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Importance of initial aggressive treatment for pineal parenchymal tumor of intermediate differentiation: A case report and review of literature Madeera Kathpal, DO, Tina Mayer, MD, Roy Rhodes, MD, Shabbar Danish, MD, Atif Khan, MD Practical Radiation Oncology Volume 3, Issue 1, Pages e29-e34 (January 2013) DOI: /j.prro Copyright © Terms and Conditions
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Figure 1 Axial, sagittal, and coronal views of the isodose distribution of the patient's initial 3-dimensional conformal treatment with 6-MV photon energy to the pineal region and margin to 5000 cGy in 25 fractions. Practical Radiation Oncology 2013 3, e29-e34DOI: ( /j.prro ) Copyright © Terms and Conditions
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Figure 2 Axial view of a T1-weighted MRI sequence with gadolinium demonstrating bilateral cerebellopontine angle tumors. Practical Radiation Oncology 2013 3, e29-e34DOI: ( /j.prro ) Copyright © Terms and Conditions
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Figure 3 (A) Histopathologic examination of the metastatic cerebellopontine angle tumor demonstrating sheets of small, relatively undifferentiated tumor cells with round nuclei and scant cytoplasm. (B) Histopathologic examination of the metastatic cerebellopontine angle tumor demonstrating infiltration into cranial nerve VII. Practical Radiation Oncology 2013 3, e29-e34DOI: ( /j.prro ) Copyright © Terms and Conditions
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Figure 4 Histopathologic examination of the metastatic cerebellopontine angle tumor demonstrating tumor cells staining strongly for neurofilament protein. Practical Radiation Oncology 2013 3, e29-e34DOI: ( /j.prro ) Copyright © Terms and Conditions
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