
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A I THINK
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| proctalgia
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most likely diagnosis ? I go for D
Y not A?----> Unlikely to have another malignency in this pt who has already got a h/o nephrectomy for ca.
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| ManuNastai
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it's the thing with the gray-white junction, 'cause there is the place where metastatic and septic emboli end up seeding to produce metastatic malignancy and abscesses respectively
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