The authors report a case of radiation-associated intracerebral gliosa
rcoma with fibrosarcomatous predominance, arising at the site of a low
-grade glioma treated 10 years previously. The features of this case c
onform to the accepted criteria for radiation-induced tumour, in that
the tumour developed within the radiation field, differed dramatically
in histologic features from the original tumour and did not develop u
ntil 10 years after treatment. Although such tumours are most uncommon
, this case suggests that radiation-induced gliosarcoma should be cons
idered in the differential diagnosis of recurrent mass at the site of
a treated intracranial neoplasm.