Chordoid Meningioma

  • Choi, Kyung-Chul (Department of Neurosurgery, St. Mary's Hospital, The Catholic University of Korea) ;
  • Joo, Won-Il (Department of Neurosurgery, St. Mary's Hospital, The Catholic University of Korea) ;
  • Jang, Kyung-Sool (Department of Neurosurgery, St. Mary's Hospital, The Catholic University of Korea) ;
  • Kim, Moon-Chan (Department of Neurosurgery, St. Mary's Hospital, The Catholic University of Korea)
  • Published : 2005.11.28

Abstract

A case of chordoid meningioma occurring in a 61-year-old woman who did not have a Castleman's disease is presented. The patient had suffered from headache and motor dysphasia. Laboratory findings are normal. The tumor, located in the left frontal region and associated with peritumoral edema, was totally resected. Surgical specimen revealed a solid mass with irregular surface that measured $3.5{\times}4.5{\times}4cm$. Immunohistochemical staining revealed that the tumor cells expressed epithelial membrane antigen[EMA] focally, but not S-100 protein and glial fibrillary acid protein [GFAP], and the Ki-67 proliferative index of the tumor was 9%. The neoplasm was diagnosed chordoid meningioma of the World Health Organization[WHO] grade II. After total resection, her preoperative headache and dysphasia were disappeared.

Keywords

References

  1. Abenoza P, Sibley RK : Chordoma : an immunohistologic study. Hum Pathol 17 : 744-747, 1986 https://doi.org/10.1016/S0046-8177(86)80185-X
  2. Castleman B : Case records of the Massachusetts General Hospital. Case No. 40011. Hyperplasia of the mediastinal lymph nodes. N Engl J Med 250 : 26-30, 1954 https://doi.org/10.1056/NEJM195401072500107
  3. Castleman B, Iverson L, Menendez VP : Localized mediastinal lymphnode hyperplasia resembling thymoma. Cancer 9 : 822-830, 1956 https://doi.org/10.1002/1097-0142(195607/08)9:4<822::AID-CNCR2820090430>3.0.CO;2-4
  4. Connors MH : Growth and maturation arrest, hypochromic anemia and hyperglobulinemia associated with a brain tumor. West J Med 133 : 160-163, 1980
  5. Couce ME, Aker FV, Scheithauer BW : Chordoid meningioma : a clinicopahtologic study of 42 cases. Am J Surg Pathol 24 : 899-905, 2000 https://doi.org/10.1097/00000478-200007000-00001
  6. Kepes JJ : Presidential address : the histopathology of meningiomas. A reflection of origins and expected behavior? J Neuropathol Exp Neurol 45 : 95-107, 1986 https://doi.org/10.1097/00005072-198603000-00001
  7. Kepes JJ, Chen WYK, Connors MH : 'Chordoid' meningeal tumors in young individuals with peritumoral lymphoplasmacellular infiltrates causing systemic manifestations of the Castleman syndrome. A report of seven cases. Cancer 62 : 391-406, 1988 https://doi.org/10.1002/1097-0142(19880715)62:2<391::AID-CNCR2820620226>3.0.CO;2-7
  8. Kobata H, Kondo A, Iwasaki K : Chordoid meningioma in a child. Case report. J Neurosurg 88 : 319-323, 1998 https://doi.org/10.3171/jns.1998.88.2.0319
  9. Lee DK, Kim DG, Choe G, Chi JG, Jung HW : Chordoid meningioma with polyclonal gammopathy. Case report. J Neurosurg 94 : 122-126, 2001 https://doi.org/10.3171/jns.2001.94.1.0122
  10. Louis DN, Scheithauer BW, Budka H, von Deimling A, Kepes JJ : Meningiomas. In : Kleihues P, Cavenee WK (eds) WHO classification of Tumours. Pathology and Genetics Tumours of the Nervous System, Lyon : IARC Press, 2000, pp176-185
  11. Nho YL, Park DJ, Lee YW, Jang BJ, Song GS, Choi CH : A case of chordoid meningioma at right temporo-parietal lobe : Case report. J Korean Neurosurg Soc 24 : 208-214,1995
  12. Oliveira AM, Sebo TJ, McGrory JE, Gaffey TA, Rock MG, Nascimento AG : Extraskeletal myxoid chondrosarcoma : a clinicopathologic, immunohistochemical, and ploidy analysis of 23 cases. Mod Pathol 13 : 900-908, 2000 https://doi.org/10.1038/modpathol.3880161
  13. Pasquier B, Peoc'h M, Morrison AL, Gay E, Pasquier D, Grand S, et al : Chordoid glioma of the third ventricle : a report of two new cases, with further evidence supporting an ependymal differentiation, and review of the literature. Am J Surg Pathol 26 : 1330-1342, 2002 https://doi.org/10.1097/00000478-200210000-00010
  14. Young HF : Brain tumors. In : Grossman RG(ed) : Principles of Neurosurgery, New York : Raven Press, 1991, pp113-162