Qiu Li-Hua, Lui Su, Zou Ling, Yue Qiang, Gong Qi-Yong
Huaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, Chengdu, Sichuan 610041, P.R. China ; Department of Radiology, The Second People's Hospital of Yibin, Yibin, Sichuan 644000, P.R. China.
Huaxi MR Research Center (HMRRC), Department of Radiology, West China Hospital of Sichuan University, Chengdu, Sichuan 610041, P.R. China.
Exp Ther Med. 2014 May;7(5):1393-1395. doi: 10.3892/etm.2014.1550. Epub 2014 Feb 17.
Cystic meningioma is an uncommon meningioma variant that is often difficult to distinguish from other intra-axial tumors, including necrotic gliomas. Cystic meningiomas located in the ventricle are particularly rare and may be misdiagnosed with other brain tumors, including ependymoma, choroid plexus papilloma and neurocytoma, due to its location. The present study discusses two cases of lateral ventricular meningiomas, which exhibited intratumoral or peritumoral cystic changes on magnetic resonance imaging scans. The two patients underwent surgical treatment and histological examination confirmed one case of metaplastic meningioma and the other case of psammomatous meningioma. The two patients were middle-aged females and had been misdiagnosed prior to surgery. Although this clinical entity is rare, the diagnosis of meningioma should be considered, particularly in middle-aged female patients.
囊性脑膜瘤是一种不常见的脑膜瘤变体,通常难以与其他脑内肿瘤区分开来,包括坏死性胶质瘤。位于脑室的囊性脑膜瘤尤为罕见,因其位置原因,可能会被误诊为其他脑肿瘤,包括室管膜瘤、脉络丛乳头状瘤和神经细胞瘤。本研究讨论了两例侧脑室脑膜瘤病例,这两例在磁共振成像扫描中均表现出瘤内或瘤周囊性改变。两名患者均接受了手术治疗,组织学检查证实一例为化生型脑膜瘤,另一例为砂粒体型脑膜瘤。两名患者均为中年女性,术前均被误诊。尽管这种临床实体罕见,但应考虑脑膜瘤的诊断,尤其是在中年女性患者中。