下顎骨に転移したと考えられる髄膜腫の1例
Most meningiomas are intracranial tumors arising from meningothelial cells. However, extracranial meningiomas can develop as a true primary extracranial meningioma or as a direct extension or distant metastasis from a primary intracranial meningioma. Extracranial meningiomas of the jaw are extremely...
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| Published in | 日本口腔外科学会雑誌 Vol. 65; no. 4; pp. 273 - 278 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
社団法人 日本口腔外科学会
20.04.2019
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0021-5163 2186-1579 |
| DOI | 10.5794/jjoms.65.273 |
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| Abstract | Most meningiomas are intracranial tumors arising from meningothelial cells. However, extracranial meningiomas can develop as a true primary extracranial meningioma or as a direct extension or distant metastasis from a primary intracranial meningioma. Extracranial meningiomas of the jaw are extremely rare. To the best of our knowledge, only nine cases of extracranial meningioma of the mandible have been reported to date. Here we report a case of extracranial meningioma of the mandible arising in an 83-year-old man who presented with a painless swelling in the left side of the mandible. Radiographic examination revealed a radiolucent lesion in the left side of the mandible, which was diagnosed as a meningothelial meningioma on biopsy. The patient previously underwent intracranial tumorectomy for a convexity meningioma and CyberKnife treatment for a residual tumor after surgery. Therefore, this lesion was considered mandibular bone metastasis from intracranial meningioma. Surgical therapy was proposed for treatment; however, consent was not obtained. After continued follow-up, no increase in the tumor was observed for 2 years after the first visit.. |
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| AbstractList | Most meningiomas are intracranial tumors arising from meningothelial cells. However, extracranial meningiomas can develop as a true primary extracranial meningioma or as a direct extension or distant metastasis from a primary intracranial meningioma. Extracranial meningiomas of the jaw are extremely rare. To the best of our knowledge, only nine cases of extracranial meningioma of the mandible have been reported to date. Here we report a case of extracranial meningioma of the mandible arising in an 83-year-old man who presented with a painless swelling in the left side of the mandible. Radiographic examination revealed a radiolucent lesion in the left side of the mandible, which was diagnosed as a meningothelial meningioma on biopsy. The patient previously underwent intracranial tumorectomy for a convexity meningioma and CyberKnife treatment for a residual tumor after surgery. Therefore, this lesion was considered mandibular bone metastasis from intracranial meningioma. Surgical therapy was proposed for treatment; however, consent was not obtained. After continued follow-up, no increase in the tumor was observed for 2 years after the first visit.. |
| Author | 柘植, 祥弘 風岡, 宜暁 大野, 隆之 西尾, 佳朋 古橋, 明文 山本, 康博 |
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| References | 5) Surov A, Gottschling S, et al : Distant metastases in meningioma an underestimated problem. J Neurooncol 112: 323-327, 2013. 19) Kanzaki R, Higashiyama M, et al : Surgical resection of pulmonary metastases from meningioma : report of case. Surg Today 41: 995-998, 2011. 8) 久保田紀彦， 竹内浩明， 他：髄膜性腫瘍の病理．Jpn J Neurosug 14: 761-771, 2005. 12) Jones AC, Freedman PD et al : Primary extracranial meningioma of the mandible: a report of 2 cases and a review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 91: 338-341, 2001. 11) Landini G and Kitano M : Meningioma of the mandible. Cancer 69: 2917-2920, 1992. 14) Lell M, Tudor C, et al : Primary intraosseous meningioma of the mandible : CT and MR imaging features. Am J Neuroradiol 28: 129-131, 2007. 1) 日本脳神経外科学会， 日本病理学会 編：臨床・病理脳腫瘍取扱い規約 臨床と病理カラーアトラス．第3版， 金原出版株式会社， 東京， 2010， 8-11 頁 16) Mosqueda-Taylor A, Dominguez-Malagon H, et al : Primary extracranial meningioma of the mandible. Med Oral Patol Oral Cir Bucal 14: E167-170, 2009. 20) 土井勝之， 浅野貴徳， 他：下顎骨転移7症例の臨床検討．頭頸部外 19: 161-165, 2009. 3) 鈴木秀明，寳地信介，他：頭頸部頭蓋外髄膜腫の3例．耳喉頭頸 88: 351-356, 2016. 17) Rommel N, Bissinger O, et al : Ectopic meningioma of the mandible in a 20-year-old woman : a case report and literature review. Journal of Surgical Case Reports 3: 1-3, 2017. 15) Mussak EN, Holodny AI et al : Meningioma of mandible : imaging with CT. Am J Neuroradiol 28: 1157-1159, 2007. 18) Rege ICC, Garcia RR, et al : Primary extracranial meningioma : a rare location. Head and Neck Pathol 11: 561-566, 2017. 4) 磯野友美， 田中宏和， 他：髄膜腫肺転移の1例．胸部外科 70: 548-550, 2017. 7) 佐藤由郎， 稲沢慶太郎， 他：原発性肺癌に合併した髄膜腫肺転移の1例．日臨外会誌 70: 2663-2668, 2009. 2) Deshmukh SD, Rokade VV, et al : Primary extra-cranial meningioma in the right submandibular region of an 18-year-old woman : a case report. Journal of Medical Case Reports 5: 271, 2011. 10) Reddi SP and Strauss SI : Anterior maxillary lesion. J Oral Maxillofac Surg 57: 1234-1238, 1999. 13) Kubota Y, Yamashiro T et al : Primary meningioma of the mandible. Oral Oncology EXTRA 41: 18-21, 2005. 6) Fabi A, Nuzzo C, et al : Bone and lung metastases from intracranial meningioma. Anticancer Research 26: 3835-3838, 2006. 9) Simpson MT and Sneddon KJ : Extracranial meningioma of oral cavity. Br J Oral Maxillofac Surg 25: 520-525, 1987. |
| References_xml | – reference: 20) 土井勝之， 浅野貴徳， 他：下顎骨転移7症例の臨床検討．頭頸部外 19: 161-165, 2009. – reference: 18) Rege ICC, Garcia RR, et al : Primary extracranial meningioma : a rare location. Head and Neck Pathol 11: 561-566, 2017. – reference: 13) Kubota Y, Yamashiro T et al : Primary meningioma of the mandible. Oral Oncology EXTRA 41: 18-21, 2005. – reference: 15) Mussak EN, Holodny AI et al : Meningioma of mandible : imaging with CT. Am J Neuroradiol 28: 1157-1159, 2007. – reference: 8) 久保田紀彦， 竹内浩明， 他：髄膜性腫瘍の病理．Jpn J Neurosug 14: 761-771, 2005. – reference: 1) 日本脳神経外科学会， 日本病理学会 編：臨床・病理脳腫瘍取扱い規約 臨床と病理カラーアトラス．第3版， 金原出版株式会社， 東京， 2010， 8-11 頁． – reference: 14) Lell M, Tudor C, et al : Primary intraosseous meningioma of the mandible : CT and MR imaging features. Am J Neuroradiol 28: 129-131, 2007. – reference: 6) Fabi A, Nuzzo C, et al : Bone and lung metastases from intracranial meningioma. Anticancer Research 26: 3835-3838, 2006. – reference: 10) Reddi SP and Strauss SI : Anterior maxillary lesion. J Oral Maxillofac Surg 57: 1234-1238, 1999. – reference: 12) Jones AC, Freedman PD et al : Primary extracranial meningioma of the mandible: a report of 2 cases and a review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 91: 338-341, 2001. – reference: 4) 磯野友美， 田中宏和， 他：髄膜腫肺転移の1例．胸部外科 70: 548-550, 2017. – reference: 9) Simpson MT and Sneddon KJ : Extracranial meningioma of oral cavity. Br J Oral Maxillofac Surg 25: 520-525, 1987. – reference: 11) Landini G and Kitano M : Meningioma of the mandible. Cancer 69: 2917-2920, 1992. – reference: 16) Mosqueda-Taylor A, Dominguez-Malagon H, et al : Primary extracranial meningioma of the mandible. Med Oral Patol Oral Cir Bucal 14: E167-170, 2009. – reference: 17) Rommel N, Bissinger O, et al : Ectopic meningioma of the mandible in a 20-year-old woman : a case report and literature review. Journal of Surgical Case Reports 3: 1-3, 2017. – reference: 3) 鈴木秀明，寳地信介，他：頭頸部頭蓋外髄膜腫の3例．耳喉頭頸 88: 351-356, 2016. – reference: 7) 佐藤由郎， 稲沢慶太郎， 他：原発性肺癌に合併した髄膜腫肺転移の1例．日臨外会誌 70: 2663-2668, 2009. – reference: 2) Deshmukh SD, Rokade VV, et al : Primary extra-cranial meningioma in the right submandibular region of an 18-year-old woman : a case report. Journal of Medical Case Reports 5: 271, 2011. – reference: 19) Kanzaki R, Higashiyama M, et al : Surgical resection of pulmonary metastases from meningioma : report of case. Surg Today 41: 995-998, 2011. – reference: 5) Surov A, Gottschling S, et al : Distant metastases in meningioma an underestimated problem. J Neurooncol 112: 323-327, 2013. |
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| Title | 下顎骨に転移したと考えられる髄膜腫の1例 |
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