Cargando…

Intraventricular cystic papillary meningioma: A case report and literature review

INTRODUCTION: Papillary meningioma is an extremely rare malignant lesion with high degree of invasiveness, high recurrence rate, and perivascular pseudopapillary structure. The incidence of cystic degeneration in papillary meningiomas is relatively low, and cystic papillary meningiomas growing in th...

Descripción completa

Detalles Bibliográficos
Autores principales: Cheng, Zhe, Chao, Qing, Zhang, Hui, Wang, Da-Wei, Shu, Han-Sheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7402910/
https://www.ncbi.nlm.nih.gov/pubmed/32756190
http://dx.doi.org/10.1097/MD.0000000000021514
_version_ 1783566852154195968
author Cheng, Zhe
Chao, Qing
Zhang, Hui
Wang, Da-Wei
Shu, Han-Sheng
author_facet Cheng, Zhe
Chao, Qing
Zhang, Hui
Wang, Da-Wei
Shu, Han-Sheng
author_sort Cheng, Zhe
collection PubMed
description INTRODUCTION: Papillary meningioma is an extremely rare malignant lesion with high degree of invasiveness, high recurrence rate, and perivascular pseudopapillary structure. The incidence of cystic degeneration in papillary meningiomas is relatively low, and cystic papillary meningiomas growing in the ventricle are even rarer. Here, we present a case of cystic meningioma and review the literature to propose the diagnosis, treatment, immunohistochemical features, and prognosis of the same. PATIENT CONCERNS: In July 2013, a 35-year-old male Chinese patient presented with dizziness that lasted for a week, without relief. Magnetic resonance imaging (MRI) revealed a 2.0 cm × 1.5 cm × 3.0 cm-sized mass located in the left lateral ventricle trigone. The tumor was small and likely non-malignant. Therefore, the patient received conservative treatment and regular follow-ups. In June 2017, the patient experienced sudden severe headache, dizziness, and vomiting. DIAGNOSIS AND INTERVENTION: MRI revealed that the mass in the left lateral ventricle trigone had increased to 5.0 cm × 7.0 cm × 8.0 cm over 4 years. The patient underwent surgical resection via the left parietal–occipital approach. Two months postoperatively, the patient received 60 Gy local radiotherapy. The postoperative histopathology suggested that the mass was a cystic papillary meningioma. OUTCOMES: Two years after the operation, the patient was asymptomatic, and no recurrence of the lesion was noted on MRI. CONCLUSION: The diagnosis of intraventricular cystic papillary meningioma depends mainly on its histology and imaging features. Total resection and adjuvant radiotherapy can result in a relatively good prognosis of patients with intraventricular cystic papillary meningiomas.
format Online
Article
Text
id pubmed-7402910
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Wolters Kluwer Health
record_format MEDLINE/PubMed
spelling pubmed-74029102020-08-14 Intraventricular cystic papillary meningioma: A case report and literature review Cheng, Zhe Chao, Qing Zhang, Hui Wang, Da-Wei Shu, Han-Sheng Medicine (Baltimore) 4100 INTRODUCTION: Papillary meningioma is an extremely rare malignant lesion with high degree of invasiveness, high recurrence rate, and perivascular pseudopapillary structure. The incidence of cystic degeneration in papillary meningiomas is relatively low, and cystic papillary meningiomas growing in the ventricle are even rarer. Here, we present a case of cystic meningioma and review the literature to propose the diagnosis, treatment, immunohistochemical features, and prognosis of the same. PATIENT CONCERNS: In July 2013, a 35-year-old male Chinese patient presented with dizziness that lasted for a week, without relief. Magnetic resonance imaging (MRI) revealed a 2.0 cm × 1.5 cm × 3.0 cm-sized mass located in the left lateral ventricle trigone. The tumor was small and likely non-malignant. Therefore, the patient received conservative treatment and regular follow-ups. In June 2017, the patient experienced sudden severe headache, dizziness, and vomiting. DIAGNOSIS AND INTERVENTION: MRI revealed that the mass in the left lateral ventricle trigone had increased to 5.0 cm × 7.0 cm × 8.0 cm over 4 years. The patient underwent surgical resection via the left parietal–occipital approach. Two months postoperatively, the patient received 60 Gy local radiotherapy. The postoperative histopathology suggested that the mass was a cystic papillary meningioma. OUTCOMES: Two years after the operation, the patient was asymptomatic, and no recurrence of the lesion was noted on MRI. CONCLUSION: The diagnosis of intraventricular cystic papillary meningioma depends mainly on its histology and imaging features. Total resection and adjuvant radiotherapy can result in a relatively good prognosis of patients with intraventricular cystic papillary meningiomas. Wolters Kluwer Health 2020-07-31 /pmc/articles/PMC7402910/ /pubmed/32756190 http://dx.doi.org/10.1097/MD.0000000000021514 Text en Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 4100
Cheng, Zhe
Chao, Qing
Zhang, Hui
Wang, Da-Wei
Shu, Han-Sheng
Intraventricular cystic papillary meningioma: A case report and literature review
title Intraventricular cystic papillary meningioma: A case report and literature review
title_full Intraventricular cystic papillary meningioma: A case report and literature review
title_fullStr Intraventricular cystic papillary meningioma: A case report and literature review
title_full_unstemmed Intraventricular cystic papillary meningioma: A case report and literature review
title_short Intraventricular cystic papillary meningioma: A case report and literature review
title_sort intraventricular cystic papillary meningioma: a case report and literature review
topic 4100
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7402910/
https://www.ncbi.nlm.nih.gov/pubmed/32756190
http://dx.doi.org/10.1097/MD.0000000000021514
work_keys_str_mv AT chengzhe intraventricularcysticpapillarymeningiomaacasereportandliteraturereview
AT chaoqing intraventricularcysticpapillarymeningiomaacasereportandliteraturereview
AT zhanghui intraventricularcysticpapillarymeningiomaacasereportandliteraturereview
AT wangdawei intraventricularcysticpapillarymeningiomaacasereportandliteraturereview
AT shuhansheng intraventricularcysticpapillarymeningiomaacasereportandliteraturereview