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Published on: July 5, 2021
Post-traumatic cutaneous meningioma
Pepijn A Borggreven1, Floris H de Graaf, Paul van der Valk
1Department of Otolaryngology, VU Medical Centre, Amsterdam, The Netherlands. pa.borggreven@vumc.nl
Abstract:
Cutaneous meningiomas are extremely rare tumours and their diagnosis is difficult. We describe the case of a patient who developed a paranasal swelling after head trauma and associated fractures in the same region years before. Histopathological examination of an incisional biopsy revealed the diagnosis of cutaneous meningioma. After one and a half years' follow up, surgical excision was performed because of progressive growth of the tumour and associated aesthetic problems. Extracranial meningiomas can develop probably secondary to trapping of meningeal tissue after trauma. If there is no intracranial connection surgical removal can be considered.
Insights
Cutaneous meningiomas, rare skin tumors, are challenging to diagnose. This case highlights a paranasal swelling linked to prior head trauma, emphasizing potential trauma-induced development and surgical considerations for extracranial meningiomas.
Area of Science:
- Neurosurgery
- Dermatology
- Pathology
Background:
- Cutaneous meningiomas are exceptionally rare neoplasms arising outside the central nervous system.
- Diagnosis can be challenging due to their rarity and varied presentation.
Observation:
- A patient presented with a paranasal swelling years after sustaining head trauma and fractures in the same area.
- Histopathological examination of an incisional biopsy confirmed the diagnosis of cutaneous meningioma.
Findings:
- The tumor exhibited progressive growth over 1.5 years, necessitating surgical intervention due to aesthetic concerns.
- Extracranial meningiomas may arise secondary to meningeal tissue entrapment following traumatic injury.
Implications:
- Surgical excision is a viable treatment option for cutaneous meningiomas without intracranial connection.
- This case underscores the importance of considering trauma history in the etiology of extracranial meningiomas.
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