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Published on: May 31, 2016
Meningioangiomatosis with a predominant fibrocalcifying component
E Izycka-Swieszewska1, R Rzepko, S Kopczynski
1Department of Pathomorphology, Medical University of Gdansk, Poland. astwadur@friko6.onet.pl
Abstract:
A case of meningioangiomatosis, resected from the parietal lobe in a 31-year-old female is presented. Macroscopically, the lesion was composed of five calcified nodules embedded within hardened elastic tissue. Histologically, cortical and subcortical calcified masses were found surrounded by a palisade of spindle and/or oval cells. In adjacent nervous tissue many pathological microvessels were observed and some were ensheathed by a perivascular proliferation of spindle cells. Moreover, gliosis with Rosenthal fibers and prominent connective tissue elements were observed. Immunohistochemical analysis based on monoclonal antibodies was performed. The spindle cells both within the palisades and the perivascular proliferations were vimentin and usually epithelial membrane antigenpositive. The possible pathogenesis of meningioangiomatosis is discussed and the role of angiogenesis within this lesion emphasized.
Insights
Meningioangiomatosis, a rare brain lesion, was resected from a 31-year-old female. The study highlights pathological microvessels and spindle cell proliferation, suggesting a role for angiogenesis in its development.
Area of Science:
- Neuropathology
- Neuro-oncology
- Vascular Biology
Background:
- Meningioangiomatosis is a rare, benign brain tumor characterized by proliferation of meningothelial and vascular elements.
- Understanding its pathogenesis is crucial for diagnosis and management.
Observation:
- A case of meningioangiomatosis from the parietal lobe of a 31-year-old female is presented.
- Macroscopic examination revealed calcified nodules within hardened tissue.
- Histological analysis showed calcified masses with spindle/oval cells, pathological microvessels, and perivascular proliferation.
Findings:
- Immunohistochemistry identified spindle cells positive for vimentin and epithelial membrane antigen.
- Gliosis with Rosenthal fibers and connective tissue elements were noted.
- The findings suggest a significant role for angiogenesis in meningioangiomatosis.
Implications:
- This case contributes to the understanding of meningioangiomatosis pathogenesis.
- The role of angiogenesis in this lesion is emphasized.
- Further research may elucidate targeted therapeutic strategies.
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