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Published on: July 5, 2021
A rare case of primary nasoethmoidal meningioma
J K Sharma1, S K Pippal, Yatin Sethi
1Department of ENT, Gandhi Medical College and Hamidia Hospital, Room No. 36, 462001 Bhopal, India.
Abstract:
Meningiomas of sinonasal tract is a rare entity especially in children. Primary sinonasal meningiomas often pose difficulty in diagnosis because of their infrequent occurrence and clinically they appear to be nasal polyp. The final diagnosis rests on the histological examination. Extra cranial meningiomas are rare in children and tend to be more aggressive. Here a case of primary ethmoid sinus meningoma with extension into the nasal cavity is presented and despite of its aggressive behavior it was benign. The importance of complete surgical extirpapion is undoubted and results in a good survival rate. Histological grading of the tumour is not crucial in predicting the rate of recurrence. The paucity of reported cases is the evidence for its rarity.
Insights
Meningiomas are rare in children, especially sinonasal types. This case highlights a benign ethmoid sinus meningioma, emphasizing complete surgical removal for good survival rates.
Area of Science:
- Neuro-oncology
- Pediatric Oncology
- Otorhinolaryngology
Background:
- Sinonasal tract meningiomas are rare, particularly in pediatric populations.
- These tumors often present insidiously, mimicking benign nasal polyps, complicating early diagnosis.
- Extracranial meningiomas in children are uncommon and may exhibit more aggressive behavior.
Purpose of the Study:
- To present a rare case of primary ethmoid sinus meningioma in a child.
- To discuss the diagnostic challenges and clinical presentation of sinonasal meningiomas.
- To highlight the management and prognostic factors for pediatric extracranial meningiomas.
Main Methods:
- Case report detailing a pediatric patient with an ethmoid sinus meningioma.
- Review of clinical presentation, diagnostic workup, and histological examination.
- Surgical intervention and follow-up assessment.
Main Results:
- A case of primary ethmoid sinus meningioma with nasal cavity extension is described.
- Despite aggressive behavior, the tumor was histologically benign.
- Complete surgical extirpation was performed, leading to a good survival outcome.
Conclusions:
- Complete surgical excision is critical for favorable outcomes in sinonasal meningiomas.
- Histological grading may not be a reliable predictor of recurrence.
- Early diagnosis and prompt surgical management are essential for pediatric sinonasal meningiomas.
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