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Cutaneous Meningioma

Presentation

In the current case report, we present a patient with intracranial anaplastic meningioma that presented as a mass on the scalp. Case presentation Figure 1 Figure 2 Figure 1. [escholarship.org]

Rarely, they can present extracranially,[1] where they are accessible to fine needle aspiration cytology (FNAC) and pose a diagnostic dilemma. [ncbi.nlm.nih.gov]

The authors present a case of cutaneous meningioma of the frontal region with an unusual presentation and which could not be included into any of the classical types described. [scielo.br]

Immune System

  • Cervical Lymphadenopathy

    There was no evidence of cervical lymphadenopathy on palpation. [scielo.br]

    There was no evidence of cervical lymphadenopathy on palpation. Further systemic and bilateral breasts examination revealed no abnormality in any of the systems. [ncbi.nlm.nih.gov]

Respiratoric

  • Aspiration

    Bruner JM Luna MA Guilamondegui OM Malignant meningioma of the scalp.Ultrastruct Pathol. 1994; 18: 235-240 Google Scholar Mandreker S Pinto RW Fine needle aspiration cytology of cutaneous meningioma; a letter.Acta Cytol. [jprasurg.com]

    Rarely, they can present extracranially,[1] where they are accessible to fine needle aspiration cytology (FNAC) and pose a diagnostic dilemma. [ncbi.nlm.nih.gov]

Skin

  • Subcutaneous Nodule

    The patient, a 10-year-old girl, presented three raised, localized dermal and subcutaneous nodules located paraspinally at the levels of D4-D5, D7-D8 and over the right kidney. [jamanetwork.com]

    Due to its rarity and lack of characteristic clinical features (painless subcutaneous nodules, alopecic areas with tufts of hair or hipertrichosis), the differential diagnosis is quite broad, including nevus sebaceous, alopecia areata, adnexal tumors, [scielo.br]

Psychiatrical

  • Suggestibility

    Although no evidence of an enhancing mass lesion was seen intracranially, there was presence of gliosis, suggestive of a previous intracranial mass. [ijdvl.com]

    Because of the aggressive behavior of anaplastic meningioma, we suggest the mass may have extended into the skin by infiltrating across bone instead of herniating through sutures in our case. [escholarship.org]

Workup

Other Pathologies

  • Gliosis

    Although no evidence of an enhancing mass lesion was seen intracranially, there was presence of gliosis, suggestive of a previous intracranial mass. [ijdvl.com]

Treatment

Technological advances have dramatically improved radiologic imaging and radiotherapy treatments, and further refinements are under investigation. [scienceopen.com]

The gold standard treatment is complete surgical excision, although some advocate conservative treatment if the lesion is asymptomatic and there are no complications.11 Miedema JR, Zedek D. Cutaneous meningioma. [scielo.br]

Genetic predisposition has not yet been established for these lesions; however, Tron et al. and Miyamoto et al. highlighted familial presentation of type I cutaneous meningiomas with autosomal dominant mode of inheritance in their studies.[7,8] Definitive treatment [ncbi.nlm.nih.gov]

Prognosis

Type I lesions have better prognosis than type II and III. Some type III lesions can be inoperable, significantly worsening the vital prognosis. [scielo.br]

Some studies found that cutaneous meningioma Type I has better prognosis. Type III lesions can be difficult to operate leading to poorer prognosis. [ncbi.nlm.nih.gov]

They may be associated with intracranial meningiomas and neurological deficits. [1] They can occur at various sites and are slow-growing tumors with a good prognosis. [2] A 35-year-old man was seen at the outpatient clinic of the department of dermatology [ijdvl.com]

Epidemiology

Over recent years, interest in this clinically diverse group of tumors has intensified, bringing new questions and challenges to the fore, particularly in the fields of epidemiology, radiology, pathology, genetics, and treatment. [scienceopen.com]

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