Tsurubuchi Takao, Yamamoto Tetsuya, Tsukada Yoshiko, Matsuda Masahide, Nakai Kei, Matsumura Akira
Department of Neurosurgery, Institute of Clinical Medicine, University of Tsukuba, Ibaraki, Japan.
Neurol Med Chir (Tokyo). 2008 Oct;48(10):470-3. doi: 10.2176/nmc.48.470.
A 53-year-old man presented with a rare meningioma associated with Werner syndrome. Screening brain magnetic resonance (MR) imaging with gadolinium had detected multiple homogeneously enhanced tumors in the right convexity and in the anterior and posterior thirds of the falx cerebri after surgery for osteosarcoma in his right leg at age 52 years. Ten months later, the right convexity tumor was removed because follow-up MR imaging detected tumor growth. The histological diagnosis was transitional meningioma. The postoperative clinical course was good and the patient remains healthy. Review of the literature found meningiomas associated with Werner syndrome occur about two times more frequently in men than in women, and typically in the fourth decade. Most meningiomas associated with Werner syndrome are benign, but are sometimes complicated with extracranial tumors such as sarcoma, thyroid carcinoma, and others. Patients with meningioma associated with Werner syndrome should be carefully followed up to detect the occurrence of other extracranial tumors such as sarcoma by brain MR imaging, echography, or body computed tomography.
一名53岁男性患有与沃纳综合征相关的罕见脑膜瘤。在其52岁时因右下肢骨肉瘤手术后,采用钆增强的脑部磁共振成像筛查发现,右侧凸面以及大脑镰前后三分之一处有多个均匀强化的肿瘤。10个月后,由于随访磁共振成像检测到肿瘤生长,切除了右侧凸面肿瘤。组织学诊断为过渡型脑膜瘤。术后临床过程良好,患者仍保持健康。文献回顾发现,与沃纳综合征相关的脑膜瘤在男性中的发生率比女性高约两倍,且通常发生在第四个十年。大多数与沃纳综合征相关的脑膜瘤是良性的,但有时会并发颅外肿瘤,如肉瘤、甲状腺癌等。患有与沃纳综合征相关脑膜瘤的患者应通过脑部磁共振成像、超声检查或全身计算机断层扫描进行仔细随访,以检测其他颅外肿瘤如肉瘤的发生。