Lipomatous meningioma

Shigeo Ohba1, Kazunari Yoshida, Takekazu Akiyama

  • 1Department of Neurosurgery, Keio University School of Medicine, 35 Shinano-machi, Shinjuku-ku, Tokyo 160-8582, Japan. di045009@sc.itc.keio.ac.jp

Insights

This study reports a rare intracranial lipomatous meningioma case. Surgical removal was successful, with detailed histopathological and immunohistochemical analysis of this unique brain tumor.

Area of Science:

  • Neuro-oncology
  • Neurosurgery
  • Pathology

Background:

  • Meningiomas are common primary intracranial tumors.
  • Lipomatous meningiomas are a rare subtype, characterized by adipose tissue infiltration.
  • Understanding their distinct features is crucial for diagnosis and management.

Observation:

  • A 64-year-old woman presented with an intracranial lipomatous meningioma in the parietal convexity.
  • Imaging revealed characteristic features: low density on CT, T1 hyperintensity, and fat-suppressed signal loss on MRI.
  • Gross total tumor removal was achieved.

Findings:

  • Histopathology confirmed a mixed meningioma with transitional and lipomatous components.
  • Immunohistochemistry showed differential expression of EMA, vimentin, and S-100 protein between meningothelial and lipomatous areas.
  • Low Ki-67 indices (1.0% and 1.8%) indicated low proliferative activity in both components.

Implications:

  • This case highlights the importance of recognizing the imaging and pathological characteristics of lipomatous meningiomas.
  • Accurate diagnosis impacts surgical planning and prognosis.
  • Further research into this rare meningioma subtype may refine treatment strategies.

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