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A 14-Year-Old Boy Presents with Nausea, Vomiting, Generalized Headache, Ataxia

Question 400

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A 14-year-old boy presents with nausea, vomiting, generalized headache, ataxia, and visual complaints.  The headaches have awoken him nightly for the past six weeks.  MRI reveals a cystic tumor in the cerebellum.  Biopsy of the tumor reveals a well-differentiated neoplasm comprised of spindle cells that have hair-like glial processes and are associated with microcysts.  These cells are mixed with Rosenthal fibers and granular eosinophilic bodies.  Based on these findings, the most likely diagnosis is which of the following?


A) Pilocytic Astrocytoma
B) Glioblastoma multiforme
C) Medulloblastoma
D) Ependymoma
E) Neuroblastoma

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