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CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(01): 314-317
DOI: 10.4103/ajns.AJNS_191_18
Case Report

Extensive pulmonary metastases 13 years after initial resection of intracranial meningioma

Samuel Rajadurai
Department of Neurosurgery, Waikato Hospital, Hamilton
,
Ziad Thotathil
1   Department of Radiation Oncology, Waikato Hospital, Hamilton
,
Rakesh Biju
Department of Neurosurgery, Waikato Hospital, Hamilton
,
Fouzia Ziad
2   Department of Pathology, Waikato Hospital, Hamilton
,
Zakier Hussain
Department of Neurosurgery, Waikato Hospital, Hamilton
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Background: Extracranial metastasis from intracranial meningioma is a very rare condition. A current literature review reveals that only few cases are documented with extensive pulmonary involvement >10 years after initial intracranial meningioma resection. Diagnosis of pulmonary meningioma is often confirmed by computed tomography chest-guided core biopsies. The prognosis of extensive metastatic pulmonary meningioma, however, is unknown and there is no gold standard treatment option. Case Description: We present a case of multiple pulmonary meningioma metastases developing 13 years after initial resection of left occipital parafalcine World Health Organization Grade I intracranial meningioma. Conclusion: There are no established guidelines for the optimal management or surveillance of extensive pulmonary metastatic meningioma. In patients with high-grade meningioma and multiple cannonball pulmonary lesions, metastatic meningioma should be considered as part of the differential diagnosis. Metastatic meningioma may occur even a decade after initial tumour resection.

Key-words:

Meningioma - metastatic meningioma - pulmonary metastases - recurrent meningioma - Rosai–Dorfman disease

Financial support and sponsorship

Nil.




Publication History

Article published online:
09 September 2022

© 2019. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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