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Hereditary clear cell meningiomas in a single family: three-cases report
Takuro Inoue1, Satoshi Shitara2, Michio Ozeki3
1Department of Neurosurgery, Subarukai Kotoh Kinen Hospital, 2-1 Hiramatsu-cho, Higashiohmi-shi, Shiga, 527-0134, Japan. takuro39@gmail.com.
Abstract:
Clear cell meningiomas (CCMs) are rare subtypes of meningiomas and usually treated by maximum safely achievable tumor resection. We here present three hereditary cases with CCMs which were confirmed by Sanger sequencing of lymphocyte DNA. Gross total resection was achieved in a 5-year-old son with a spinal CCM and a 34-year-old father with a CCM in the cerebellopontine angle (CPA). For a 14-year-old daughter with CCM in the CPA, total resection was not achieved due to its large size. Early detection by screening high-risk family with CCM is strongly recommended.
Insights
Hereditary clear cell meningiomas (CCMs) were identified in three family members using Sanger sequencing. Early screening of high-risk families is crucial for detecting these rare tumors.
Area of Science:
- Neuro-oncology
- Genetics
- Neurosurgery
Background:
- Clear cell meningiomas (CCMs) are uncommon tumors requiring surgical resection.
- Hereditary factors can contribute to meningioma development.
Observation:
- Three hereditary cases of clear cell meningiomas were identified in a family.
- Sanger sequencing of lymphocyte DNA confirmed the CCM diagnosis.
- Tumors were located in the spine and cerebellopontine angle (CPA).
Findings:
- Gross total resection was successful for spinal CCM in a child and CPA CCM in an adult.
- Complete resection was not achieved for a large CPA CCM in an adolescent.
- Genetic analysis confirmed hereditary clear cell meningiomas.
Implications:
- Early detection through screening is recommended for families with a history of CCM.
- Understanding the hereditary basis of CCMs may inform future treatment strategies.
- This case series highlights the importance of genetic evaluation in rare tumor presentations.
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