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malignant meningioma with jugular vein invasion and carotid artery extension:A case report and review of the literature

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World Journal of Clinical Cases 2020年第23期8卷 6110-6121页

作者： Hui-Ying Chen Feng Zhao Jiang-Yuan Qin Hai-Mei Lin Ji-Ping Su Department of Otolaryngology-Head and Neck Surgery The First Affiliated Hospital of Guangxi Medical UniversityNanning 530021Guangxi Zhuang Autonomous RegionChina

BACKGROUND Grade II and III meningiomas[World Health Organization(WHO)classification]rarely have extracranial metastases via the blood circulation;however,we experienced a case with a metaplastic atypical meningioma and local dedifferentiation that metastasized to the jugular vein,carotid artery and subclavian artery at the cervicothoracic *** cases have seldom been reported *** SUMMARY The patient was a 30-year-old man who developed right neck masses with dysphagia,labored breathing,dizziness,and occasional *** months earlier the patient was diagnosed with a right parietal lobe neoplasm and hemorrhage at a local hospital due to the sudden onset of headaches and left limb weakness,and the post-operative pathology was a metaplastic atypical meningioma(WHO grade II)with local de-differentiation(WHO III).Magnetic resonance imaging revealed a calcified mass at the root of the neck on the right and a large cystic mass in the right parapharyngeal *** and neck angiography showed that the right common carotid artery was compressed and completely occluded,and the jugular vein was enveloped by the tumor and occluded.A balloon occlusion test showed no perfusion in the right common carotid *** resection,carotid artery ligation,and subclavian artery reconstruction were *** tumor was a malignant ***,the patient had Horner's syndrome and *** This case highlights the importance of the link between a large cervical mass and a primary intracranial *** meningioma should not be considered merely as an intracranial metastasis spread through cerebrospinal fluid,it can also be transferred through the circulation to the parapharyngeal space and the cervical great vessels.

关键词： malignant meningioma Metastasis Carotid artery Jugular vein Resection and reconstruction Case report

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malignant meningioma: Two Cases Observed at the Hospital Center of Soavinandriana, Antananarivo

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Open Journal of Pathology 2023年第2期13卷 87-92页

作者： Razafindrafara Herilalao Elisabeth Rabarison Manoahasina Ranaliarinosy Rakotozanany Patrick Sandra Ratovondrainy Willy Randrianjafisamindrakotroka Nantenaina Soa Department of Pathology Soavinandriana Center Hospital (CENHOSOA) Antananarivo Madagascar Department of Pathology Joseph Ravoahangy Andrianavalona University Hospital Antananarivo Madagascar Department of Neurosurgery Soavinandriana Center Hospital (CENHOSOA) Antananarivo Madagascar

Introduction: meningiomas are tumors formed by arachnoid cells, typically attached to the inner surface of the dura mater. malignant forms are rare and no case has been reported in the Malagasy literature. The objective of our study is to report two Malagasy cases of malignant meningioma and to discuss the epidemiological and anatomical-clinical particularities of this tumor. Observation: The first patient, a 41-year-old woman, presented with a rapidly progressive intracranial hypertension syndrome. The patient had undergone surgery two years earlier for a grade II meningioma and had no family history of meningioma, neurofibromatosis, or personal history of brain irradiation or head trauma. Her brain scan showed a heterogeneous polylobed left parieto-occipital mass with a meningeal implantation base. The anatomopathological examination of the samples revealed a malignant meningioma. The second patient was a 33-year-old man, operated for grade I meningioma eleven months before admission, with no other personal or family history. The patient was hospitalized for tumor recurrence with signs of intracranial hypertension. The brain computed tomography (CT) scan showed a heterogeneous extra-axial tumor in right temporo-parietal lobe. Surgical excision was performed. On histological examination, a proliferation of tumor cells of meningothelial appearance with papillary architecture was observed, leading to the diagnosis of malignant meningioma. Conclusion: malignant meningioma is a rare and serious entity. The clinical manifestations are nonspecific and imaging may mimic a low-grade meningioma. The diagnosis of certainty is histological and is based on essentially morphological criteria. The latter condition the overall survival of the patient and the therapeutic conduct.

关键词： Central Nervous System malignant meningioma WHO Grade III meningioma

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Intracranial malignant meningioma with cerebrospinal fluid dissemination： a case report

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Chinese Medical Journal 2011年第10期124卷 1597-1599页

作者： PENG Jing LIANG Zhi-gang LI Kun-cheng Department of Radiology Xuanwu Hospital of Capital MedicalUniversity Beijing 100053 China

malignant meningiomas are uncommon intracranial tumors. The metastasis of malignant meningiomas to distant extracranial sites are well known. However, dissemination of the tumours in the cerebrospinal fluid （CSF） is rare and few cases have been reported. We present a case of histologically proven malignant meningioma with CSF dissemination at the remote intracranial area and into the spinal canal detected with maqnetic resonance imaging.

关键词： malignant meningioma magnetic resonance imaging cerebrospinal fluid metastasis leptomeningeal

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Misdiagnosis of malignant meningioma in subcutaneous soft tissue of the forehead: A case report

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Chinese Journal of Plastic and Reconstructive Surgery 2022年第1期4卷 25-27页

作者： Mengjuan Li Min Qi Department of Plastic Surgery Xiangya HospitalCentral South UniversityChangsha 410008HunanChina

meningiomas, the most common intracranial primary tumors, are always benign. Extracranial and distant metastases can occur in malignant meningiomas. This case report describes a male in his 50 s with malignant meningioma and metastases to the subcutaneous soft tissue. Preoperative color Doppler ultrasound showed that the tumor had an abundant blood flow. Intraoperative pathological examination revealed a malignant tumor. Postoperative pathological examination revealed malignant tumors in the forehead;thus, malignant meningiomas were suspected. Immunohistochemistry revealed grade Ⅲ malignant meningioma. malignant meningiomas have the ability to readily spread and metastasize;however, cases of malignant meningiomas disintegrating the bone and metastasizing to the subcutaneous part of the head have not been reported.

关键词： malignant meningioma Anaplastic meningioma meningioma metastasis

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关于肿瘤ICD-9编码核对问题的讨论

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中国卫生统计 1996年第4期 59-59页

作者：杨建南四川成都铁路中心医院

关于肿瘤ＩＣＤ－９编码核对问题的讨论四川成都铁路中心医院杨建南肿瘤一章是ＩＣｒｙ－９编码的难点．如何根据卷一对肿瘤编码进行核对，一般编码手册和工具书均未提及．笔者在实际编码工作中体会到，运用卷一可进行肿瘤ＩＣＤ－９编... 详细信息

关于肿瘤ＩＣＤ－９编码核对问题的讨论四川成都铁路中心医院杨建南肿瘤一章是ＩＣｒｙ－９编码的难点．如何根据卷一对肿瘤编码进行核对，一般编码手册和工具书均未提及．笔者在实际编码工作中体会到，运用卷一可进行肿瘤ＩＣＤ－９编码的核对，保证编码的准确性．一、核...

关键词： malignant meningioma combined treatment

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An Alternative Mechanism for the Instant Removal of Hypervascular Anaplastic meningioma with Recovery of Mentality with NaCl + KCl

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Case Reports in Clinical Medicine 2024年第7期13卷 213-218页

作者： Chur Chin Department of Emergency Medicine New Life Hospital Bokhyun-Dong Daegu South Korea

Background: There is limited information regarding adjuvant treatment for malignant meningiomas. Although external whole-brain irradiation is recommended, the patient’s family in our case rejected this modality. Notably, traditional chemotherapy was ineffective. Aim: I speculated if the exfoliation of graphene could disassemble the three-dimensional (3D) structures of the graphene because the tumor mass or the blood clots including the graphene consisted of inhomogeneous materials. Therefore, I aimed to explore another possible mechanism for the instant removal of inhomogeneous materials. Method: Herein, I report a case of anaplastic papillary meningioma. A 59- year-old man presented with partial complex seizures and recurrent headaches following craniotomy for the removal of a mass with a right frontotemporal convexity 10 years ago. Computed tomography (CT) and magnetic resonance imaging demonstrated a right frontotemporal mass with diffuse contrast enhancement and extensive surrounding edema. A right frontotemporal flap was performed. The tumor and the infiltrated dura were removed, but massive intraoperative bleeding occurred and the right middle cerebral artery was clipped at the M2 territory. Postoperatively, the follow-up CT scan revealed hydrocephalus. Accordingly, a ventriculoperitoneal shunt was placed. The patient suffered from left hemiplegia as a sequela of intraoperative bleeding. Four months later, the follow-up CT scan showed chronic epidural hematoma in the right frontotemporoparietal region. The patient also had an altered level of consciousness. Results: The patient’s level of consciousness was restored after infusion of a NaCl + KCl solution with instant disappearance of the mass. Conclusion: There may be another mechanism for disassembling the inhomogeneous graphene-containing complex, such as quantum fluctuation of the graphene exfoliation with pair annihilation or relation to tissue engineering by the graphene.

关键词： malignant meningioma Colloid Gold Camostat Mesylate No Radiotherapy No Recurrence

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乳突软骨肉瘤手术治疗一例报告

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中国临床研究 1996年第1期 71-71页

作者：李大奎邢翠兰山东淄博矿务局中心医院口腔科

乳突软骨肉瘤手术治疗一例报告山东淄博矿务局中心医院口腔科（２５５１２０）李大奎，邢翠兰患者董某，女，５６岁，务农，淄川人。因左耳前肿块八个月，以阴腺肿瘤诊断于１９９２年４月１０日住院治疗。全身状况尚好，局部检查：左腮... 详细信息

乳突软骨肉瘤手术治疗一例报告山东淄博矿务局中心医院口腔科（２５５１２０）李大奎，邢翠兰患者董某，女，５６岁，务农，淄川人。因左耳前肿块八个月，以阴腺肿瘤诊断于１９９２年４月１０日住院治疗。全身状况尚好，局部检查：左腮腺区上方可们及２．０ＸＩ．ｓｃｍ大...

关键词： malignant meningioma combined treatment

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