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CASE REPORT
Year : 2020  |  Volume : 3  |  Issue : 1  |  Page : 48-51

Reporting two cases of second primary brain tumors and how to differentiate from metastasis preoperatively with magnetic resonance imaging


1 Department of Neurosurgery, Yashoda Hospitals, Secunderabad, Telangana, India
2 Department of Medical Oncology, Yashoda Hospitals, Secunderabad, Telangana, India

Correspondence Address:
Dr. Anandh Balasubramaniam
Department of Neurosurgery, Yashoda Hospitals, Alexander Road, Shivaji Nagar, Secunderabad - 500 003, Telangana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/IJNO.IJNO_10_20

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The incidence of second primary tumors in adults is increasing due to betterment in the diagnosis and management of first primary tumors. In literature so far, second primary brain tumors are not reported. Glioblastoma has a poor prognosis despite all recent advances in its molecular genetics and treatment. We report two cases of glioblastoma presenting as second primary tumor of the brain. The first patient was a 70-year-old female with seizures who was treated for carcinoma cervix 6 years back. The second patient was a 75-year-old male patient, a known case of colonic carcinoma treated a year back, and he presented with seizure. Both the patients were operated, and biopsy turned out glioblastoma. A solitary brain lesion in the known first primary patient may be a glial tumor which needs proper evaluation since its management differs from metastasis.


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