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Extracranial Meningioma En Plaque With Skull Invasion
Corneliu Toader1,2, Razvan-Adrian Covache-Busuioc1, Bogdan-Gabriel Bratu1
1Department of Neurosurgery, Carol Davila University of Medicine and Pharmacy, Bucharest, ROU.
Abstract:
The study reflects on a 69-year-old female patient with a history of cardio-respiratory disorders who was diagnosed with meningioma en plaque. Her clinical management entailed surgical resection of the tumor, which was followed by a complex postoperative course, including cardiorespiratory arrest and respiratory failure. Histologically, extracranial meningiomas are categorized into five subtypes based on predominant cellular morphology, with the meningothelial type being prevalent in this case. The report also examines the significance of complete tumor resection, noting a lower recurrence rate with gross total resection. Additionally, it discusses the increased susceptibility of extracranial meningiomas with advancing age and a higher incidence in females. Data from various studies underscore the importance of a surgical approach and extent of resection in predicting recurrence risk. The case report concludes by highlighting the critical aspects of the pathology of meningiomas and the surgical strategy that ensured the patient's recovery. The findings from this case contribute to the broader understanding of extracranial meningiomas, their diagnosis, and management.
Insights
This case study highlights the successful surgical management of an extracranial meningioma in a patient with pre-existing conditions. Complete tumor resection is crucial for minimizing recurrence risk in meningioma patients.
Area of Science:
- Neurosurgery
- Oncology
- Pathology
Background:
- Extracranial meningiomas are rare tumors with varied clinical presentations.
- This report focuses on a specific case of meningioma en plaque in a patient with significant comorbidities.
Observation:
- A 69-year-old female with cardio-respiratory disorders was diagnosed with meningioma en plaque.
- The patient underwent surgical resection, experiencing a complex postoperative course including cardiorespiratory arrest and respiratory failure.
Findings:
- Histologically, the tumor was of the meningothelial subtype, one of five extracranial meningioma subtypes.
- Complete tumor resection (gross total resection) was associated with a lower recurrence rate.
- Extracranial meningiomas show increased incidence with age and are more common in females.
Implications:
- The findings emphasize the importance of surgical intervention and the extent of resection in managing extracranial meningiomas.
- This case contributes to understanding the pathology and surgical strategies for extracranial meningiomas.
- Effective management requires careful consideration of patient comorbidities and surgical outcomes.
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