Extracranial multiorgan metastasis from primary glioblastoma: A case report

Figure 2 Imaging and pathology before and after the second operation. A: The patient has a lump on the scalp at the first surgical incision in the right temple; B: 6 mo after first surgery, brain contrast-enhanced magnetic resonance imaging (MRI): intracranial recurrence and scalp transfer; C: Brain contrast-enhanced MRI was re-examined 9 mo after first surgery: both the intracranial recurrent tumors and the scalp metastases have grown up; D: Hematoxylin-eosin staining suggested fibrous tissue proliferation and necrosis, and scattered abnormal cells, which was considered as intracranial GBM metastasis (magnification, × 200); E: GFAP (+) (magnification, × 200); F: Vim (+) (magnification, × 200); G: Ultrasonography revealed enlarged lymph nodes in the right neck (2.1 cm × 1.5 cm); H: Pathological examination of enlarged lymph nodes in the right neck was diagnosed as glioblastoma, hematoxylin-eosin staining (magnification, × 200).