Intraparenchymal papillary meningioma of brainstem: case report and literature review

World Journal of Surgical Oncology

Zhong-Ping Chen²  Shao-Xiong Wu³  Rong-Zhen Luo⁴  Yong-Gao Mou²  Shao-Hua Lin¹  Zhi-An Han¹  Chao Ke²  Xiao-Bing Jiang² 

[1] Department of Neurosurgery, Zhongshan People's Hospital, No.2, Sun Wen Road E., Zhong-shan 528403, P. R. China;Department of Neurosurgery, Sun Yat-sen University Cancer Center, No. 651, Dong Feng Road E., Guang-zhou 510060, P. R. China;Department of Radiation Oncology, Sun Yat-sen University Cancer Center, No. 651, Dong Feng Road E., Guang-zhou 510060, P. R. China;Department of Pathology, Sun Yat-sen University Cancer Center, No. 651, Dong Feng Road E., Guang-zhou 510060, P. R. China

关键词: Cyst;    Intraparenchymal;    Brain stem;    Papillary;    Meningioma;   

Others  :  828084
DOI  :  10.1186/1477-7819-10-10

 received in 2011-09-14, accepted in 2012-01-12,  发布年份 2012

【 摘 要 】

Both intraparenchymal papillary meningioma and papillary meningioma with cyst formation of brainstem have never been reported. The authors present an extremely rare case of patient with intraparenchymal papillary meningioma of brainstem. A 23-year-old Chinese male presented with a 4-month history of progressive left upper limb and facial nerve palsy. Magnetic resonance imaging revealed a cystic-solid, heterogeneously enhancing mass in pons and right cerebral peduncle with no dural attachment. The tumor was totally removed via subtemporal approach. During surgery, the lesion was found to be completely intraparenchymal. Histological and immunohistochemical examinations were compatible with the diagnosis of papillary meningioma. The lesion recurred nine months after primary surgery, a second surgery followed by radiotherapy was performed. Till to now (nearly 2 years after the treatment), the patient is tumor free survival. Intraparenchymal meningioma of brainstem with cystic formation is very rare, however, it should be considered as a differential diagnosis of a brainstem neoplasm. The present case strongly recommended that postoperative radiotherapy was essential for the patients with papillary meningiomas.

【 授权许可】

   
2012 Jiang et al; licensee BioMed Central Ltd.

【 图 表 】

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