1. You, and you alone, know if you need more tissue to make an intraoperative diagnosis.
2. When misdiagnosing a lesion, always strive to do the least amount of harm!
3. Lipid-laden macrophages are very strong evidence against the presence of a glioma.
4. Rule number 2 trumps rule number 3 (explained as: “It is easier to reoperate on a patient with a glioma initially misdiagnosed as a tumor-like demyelinating lesion, than replace resected demyelinated tissue initially misdiagnosed as gliomas.”)
2 comments:
All true! (The photo should have been of him playing opera!)
I'd just like to suggest an additional rule, one which I posted behind me in the frozen section lab when in my fellowship at Barnes:
"It will be incredibly obvious tomorrow."
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