case_images: PMC11764291_01
case_images: (A,B) (Axial views): Preoperative MRI scans depict a sizable temporo-insular lesion. The lesion exhibits hypointensity on T1-weighted sequences (A) and shows a ring-enhancing pattern on contrast-weighted sequences (B). A pronounced mass effect with a midline shift is also evident. (C) (Sagittal view): The lesion's extent into the insular and temporal regions is clearly visualized, providing insight into its spatial involvement and proximity to critical structures. (D,E) (Postoperative axial and coronal views): Post-surgical imaging confirms gross total resection of the lesion. The images demonstrate resolution of the mass effect and midline shift, with preserved integrity of the surrounding brain tissue, emphasizing the surgical precision achieved.
case_images: curroncol-32-00041-g001.jpg
case_images: PMC11764291_01_curroncol-32-00041-g001.jpg
case_images: curroncol-32-00041-f001
case_images: It caused a significant mass effect, including a midline shift, compression of the left lateral ventricle, and displacement of adjacent white matter tracts (Figure 1).
case_images: PMC11764291_02
case_images: (A) (Axial view): Preoperative MRI depicts a heterogeneously enhancing mass in the left temporo-insular region. The mass appears hypo-intense on T1-weighted sequences, with displacement of adjacent brain structures. (B) (Coronal view): The mass significantly involves the insular cortex and superior temporal gyrus, exerting a mild mass effect. (C) (Axial view): Further delineation reveals irregular tumor borders and peritumoral edema, with compression of the left lateral ventricle. (D-F) (Postoperative axial, coronal, and axial views): Post-surgical imaging demonstrates successful tumor resection. The images show resolution of the midline shift and a substantial reduction in mass effect, with no evidence of residual tumor. Preservation of surrounding brain structures is also evident.
case_images: curroncol-32-00041-g002.jpg
case_images: PMC11764291_02_curroncol-32-00041-g002.jpg
case_images: curroncol-32-00041-f002
case_images: Advanced imaging was utilized to map critical language and motor pathways surrounding the tumor to guide surgical planning (Figure 2A-F).