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J Neurol Surg A Cent Eur Neurosurg 2024; 85(04): 417-421
DOI: 10.1055/s-0042-1751262
Case Report

Angiosarcoma on Top of a Meningioma Mimicking a Transosseous Meningioma: an Interdisciplinary Point of View

Jana Kohl
1   Department of Neurosurgery, Otto-von-Guericke-University, Magdeburg, Germany
,
Rebecca E König
1   Department of Neurosurgery, Otto-von-Guericke-University, Magdeburg, Germany
,
Armin Kraus
2   Department of Plastic Surgery, Otto-von-Guericke-University, Magdeburg, Germany
,
Christian Mawrin
3   Department of Neuropathology, Otto-von-Guericke-University, Magdeburg, Germany
,
Harald Paukisch
4   Department of Neuroradiology, Otto-von-Guericke-University, Magdeburg, Germany
,
Klaus-Peter Stein
1   Department of Neurosurgery, Otto-von-Guericke-University, Magdeburg, Germany
,
Ali Rashidi
1   Department of Neurosurgery, Otto-von-Guericke-University, Magdeburg, Germany
,
Michael Luchtmann
1   Department of Neurosurgery, Otto-von-Guericke-University, Magdeburg, Germany
,
I Erol Sandalcioglu
1   Department of Neurosurgery, Otto-von-Guericke-University, Magdeburg, Germany
,
Nadine Lilla
1   Department of Neurosurgery, Otto-von-Guericke-University, Magdeburg, Germany
› Author Affiliations Funding None.
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Abstract

Cutaneous angiosarcoma is a rare type of sarcoma with poor prognosis. Meningioma is the most frequent benign intracranial tumor. Despite the fact that meningiomas are mostly benign, bone and skin can be infiltrated. We report the rare case of an angiosarcoma on top of a meningioma with hyperostosis at exactly the same location mimicking a transosseous growth of a meningioma. An 84-year-old man presented with progressive swelling and ulcerous lesion of the forehead. The patient underwent surgery in an interdisciplinary setting together with a plastic surgeon, including resection of the intracranial tumor and infiltrated bone and skin. To the best of our knowledge, this is the only reported case of a meningioma and angiosarcoma in direct neighborhood. A preoperative biopsy of the skin tumor would have led initially to the correct diagnosis of an angiosarcoma and would have allowed a better planning of the operation and extent of resection.

Keywords

meningioma - cutaneous angiosarcoma - biopsy - bone infiltration - head

Compliance with Ethical Standards

Ethical review and approval was not required for the study on human participants in accordance with the local legislation and institutional requirements. Informed consent of the patient's family was obtained.




Publication History

Received: 17 November 2021

Accepted: 19 April 2022

Article published online:
13 September 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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