The dense cellularity and pleomorphism raises a possibility of ganglioglioma and higher grade malignancies like glioblastoma, giant cell glioblastoma, gliosarcoma or even pleomorphic sarcoma.
Gliosarcoma (GS) is a rare variant of glioblastoma (GB), characterized by a biphasic tissue pattern, with alternating areas of glial and mesenchymal differentiation [1].