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CC BY-NC-ND 4.0 · J Neurol Surg Rep 2023; 84(01): e21-e25
DOI: 10.1055/s-0043-1764322
Case Report

A Case of Giant Cutaneous Lopez Type III Meningioma of the Scalp

Man Fung Cheng 
1   Department of Neurosurgery, Princess Margaret Hospital, Lai Chi Kok, Hong Kong
,
Ling Kit Cheung
1   Department of Neurosurgery, Princess Margaret Hospital, Lai Chi Kok, Hong Kong
,
Ernest Addy Dodoo
1   Department of Neurosurgery, Princess Margaret Hospital, Lai Chi Kok, Hong Kong
,
Yin Chung Po
1   Department of Neurosurgery, Princess Margaret Hospital, Lai Chi Kok, Hong Kong
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Abstract

Meningiomas are the most common central nervous system (CNS) tumors. Extracranial meningiomas are rare, constituting 2% of all meningiomas. We describe a case of Lopez type III meningioma of the scalp in a 72-year-old gentleman who had a long-standing giant scalp mass and presented with recent mild left-sided limb weakness and numbness. Magnetic resonance imaging (MRI) of the skull demonstrated a right frontoparietal tumor extending through the skull into the scalp. Tumor excision revealed World Health Organization (WHO) grade 1 meningioma. Clinicians should correlate a cutaneous skull mass and new onset of neurological symptoms. Cutaneous meningioma is an important differential diagnosis.

Keywords

scalp mass - cutaneous meningioma - Lopez classification - extracranial extension

Informed Consent

Written informed consent was obtained from the patient for publication of the case.




Publication History

Received: 25 August 2022

Accepted: 26 January 2023

Article published online:
03 March 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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