Gliomatosis, multifocal glioma

Discussion:

This case illustrates the limitations of histology when multiple components are present. The left parietal lesion appears low grade, but clearly there is a higher grade component in the right hemisphere. 

This case also demonstrates that in the elderly multiple malignancies may be present and just because there is a history of one, does not necessarily mean that other lesions are metastatic. 

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