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Primary intraosseous meningioma with subcutaneous and dural invasion: A case report and literature review

Primary intraosseous meningiomas (PIOMs) are a rare subset of meningiomas, comprising fewer than 1% of all such tumors. Furthermore, PIOMs presenting as osteogenic lesions that invade both the dura and subcutaneous tissue are extremely rare. Unlike intracranial meningiomas, diagnosing and treating P...

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Autores principales: Zou, Mingang, Yang, Ruijin, Tang, Zhiji, Luo, Defang, Jiang, Qiuhua
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9622770/
https://www.ncbi.nlm.nih.gov/pubmed/36329982
http://dx.doi.org/10.3389/fsurg.2022.995986
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author Zou, Mingang
Yang, Ruijin
Tang, Zhiji
Luo, Defang
Jiang, Qiuhua
author_facet Zou, Mingang
Yang, Ruijin
Tang, Zhiji
Luo, Defang
Jiang, Qiuhua
author_sort Zou, Mingang
collection PubMed
description Primary intraosseous meningiomas (PIOMs) are a rare subset of meningiomas, comprising fewer than 1% of all such tumors. Furthermore, PIOMs presenting as osteogenic lesions that invade both the dura and subcutaneous tissue are extremely rare. Unlike intracranial meningiomas, diagnosing and treating PIOMs are challenges due to their insidious clinical behavior and a lack of clear radiological diagnostic criteria. We report the case of a 60-year-old female with headache and a slightly outward protrusion of the parietal region of the skull. CT showed an osteogenic lesion in the right parietal bone. MR imaging indicated mild to moderate homogeneous enhancement with an intense dural reaction. The suggested clinical diagnosis was lymphoma, so we performed a skull biopsy, which revealed an intraosseous benign meningioma. A precise resection strategy was planned with a neuronavigation system accompanied by a one-step customized titanium mesh cranioplasty. The lesion was completely removed, and pathological analysis confirmed a meningothelial meningioma (WHO Grade I) of intraosseous layer origin invading the dura mater and subcutaneous tissue. This case highlights the need for an initial biopsy when the lesion is difficult to diagnose on imaging. Complete resection should be attempted to minimize the risk of recurrence.
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spelling pubmed-96227702022-11-02 Primary intraosseous meningioma with subcutaneous and dural invasion: A case report and literature review Zou, Mingang Yang, Ruijin Tang, Zhiji Luo, Defang Jiang, Qiuhua Front Surg Surgery Primary intraosseous meningiomas (PIOMs) are a rare subset of meningiomas, comprising fewer than 1% of all such tumors. Furthermore, PIOMs presenting as osteogenic lesions that invade both the dura and subcutaneous tissue are extremely rare. Unlike intracranial meningiomas, diagnosing and treating PIOMs are challenges due to their insidious clinical behavior and a lack of clear radiological diagnostic criteria. We report the case of a 60-year-old female with headache and a slightly outward protrusion of the parietal region of the skull. CT showed an osteogenic lesion in the right parietal bone. MR imaging indicated mild to moderate homogeneous enhancement with an intense dural reaction. The suggested clinical diagnosis was lymphoma, so we performed a skull biopsy, which revealed an intraosseous benign meningioma. A precise resection strategy was planned with a neuronavigation system accompanied by a one-step customized titanium mesh cranioplasty. The lesion was completely removed, and pathological analysis confirmed a meningothelial meningioma (WHO Grade I) of intraosseous layer origin invading the dura mater and subcutaneous tissue. This case highlights the need for an initial biopsy when the lesion is difficult to diagnose on imaging. Complete resection should be attempted to minimize the risk of recurrence. Frontiers Media S.A. 2022-10-18 /pmc/articles/PMC9622770/ /pubmed/36329982 http://dx.doi.org/10.3389/fsurg.2022.995986 Text en © 2022 Zou, Yang, Tang, Luo and Jiang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Zou, Mingang
Yang, Ruijin
Tang, Zhiji
Luo, Defang
Jiang, Qiuhua
Primary intraosseous meningioma with subcutaneous and dural invasion: A case report and literature review
title Primary intraosseous meningioma with subcutaneous and dural invasion: A case report and literature review
title_full Primary intraosseous meningioma with subcutaneous and dural invasion: A case report and literature review
title_fullStr Primary intraosseous meningioma with subcutaneous and dural invasion: A case report and literature review
title_full_unstemmed Primary intraosseous meningioma with subcutaneous and dural invasion: A case report and literature review
title_short Primary intraosseous meningioma with subcutaneous and dural invasion: A case report and literature review
title_sort primary intraosseous meningioma with subcutaneous and dural invasion: a case report and literature review
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9622770/
https://www.ncbi.nlm.nih.gov/pubmed/36329982
http://dx.doi.org/10.3389/fsurg.2022.995986
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