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Multiple recurrences of meningiomas
Journal of Neurosurgical Sciences
|January 1, 1983
Abstract:
The authors report a case of a patient with a right sphenoid wing and a right parasagittal fronto parietal meningioma diagnosed 25 years after a right sphenoid wing meningioma had been removed. There was no evidence of Von Recklinghausen disease. The two tumors were benign. The problems concerning multiple meningiomas and recurrences of meningioma are briefly discussed.
Insights
A patient developed a second benign meningioma 25 years after surgical removal of a prior tumor. This case highlights challenges in managing multiple and recurrent meningiomas.
Area of Science:
- Neurosurgery
- Oncology
- Pathology
Background:
- Meningiomas are tumors arising from the meninges.
- Recurrence and multifocal development pose clinical challenges.
- Sphenoid wing and parasagittal locations are common sites.
Observation:
- A patient presented with a new right parasagittal frontoparietal meningioma.
- This diagnosis occurred 25 years post-resection of a right sphenoid wing meningioma.
- No signs of neurofibromatosis type 1 (Von Recklinghausen disease) were present.
Findings:
- Both the initial and subsequent meningiomas were histologically benign.
- The patient exhibited multifocal meningioma development over a long interval.
- Absence of genetic predisposition (e.g., Von Recklinghausen disease) noted.
Implications:
- This case underscores the potential for late recurrence or new primary meningiomas.
- It emphasizes the need for long-term surveillance in patients with a history of meningioma.
- Understanding mechanisms of multifocal meningioma development is crucial for improved patient management.