악성수막종의 두개강 외 전이
Malignant meningioma with multiple extracranial metastases: case report and review of literature
박태윤, 이기택, 김은영, 김우경, 유찬종,
소속 상세정보
박태윤 ( Park Tae-Yoon )
가천대학교 의과대학 길병원 신경외과학교실
이기택 ( Yee Gi-Taek )
가천대학교 의과대학 길병원 신경외과학교실
김은영 ( Kim Eun-Young )
가천대학교 의과대학 길병원 신경외과학교실
김우경 ( Kim Woo-Kyung )
가천대학교 의과대학 길병원 신경외과학교실
유찬종 ( Yoo Chan-Jong )
가천대학교 의과대학 길병원 신경외과학교실
KMID : 1037420190140020029
Abstract
Meningioma is the most common benign primary intracranial tumor and rarely metastasizes. Malignant meningioma is a World Health Organization Grade III tumor and constitutes 1 to 3% of all meningioma. The prognosis of the patient of malignant meningioma is very poor because of its frequent recurrence and distant metastasis. There is no guideline concerning the management of extracranial metastasis of meningioma. A 57-old female patient presented with headache and visual disturbance due to huge skull base meningioma. She underwent subtotal mass excision with craniotomy and TSA followed by radiation therapy. However, follow-up brain magnetic resonance imaging (MRI) revealed tumor growing and the patient received additional surgical resection. After 2nd surgery the patient was presented with weakness of both lower extremities. Whole spine MRI demonstrated thoracic spine metastasis compressed spinal cord. Multiple nodules of lung and liver were noticed as well. We report a patient of malignant meningioma with multiple extracranial metastases including review of literature.
키워드
Malignant meningioma; Extracranial metastasis; Skull base
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