School of clinical medicine, Weifang Medical University, Weifang City.
Neurosurgery, Binhai College Affiliated Hospital, Qingdao City, Shandong Province.
J Craniofac Surg. 2023 Sep 1;34(6):e584-e586. doi: 10.1097/SCS.0000000000009436. Epub 2023 Jun 19.
Meningioma is a primary tumor of the central nervous system, most commonly found in the middle-aged and elderly. Most meningiomas are benign, whereas malignant meningiomas account for only 1% of all meningiomas. Meningiomas usually grow slowly, and patients often have headaches and epilepsy as the first symptoms. According to the location of the tumor, there can also be vision, visual field, olfactory, hearing impairment, and so on. Surgery is the main treatment. A case of giant malignant meningioma penetrating the skull is reported. The patient was a 67-year-old male with a left parietal scalp mass about 1 year ago, which gradually enlarged to the size of 6×6 cm and had no other symptoms. Imaging examination showed that the tumor eroded the skull, and the density was uneven. After surgical resection (Simpson grade I), poorly differentiated meningioma (World Health Organization Grade Ⅲ) was returned pathologically. After operation, the patient recovered well.
脑膜瘤是一种中枢神经系统的原发性肿瘤，最常见于中老年人。大多数脑膜瘤是良性的，而恶性脑膜瘤仅占所有脑膜瘤的 1%。脑膜瘤通常生长缓慢，患者常有头痛和癫痫作为首发症状。根据肿瘤的位置，还可能出现视力、视野、嗅觉、听力障碍等。手术是主要的治疗方法。报告了一例穿透颅骨的巨大恶性脑膜瘤病例。患者为 67 岁男性，1 年前左侧顶枕头皮肿块逐渐增大至 6×6cm，无其他症状。影像学检查显示肿瘤侵蚀颅骨，密度不均匀。手术后病理回报为低分化脑膜瘤（世界卫生组织分级Ⅲ级）（Simpson 分级Ⅰ级）。术后患者恢复良好。
