Lipomatous meningioma: A rare subtype of benign metaplastic meningiomas

Mehmet Onur Yüksel1, Mehmet Sabri Gürbüz2, Osman Tanrıverdi1

  • 1Department of Neurosurgery, Erzurum Bolge Training and Research Hospital, Erzurum, Turkey.

Insights

Lipomatous meningiomas, a rare subtype of benign meningioma, were identified in a 77-year-old man presenting with a headache. Surgical removal and histopathology confirmed the diagnosis, highlighting the need for accurate differentiation from aggressive tumors.

Area of Science:

  • Neurosurgery
  • Neuropathology
  • Oncology

Background:

  • Lipomatous meningiomas are rare metaplastic meningiomas, classified by the World Health Organization.
  • Benign meningiomas can rarely exhibit lipomatous differentiation.

Observation:

  • A 77-year-old male presented with a 3-month history of progressively worsening headaches.
  • Cranial magnetic resonance imaging revealed a right frontoparietal mass.

Findings:

  • Surgical resection of the frontoparietal mass was performed.
  • Histopathological examination confirmed the diagnosis of lipomatous meningioma.
  • Immunohistochemical analysis is crucial for distinguishing lipomatous meningiomas from other tumors with similar histology but more aggressive behavior.

Implications:

  • This case underscores the rarity of lipomatous meningiomas.
  • Accurate histopathological and immunohistochemical diagnosis is vital for appropriate patient management.
  • Understanding lipomatous meningioma characteristics aids in differentiating it from more aggressive neoplasms.