Yazdi Seyed Amir Miratashi, Miri Saeedeh, Vesali Behnoud, Nazar Elham
Department of General Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Department of Pathology, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Radiol Case Rep. 2023 Sep 1;18(11):4012-4015. doi: 10.1016/j.radcr.2023.08.066. eCollection 2023 Nov.
Finding 2 different histological tumor types at the same site is extremely unusual, especially in patients with no history of radiation exposure or a family history of cancer. We describe a rare case of co-occurrence of meningioma and squamous cell carcinoma at the same site. A 67-year-old woman with a 6-month headache and a verrucous ulcerative mass on her frontoparietal region is the subject of this case study. Her medical history and her family's medical history are both blank. Her bilateral frontoparietal regions were found to have large heterogeneous lesions with areas of necrosis and superficial ulceration on radiological examination. An extensive heterogeneous extra-axial lesion was discovered during further radiological analysis in the left parasagittal region. Histopathologic examination revealed an impinging tumor consisting of a meningioma and squamous cell carcinoma at the same site. It is extremely uncommon to have multiple primary scalp cancers of different cell types present at the same time. To identify these cancers and choose the best treatments, clinicians will benefit from the information in our case reports.
在同一部位发现两种不同的组织学肿瘤类型极为罕见,尤其是在没有辐射暴露史或癌症家族史的患者中。我们描述了一例罕见的同一部位同时发生脑膜瘤和鳞状细胞癌的病例。本病例研究的对象是一名67岁女性,她有6个月的头痛史,额顶部有一个疣状溃疡性肿块。她的个人病史和家族病史均无特殊情况。影像学检查发现她的双侧额顶部有巨大的异质性病变,伴有坏死区域和浅表溃疡。在进一步的影像学分析中,在左矢状旁区域发现了一个广泛的异质性轴外病变。组织病理学检查显示在同一部位有一个由脑膜瘤和鳞状细胞癌组成的侵袭性肿瘤。同时出现多种不同细胞类型的原发性头皮癌极为罕见。为了识别这些癌症并选择最佳治疗方案,临床医生将从我们的病例报告中获取的信息中受益。