Path-case4: A common central nervous system neoplasm… | Figure 1
azor
Medical Student
Path-case4: A common central nervous system neoplasm…
45 years-old male with recent neurological symptoms, MR imaging showed a large heterogenous mass in the left frontal lobe, a CT-guided needle biopsy was performed.
Histological H&E examination of the biopsy shows a proliferation of highly atypical and pleomorphic cells with high nucleocytoplasmic ratio, a microvascular proliferation with endothelial hyperplasia was noted (Red arrows), several necrosis regions were seen with a pseudo-palisading pattern ( Black arrows).
These findings are compatible with a Glioblastoma (Grade IV Astrocytoma).
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A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis.
He had a history of hypertension, long-term smoking, and a sedentary lifestyle.
On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.
A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets.
Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.
A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.