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Tumor Diagnosis and Treatment
 
Astrocytoma

This "Grade-4" astrocytoma has a clear demarcation or margin that separates the major area of tumorous cells from the remaining brain tissue. However, all astrocytomas involve some infiltration into surrounding tissue. This results in recurrence of the tumor after surgical decompression and resection.

Astrocytoma: Normal astrocytes exist as a fibrous type within the white matter of the brain and a protoplasmic variety residing in the gray matter. Both are involved in metabolism and general function of neurons. They are also involved in maintaining the blood-brain barrier. A group of these cells may proliferate and transform into a malignant tumor. This malignant transformation may be graded according to the categories outlined in the introduction.


 

This image contains two microscopic sections of the tumor depicted above. The image on the top shows largely intact tissue with only hypocellular infiltration. The figure on the bottom shows considerable pleomorphism and endothelial proliferation.

A diffuse astrocytoma of the basal part of the right frontal lobe is depicted above in a coronal section of a fixed brain (top) and stained thin section (bottom). Note the extreme infiltration of the tumorous cells into the surrounding tissue and that there is virtually no demarcation of the tumor.