Recurrent Atypical Meningioma with Pleural Metastases

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 fe...

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Bibliographic Details
Published inIndian journal of medical and paediatric oncology Vol. 39; no. 2; pp. 241 - 243
Main Authors Premraj, Sarah, Muniraj, Femela, Riaz, Juhi, Senthilnayagam, Balamurugan
Format Journal Article
LanguageEnglish
Published A-12, 2nd Floor, Sector 2, Noida-201301 UP, India Thieme Medical and Scientific Publishers Pvt. Ltd 01.04.2018
Wolters Kluwer India Pvt. Ltd
Medknow Publications and Media Pvt. Ltd
Medknow Publications & Media Pvt. Ltd
Subjects
Brain cancer
Cancer metastasis
Case studies
Diagnosis
Head & neck cancer
Histopathology
Meningioma
Metastasis
NMR
Nuclear magnetic resonance
Practitioner Section
Tumors
Atypical meningioma
pleural metastasis
extracranial metastasis
recurrent
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Summary: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.
ISSN:0971-5851
0975-2129
DOI:10.4103/ijmpo.ijmpo_98_17