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Radiology · Neuroimaging: oligodendroglioma
Sample itemA 35-year-old has new-onset seizures. CT shows a cortical and subcortical frontal mass with coarse, clumped calcification and little oedema. Which tumour is most likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Oligodendroglioma
Oligodendroglioma is a slow-growing frontal lobe tumour with coarse calcification, cortical involvement and seizures. Glioblastoma shows ring enhancement with necrosis and oedema. Pilocytic astrocytoma occurs in children in the cerebellum, and lymphoma enhances homogeneously without calcification.
Option by option
A. Glioblastoma
Glioblastoma shows necrosis, ring enhancement and extensive oedema.
B. Oligodendroglioma (correct)
Correct. A calcified cortical frontal mass with seizures is typical of oligodendroglioma.
C. Pilocytic astrocytoma
Pilocytic astrocytoma is a cystic cerebellar tumour of children.
D. Primary CNS lymphoma
Lymphoma enhances homogeneously and rarely calcifies.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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