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Papillary meningioma of the jugular foramen: A case report
Ying Yu1, Haiyang Xu1, Yubo Wang1
1Department of Neurosurgery, The First Hospital of Jilin University, Changchun, Jilin 130021, P.R. China.
Abstract:
Papillary meningioma (PM) is a rare histological variant of intracranial meningioma, which displays an aggressive behavior and its management is difficult. The present study reported the case of a 21-year-old male patient, who presented with headaches and dizziness. Upon neurological examination, left hypoglossal nerve palsy and left cerebellar signs were observed. Computed tomography and magnetic resonance imaging scans of the brain revealed a high-density mass in the left jugular foramen area. Following an uneventful complete surgical resection of the tumor, a definitive diagnosis of Grade III PM was determined based on the histopathological findings, according to the World Health Organization classification. CT scanning one day after surgery confirmed that the tumor had been completely resected, and after four years of follow-up, no evidence of transformation or recurrence was observed.
Insights
This study details a rare Grade III Papillary Meningioma (PM) case in a young adult. Complete surgical resection led to a favorable four-year outcome with no recurrence, highlighting effective management for this aggressive tumor.
Area of Science:
- Neurosurgery
- Neuropathology
- Oncology
Background:
- Papillary meningioma (PM) is a rare, aggressive intracranial tumor.
- Management of PM is challenging due to its behavior.
- Accurate diagnosis and surgical intervention are crucial.
Purpose of the Study:
- To report a case of a young adult with a Grade III Papillary Meningioma.
- To illustrate the diagnostic and management pathway for this rare tumor.
- To present the long-term follow-up results after surgical resection.
Main Methods:
- Case presentation of a 21-year-old male with neurological symptoms.
- Diagnostic imaging including CT and MRI to identify the intracranial mass.
- Surgical resection followed by histopathological analysis for definitive diagnosis (WHO Grade III).
Main Results:
- A high-density mass was identified in the left jugular foramen area.
- Complete surgical resection was achieved with no immediate complications.
- Histopathology confirmed Grade III Papillary Meningioma.
- Four-year follow-up showed no evidence of tumor recurrence or transformation.
Conclusions:
- Complete surgical resection is an effective treatment for Grade III Papillary Meningioma.
- Long-term surveillance is important for patients with this rare tumor.
- Early diagnosis and intervention can lead to favorable outcomes.
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