• History & Physical: This is a 34-year-old male who presented to an outside hospital with increasing headaches despite medications prescribed by his primary care physician. He denied any other symptoms or seizure activity. Physical examination was unremarkable.

    Imaging: MRI imaging revealed a large right parietal mass.

    Figure 1.

    Figure 2.

    Figure 3.

    1. The diagnosis of this lesion is most likely:

    2. The treatment option of choice in this patient is:

    3. The optimal surgical option offered to this patient would be:

    4. The optimal surgical option offered to this patient would be:

    5. Adjunctive treatments offered based on presumptive diagnosis (Question 1) would include:

    6. The follow-up of this patient would include:

    7. Please provide any comments or suggestions regarding management of this case:

    "The avid enhancement, necrotic center, and subependymal margination of the mass support the diagnosis of GBM."

    "I would like to know the result of spectroscopy MRI."

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