Journal of Korean Neurosurgical Society

  • 제51권3호
  • /
  • Pages.151-154
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  • 2012
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Two Cases of Primary Osteolytic Intraosseous Meningioma of the Skull Metastasizing to Whole Skull and the Spine

  • Kim, Hyool (Department of Neurosurgery, Chonnam National University Research Institute of Medical Sciences, Chonnam National University Hwasun Hospital & Medical School) ;
  • Jung, Tae-Young (Department of Neurosurgery, Chonnam National University Research Institute of Medical Sciences, Chonnam National University Hwasun Hospital & Medical School) ;
  • Kim, In-Young (Department of Neurosurgery, Chonnam National University Research Institute of Medical Sciences, Chonnam National University Hwasun Hospital & Medical School) ;
  • Lee, Jung-Kil (Department of Neurosurgery, Chonnam National University Research Institute of Medical Sciences, Chonnam National University Hwasun Hospital & Medical School)
  • 투고 : 2011.09.23
  • 심사 : 2012.03.14
  • 발행 : 2012.03.28
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초록

We report here two cases of primary intraosseous meningioma with aggressive behavior. A 68-year-old man presented with a one year history of a soft, enlarging mass in the right parietal region. Magnetic resonance image (MRI) revealed a 6 cm sized, heterogeneously-enhancing, bony expansi1e mass in the right parietal bone, and computed tomograph (CT) showed a bony, destructive lesion. The tumor, including the surrounding normal bone, was totally resected. Dural invasion was not apparent Diagnosis was atypical meningioma, which extensively metastasized within the skull one year later. A 74-year-old woman presented with a 5-month history of a soft mass on the left frontal area. MRI revealed a 4 cm sized, multilobulated, strongly-enhancing lesion on the left frontal bone, and CT showed a destructive lesion. The mass was adhered tightly to the scalp and dura mater. The lesion was totally removed. Biopsy showed a papillary meningioma. The patient refused adjuvant radiation therapy and later underwent two reoperations for recurred lesions, at 19 and at 45 months postoperative. The patient experienced back pain 5 years later, and MRI showed an osteolytic lesion on the 11th thoracic vertebra. After her operation, a metastatic papillary meningioma was diagnosed. These osteolytic intraosseous meningiomas had atypical/malignant pathologies, which metastasized to whole skull and the spine.

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참고문헌

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피인용 문헌

  1. Microcystic Variant of an Intraosseous Meningioma in the Frontal Area: A Case Report vol.2014, pp.None, 2012, https://doi.org/10.1155/2014/527267
  2. Primary Osteolytic Intraosseous Atypical Meningioma with Soft Tissue and Dural Invasion : Report of a Case and Review of Literatures vol.56, pp.6, 2014, https://doi.org/10.3340/jkns.2014.56.6.509
  3. Extracranial Extension of Intracranial Atypical Meningioma En Plaque with Osteoblastic Change of the Skull vol.55, pp.4, 2012, https://doi.org/10.3340/jkns.2014.55.4.205
  4. Metastatic meningiomas: an unusual clinical and pathological diagnosis with highly variable outcome vol.120, pp.2, 2012, https://doi.org/10.1007/s11060-014-1567-2
  5. Microcystic Meningioma of the Calvarium: A Series of 9 Cases and Review of the Literature vol.39, pp.4, 2012, https://doi.org/10.1097/pas.0000000000000347
  6. Osteolytic clear cell meningioma of the petrous bone occurring 36 years after posterior cranial fossa irradiation: Case report vol.50, pp.4, 2012, https://doi.org/10.1016/j.pjnns.2016.04.003
  7. Primary intraosseous osteolytic meningioma: a case report and review of the literature vol.19, pp.1, 2012, https://doi.org/10.1186/s12883-019-1392-5
  8. Primary intraosseous osteolytic meningioma without an evidence of soft tissue invasion vol.9, pp.2, 2012, https://doi.org/10.1002/ccr3.3694