Adrenal metastasis of anaplastic meningioma: report of a rare case.

Abstract:

:Meningiomas are the most common primary extra-axial tumours of the central nervous system, however their metastatic spread beyond central nervous system is rare. Here we present the case of a 54-year-old male with anaplastic meningioma who, 1.5 years after initial diagnosis, developed a tumorous expansion in his left adrenal gland, showing octreotide uptake on scintigraphy. Clinical diagnosis of pheochromocytoma was made and left adrenalectomy performed. The tumour weighed 480 grams and measured up to 140 mm in diameter. On histologic examination, morphology consistent with the diagnosis of anaplastic meningioma was present, resembling the original central nervous system tumour. The tumour expressed strongly SSTR2A and focally epithelial membrane antigen, p63 and pancytokeratin (AE1/3). An extensive panel of neuronal and additional epithelial markers (SOX10, synaptophysin, chromogranin, inhibin, calretinin, BER-EP4, MOC31) was negative. The review of the literature on meningioma metastasising outside the central nervous system and on its differential diagnosis is provided.

journal_name

Folia Neuropathol

journal_title

Folia neuropathologica

authors

Soukup J,Kasparova P,Vajda M,Ryska A

doi

10.5114/fn.2019.91195

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

366-372

issue

4

eissn

1641-4640

issn

1509-572X

pii

39386

journal_volume

57

pub_type

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