A case report of resected ectopic malignant meningioma with lung metastasis

Kotaro Murakami, Hidenobu Takahashi, Tomokazu Omori, Osamu Uchida, Hiroshi Hirano, Norihiko Kawate, Norihiko Ikeda

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Abstract

INTRODUCTION: Meningioma is mostly a benign tumor, but sometimes it is malignant, and there have been reports of distant metastases. PATIENT CONCERNS: The patient, a woman in her 40s, was under follow-up after resection of an ectopic malignant meningioma originating in the left axilla. She was referred to our department because of a nodule shadow in the right lung on chest computed tomography (CT) 3 years and 5 months postoperatively. DIAGNOSIS: Chest CT showed a 1.0 cm nodule shadow in the right S4, which was positive on positron emission tomography-CT; no abnormality was found in any other organ. Therefore, it was considered to be a metastatic lung tumor. INTERVENTIONS: Right middle lobe partial resection was performed using thoracoscopic surgery, and a diagnosis of pulmonary metastasis of ectopic malignant meningioma was made by histopathology and immunohistochemistry. OUTCOMES: In this case, complete resection was possible. CONCLUSION: Meningioma occurs mainly in the cranium, and occurrence in the soft tissue of the extremities is extremely rare. To our knowledge, ours is the first report of a histologically malignant ectopic meningioma with metastasis to the thoracic cavity.

Original languageEnglish
Pages (from-to)e15853
JournalMedicine
Volume98
Issue number23
DOIs
Publication statusPublished - 2019 Jun 1

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ASJC Scopus subject areas

  • Medicine(all)

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Murakami, K., Takahashi, H., Omori, T., Uchida, O., Hirano, H., Kawate, N., & Ikeda, N. (2019). A case report of resected ectopic malignant meningioma with lung metastasis. Medicine, 98(23), e15853. https://doi.org/10.1097/MD.0000000000015853