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DOI: 10.4103/ijmpo.ijmpo_98_17
Recurrent Atypical Meningioma with Pleural Metastases
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Abstract
Meningiomas are the most common primary intracranial tumors in adults. Although Grade I meningiomas are considered benign, Grade II/III (atypical and anaplastic) meningiomas are known to be locally aggressive, recurrent, and rarely present with distant metastases. We report a 40-year-old female with recurrent atypical meningioma (WHO Grade II) who presented with features suggestive of a massive right-sided pleural effusion. Imaging showed bilateral large pleural-based lesions, and histopathological examination and immunohistochemistry of the mass were consistent with metastatic atypical meningioma. A high index of suspicion is warranted to detect extracranial metastases, especially in patients with recurrent meningiomas and higher WHO grade of tumor.
Publication History
Article published online:
23 June 2021
© 2018. Indian Society of Medical and Paediatric Oncology. 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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References
- 1 Wiemels J, Wrensch M, Claus EB. Epidemiology and etiology of meningioma. J Neurooncol 2010; 99: 307-14
- 2 Jääskeläinen J, Haltia M, Servo A. et al. Atypical and anaplastic meningiomas: Radiology, surgery, radiotherapy, and outcome. Surg Neurol 1986; 25: 233-42
- 3 Surov A, Gottschling S, Bolz J, Kornhuber M, Alfieri A, Holzhausen HJ. et al. Distant metastases in meningioma: An underestimated problem. J Neurooncol 2013; 112: 323-7
- 4 Karasick JL, Mullan SF. A survey of metastatic meningiomas. J Neurosurg 1974; 40: 206-12
- 5 Louis DN, Perry A, Reifenberger G, von DeimlingA, Figarella-Branger D, Cavenee WK. The 2016 World Health Organization classification of tumors of the central nervous system: A summary. Acta Neuropathol 2016; 131: 803-20
- 6 Kros JM, Cella F, Bakker SL, Paz Y, Geuze D, Egeler RM. Papillary meningioma with pleural metastasis: Case report and literature review. Acta Neurol Scand 2000; 102: 200-2
- 7 Som PM, Sacher M, Strenger SW, Biller HF, Malis LI. “Benign” metastasizing meningiomas. AJNR Am J Neuroradiol 1987; 8: 127-30
- 8 Kaminski JM, Movsas B, King E, Yang C, Kronz JD, Alli PM. et al. Metastatic meningioma to the lung with multiple pleural metastases. Am J Clin Oncol 2001; 24: 579-82
- 9 Erman T, Hanta I, Haciyakupoǧlu S, Zorludemir S, Zeren H, Göçer AI. et al. Huge bilateral pulmonary and pleural metastasis from intracranial meningioma: A case report and review of the literature. J Neurooncol 2005; 74: 179-81
- 10 Nakayama Y, Horio H, Horiguchi S, Hato T. Pulmonary and pleural metastases from benign meningeal meningioma: A case report. Ann Thorac Cardiovasc Surg 2014; 20: 410-3
- 11 Yacoub M, Naccache JM, Kujas M, Valeyre D, Kambouchner M. Isolated pleural metastases from an atypical meningioma. Rev Mal Respir 2003; 20: 433-6