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.

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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