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Published on: January 10, 2025
Primary pulmonary meningioma presenting as a micro solid nodule: A rare case report
Kai-Kai Xu1, Feng Tian1, Yong Cui1
1Department of Thoracic Surgery, Beijing Friendship Hospital Affiliated to Capital Medical University, Beijing, China.
Abstract:
An ectopic meningioma, such as a primary pulmonary meningioma (PPM), is a rare type of tumor that primarily originates outside of the central nervous system. A 65-year-old female patient underwent a thoracoscopic lung wedge resection of the right lower lobe for a micro solid nodule detected via computed tomography. The histologic result revealed a PPM. PPMs manifested with micro solid nodules are a very rare occurrence in clinical practice. Increased awareness of the clinical and pathological characteristics of this rare disease can assist thoracic surgical teams to apply adequate management.
Insights
Primary pulmonary meningioma (PPM) is a rare ectopic tumor found in the lung. This case highlights a PPM presenting as a micro solid nodule, emphasizing the need for awareness in thoracic surgery.
Area of Science:
- Neurosurgery
- Thoracic Surgery
- Oncology
Background:
- Ectopic meningiomas are rare tumors originating outside the central nervous system.
- Primary pulmonary meningiomas (PPMs) represent a specific subtype of ectopic meningioma located in the lung.
- These tumors are infrequently encountered in clinical practice.
Observation:
- A 65-year-old female presented with a micro solid nodule in the right lower lobe, detected via computed tomography.
- The patient underwent a thoracoscopic lung wedge resection for the nodule.
- Histopathological examination confirmed the presence of a primary pulmonary meningioma.
Findings:
- Primary pulmonary meningiomas manifesting as micro solid nodules are exceptionally rare.
- The case underscores the diagnostic challenge posed by such presentations.
- Histology is crucial for definitive diagnosis of PPM.
Implications:
- Increased clinical and pathological awareness of PPMs is essential for accurate diagnosis.
- Thoracic surgical teams require knowledge of these rare entities for appropriate patient management.
- This case contributes to the understanding of rare lung tumors and their surgical treatment.
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