高级检索
Rhabdoid Meningioma Arising Concurrent in Pulmonary and Intracranial with a Rare Malignant Clinical Progression: Case Report and Literature Review

    作者

    Zhao, P;Li, N;Cao, JF;Lin, XT;Liang, CH

    作者单位

    [Zhao, Peng] Shandong Univ, Shandong Prov Hosp, Dept Radiol, Jinan, Shandong, Peoples R China.;-;[Li, Ning; Lin, Xiangtao; Liang, Changhu] Shandong Univ, Shandong Med Imaging Res Inst, Jinan, Shandong, Peoples R China.;-;[Cao, Jinfeng] Cent Hosp Zibo, CT Room, Zibo, Peoples R China.

    摘要

    BACKGROUND: Rhabdoid meningioma (RM) is an unusual variant of meningioma, classified as World Health Organization grade III. Although its recurrence is common, extracranial metastasis is rare and usually misdiagnosed. The transfer mechanism and pathway are ambiguous; once the metastasis occurs, the prognosis is poor, and there is no effective management. The present case is the first report of concurrent intracranial and pulmonary RM with rapid and widespread metastasis. We hope this report can serve as a helpful reference for clinicians and radiologists.;-;CASE DESCRIPTION: A 39-year-old woman presented to our hospital complaining of headache and memory disturbances. Magnetic resonance imaging (MRI) of the brain revealed a well-defined, inhomogeneous signal tumor with intense enhancement and severe peritumoral edema. Postoperatively, RM (grade III) was confirmed by histopathology. A chest CT performed 2 weeks later revealed an isolated lung mass, which was confirmed as RM on subsequent surgery. Three months after the first radiotherapy, the cancer had progressed uncommonly rapidly with widespread metastasis to the cerebellum, lung, kidney, and thigh. Gamma knife radiosurgery, chemotherapy, and moleculartargeted therapy were performed; however, the patient's condition continued to worsen, and she died 1 year after the initial operation.;-;CONCLUSIONS: Intracranial RM is a relatively rare tumor with the potential for wide intracranial and extracranial transfer. Cystic components and necrosis can be seen in this type of meningioma. Metastatic meningioma should be kept in mind when dealing with isolated lung lesions. This case report may serve as a helpful reference for clinicians and radiologists.

    关键词

    OF-THE-LITERATURE; METASTASES; FEATURES
基本信息

  • 所属机构:医学影像科

    归属医师: 赵鹏1979

    UT:000415860500161

    刊名:WORLD NEUROSURGERY

    年,卷(期):2017年107卷

    DOI:10.1016/j.wneu.2017.07.181

    附件:

    收录:   SCIE