Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Imaging Features and Pathological Correlation in Mixed Microcystic and Angiomatous Meningioma: A Case Report

미세낭종성 혈관종성 혼합 수막종의 영상 및 병리 소견: 증례 보고

  • Keonwoo Choi (Department of Radiology, Daejin Medical Center Bundang Jesaeng General Hospital) ;
  • Dae Yoon Kim (Department of Radiology, Daejin Medical Center Bundang Jesaeng General Hospital) ;
  • Hyun Jin Kim (Department of Radiology, Daejin Medical Center Bundang Jesaeng General Hospital) ;
  • Gyojun Hwang (Department of Neurosurgery, Daejin Medical Center Bundang Jesaeng General Hospital) ;
  • Mi Kyung Kim (Department of Neurosurgery, Daejin Medical Center Bundang Jesaeng General Hospital) ;
  • Hyun Gon Kim (Department of Neurosurgery, Daejin Medical Center Bundang Jesaeng General Hospital) ;
  • Soya Paik (Department of Pathology, Daejin Medical Center Bundang Jesaeng General Hospital)
  • 최건우 (대진의료재단 분당제생병원 영상의학과) ;
  • 김대윤 (대진의료재단 분당제생병원 영상의학과) ;
  • 김현진 (대진의료재단 분당제생병원 영상의학과) ;
  • 황교준 (대진의료재단 분당제생병원 신경외과) ;
  • 김미경 (대진의료재단 분당제생병원 신경외과) ;
  • 김현곤 (대진의료재단 분당제생병원 신경외과) ;
  • 백소야 (대진의료재단 분당제생병원 병리과)
  • Received : 2021.06.28
  • Accepted : 2021.09.14
  • Published : 2022.07.01
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Abstract

Meningiomas are the most common intracranial tumors. However, microcystic and angiomatous meningiomas are very rare subtypes that present unusual imaging findings. Hence, radiological diagnosis of these tumors can be challenging. We herein describe a case of mixed angiomatous and microcystic meningioma in an 81-year-old male. MRI revealed an extra-axial mass with high T2 signal intensity, measuring 1.5 cm in diameter, with multiple tiny intralesional cysts and entrapped peritumoral cyst formation. After tumor resection, a histopathological diagnosis of mixed angiomatous and microcystic meningioma was made.

수막종은 가장 흔한 두개내 종양이지만, 그 아형인 미세낭종성 및 혈관종성 수막종은 매우 드물고 특이한 영상 소견으로 인해 영상의학적 진단이 어려울 수 있다. 이에 저자들은 미세낭종성 혈관종성 혼합 수막종으로 진단된 81세 남자 환자 증례를 보고하고자 한다. 자기공명 T2 강조영상에서 병변은 왼쪽 전두부에 약 1.5 cm 크기의 고신호강도의 축외 종양으로 보이고 있었고, 종양 내에 다수의 아주 작은 낭종들이 관찰되었으며, 종양 주위로 포획된 큰 낭을 형성하고 있었다. 수술적 절제를 통한 병리 검사상 미세낭종성 혈관종성 혼합 수막종으로 최종 진단되었다.

Keywords

References

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