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Figure 3B


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Figure 3b.  Dural tail enhancement with meningioma. (3a) Diagram illustrates the thin, relatively curvilinear enhancement that extends from the edge of a meningioma. Most of this enhancement is caused by vasocongestion and edema, rather than neoplastic infiltration. The bulk of the neoplastic tissue is in the hemispheric extraaxial mass; nonetheless, the dural tail must be carefully evaluated at surgery to avoid leaving neoplastic tissue behind. (3b) Photograph of a resected meningioma shows the dense, "meaty," well-vascularized neoplastic tissue. At the margin of the lesion, there is a "claw" of neoplastic tissue (arrowhead) overlying the dura mater (arrows) that is not directly involved with tumor.