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One hundred patients affected by multifocal brain lesions were investigated by serial stereotactic biopsy.Systemic diseases and primary neoplasms elsewhere were previously ruled out.The histological diagnosis obtained in this series comprises malignant gliomas in 37%of patients; primary non-Hodgkin's brain lymphoma in 15%;metastatic brain tumors in 15% (no evidence of the primary tumor at the time of stereotactic surgery);low grade gliomas in 12%;infective disease in 10%(including brain abscesses and multifocal viral encephalitis);and ischemic lesions in 6%.In addition, two patients with germinomas,two with primitive neuroepithelial tumors,two with multiple telangiectases,and one with teratoma were also included in this series.Histological findings obtained by stereotactic procedures guided the choice of treatment,avoiding the risks of blind treatments. Indications and future perspectives for stereotactic surgery in multifocal brain lesions are discussed with emphasis on advances in diagnostic and therapeutic tools. |
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brain biopsy
brain biopsy,stereotaxic
central nervous system,infection of
glioma
glioma,low-grade
lymphoma involving CNS
neoplasm,metastatic to CNS
neoplasm,primary intracerebral
neoplasm,primary of CNS
review article
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