Tian Qin, Zhang Fucheng, Bi Liquan, Wang Yanming
Department of Radiotherapy, The General Hospital of Jinan Military Command, 25 Shifan Road, Jinan, Shandong Province, 250031, China.
Childs Nerv Syst. 2014 Jan;30(1):189-91. doi: 10.1007/s00381-013-2247-9. Epub 2013 Aug 23.
Rhabdoid meningioma (RM) is rare, and it occurs mainly in children. We report the clinical and pathological features of rhabdoid meningioma in a 9-year-old child.
A 9-year-old child with RM presented to our hospital with headache that had persisted for 3 days. Magnetic resonance imaging of his brain demonstrated supratentorial lesions of the right temporal petrous bone and cisterna magna cyst. He underwent surgery on January 13, 2010. The pathological diagnosis was rhabdoid meningioma (grade III). The patient underwent radiotherapy with 30 Gy/16 fractions delivered to the recurrent tumor after surgery. The patient died in December as a result of complications of recurrent meningioma.
The accumulated data, including this current case, demonstrate the difficulties in reaching the diagnosis and providing treatment for this disease as a consequence of its low incidence, aggressive nature, and poor treatment options for children with rhabdoid meningioma.
横纹肌样脑膜瘤(RM)较为罕见,主要发生于儿童。我们报告一名9岁儿童横纹肌样脑膜瘤的临床及病理特征。
一名患有RM的9岁儿童因持续3天的头痛前来我院就诊。其脑部磁共振成像显示幕上右颞岩骨及枕大池囊肿病变。他于2010年1月13日接受了手术。病理诊断为横纹肌样脑膜瘤(III级)。术后患者对复发性肿瘤接受了30Gy/16次分割的放射治疗。该患者因复发性脑膜瘤并发症于12月死亡。
包括本病例在内的累积数据表明,由于横纹肌样脑膜瘤发病率低、侵袭性强且针对儿童患者的治疗选择有限,对该疾病进行诊断和治疗存在困难。