Messerer M, Nouri M, Saikali S, Brassier G, Hamlat A
Service de neurochirurgie, hôpital de Pontchaillou, CHU de Rennes, rue Henri-Le-Guilloux, 35000 Rennes cedex 09, Rennes, France.
Neurochirurgie. 2008 Aug;54(4):556-60. doi: 10.1016/j.neuchi.2008.02.065. Epub 2008 Jun 24.
Metastatic spreading is a rare complication of meningioma. We report a subcutaneous metastasis from an atypical meningioma of the tentorium. A 69-year-old man presented with a meningioma of the tentorium. The tumor was totally resected. The histological diagnosis was atypical meningioma. The tumor recurred two years later and was irradiated. Despite irradiation, the tumor progressed and was resected three years later. Five months following the second surgery, an isolated subcutaneous mass developed at the skin incision and was resected. The histological examination of the subcutaneous tumor showed histological features of atypical meningioma. Surgery of atypical meningioma carries the risk of iatrogenic metastasis, despite previous irradiation.
转移性扩散是脑膜瘤的一种罕见并发症。我们报告一例来自小脑幕非典型脑膜瘤的皮下转移。一名69岁男性患有小脑幕脑膜瘤。肿瘤被完全切除。组织学诊断为非典型脑膜瘤。两年后肿瘤复发并接受了放疗。尽管进行了放疗,肿瘤仍进展,三年后再次切除。第二次手术后五个月,在皮肤切口处出现一个孤立的皮下肿块并被切除。皮下肿瘤的组织学检查显示具有非典型脑膜瘤的组织学特征。尽管之前进行了放疗,但非典型脑膜瘤手术仍有医源性转移的风险。