Two Cases of Primary Osteolytic Intraosseous Meningioma of the Skull Metastasizing to Whole Skull and the Spine
Journal of Korean Neurosurgical Society
;
: 151-154, 2012.
Article
in English
| WPRIM
| ID: wpr-203811
ABSTRACT
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 expansile 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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Osteolysis
/
Parietal Bone
/
Scalp
/
Skull
/
Spine
/
Biopsy
/
Magnetic Resonance Spectroscopy
/
Back Pain
/
Dura Mater
/
Frontal Bone
Limits:
Aged
/
Female
/
Humans
Language:
English
Journal:
Journal of Korean Neurosurgical Society
Year:
2012
Type:
Article
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