54 år gammel mann med stor subkutan hevelse over vertex og fokale epileptiske anfall
Engelsk titel: A 54-year-old man with a large subcutaneous skull erosion and focal epileptic seizures
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Författare:
Vik A
;
Kvikstad A
;
Unsgård G
;
Jörgensen JV
;
Torp SH
Email: anne.vik@ntnu.no
Språk: Nor
Antal referenser: 13
Dokumenttyp:
Fallbeskrivning
UI-nummer: 06091976
Sammanfattning
CONCLUSION : Risk factors for metastasis of cerebral meningiomas have been suggested to be histological malignancy grade, venous sinus invasion, and local recurrences after previous craniotomy.
CASE REPORT : We report a 54-year-old man, who presented with a parasagittal meningioma with skull erosion and overlying soft tissue invasion. Tumour invading the superior sagittal sinus was not removed, and postoperative radiation was therefore delivered to the excision site. Histology was consistent with an atypical meningioma. The patient had a re-operation of a recurrence 3.5 years later, and after another year six tumours were detected close to pleura and in the lungs. A biopsy from the largest one demonstrated a metastasis having the same histology as the primary tumour.
BACKGROUND : Extracranial metastases from meningioma are rare, and are reported to occur in less than 1 per 1000.