Tena SML, Moreno AA, Novarro EN, Vargas CS, García RS, Salinas LC

Language: English
References: 29
Page: 112-116
PDF size: 209.40 Kb.

ABSTRACT

A unusual case of benign convexity meningioma and solitary plasmacytoma in collision is presented. A fourty-six year-old male presented with a history of face pain and exostosis, progressive ambulation disturbances and, one year before, body weakness. He was initially treated as paraneoplastic syndrome. On physical examination, he showed weakness, symmetrical hyperreflexia, bilateral positive Babinski sign and frontal exostosis affecting also soft tissues. The brain MRI showed a left frontal hyperintense mass with peripheral enhancement, affecting soft tissues, bone and meninges. Histologically the dura mater and meningeal tumor consisted of a typical syncytial meningioma, and a plasmacytoma, both localized in the same area. A frontal plasmacytoma is a rare presentation of extramedullary plasmacytoma and has not been previously reported in association with meningioma. The differential diagnosis between inflammatory meningioma, plasma cell granuloma and a possible collision of a meningioma with a plasmacytoma is discussed. Potentially, both components have the capacity for recurrence and anaplastic transformation.

REFERENCES

1. Abs R, Parizel PM, Willems PJ, Van de Kelft E, et al. The association of meningioma and pituitary adenoma: report of seven cases and review of the literature. Eur Neurol 1993;33:416- 22.

2. Banerjee AK, Blackwood W. A subfrontal tumour with the features of plasmocytoma and meningioma. Acta Neuropathol (Berl) 1971;18:84-88.

3. Vaquero J, Coca S, Martínez R, JIménez C. Convexity meningioma and glioblastoma in collision. Surg Neurol 1990;3(2):139-41.

4. Drlicek M, Aichholzer M, Wurm G. Collision tumour composed of glioblastoma and meningioma: a case report. Pathologe 2004;25:402-5.

5. Kim DG, Paek SH. Mixed tumour of schwannoma and meningioma components in a patient with NF-2. Acta Neurochir (Wien) 1997;139:1061-4.

6. Louis DN, Ramesh V. Neuropathology and molecular genetics of neurofibromatosis 2 and related tumours. Brain Pathol 1995;5:163-72.

7. Matyja E, Kchna I. Mengingiomas and gliomas in juxtaposition;casual or causal coexistence. Report of two cases. Am J Surg Pathol 1995;19(1):37-41.

8. Prayson RA, Chowdhary S. Collision of a syncytial meningioma and malignant astrocytoma. Ann Diag 2002;6:44-48.

9. Slowik F, Jellinger K. Association of primary cerebral lymphoma with meningioma: report of two cases. Clin Neuropathol 1990;9:69-73.

10. Wanifuchi H, Kadowaki H. Intracranial collision tumour composed of ganglioglioma and meningioma. Case report. Neurol Med Chir (Tokyo) 1988;28:195-9.

11. Caroli E, Salvati M, Rocchi G. Post-traumatic intracranial meningiomas. Tumouri 2003;89:6-8.

12. Benli K, Inci S. Solitary dural plasmacytoma: case report.Neurosurgery 1995;36:1206-9.

13. Berger CP, Scheithauer BW. Reactive and inflammatory masses simulating neoplasia. In: Berger PC, Scheithauer BW, editors. Atlas of tumour pathology, tumour of the central nervous system, fascicle 10. Washington: AFIP1994;pp:407- 8.

14. Dubost JJ, Vernay D. Intracranial solitary plasmacytoma:a rare differential diagnosis with meningioma. Presse Med 1987;16:830-4.

15. Ferrara M, Bizzozero L, D’Aliberti G. Inflammatory meningioma of the fourth ventricle. Case report. J Neurosurg Sci 1994;38:59-62.

16. Futunaga A, Yoshida K. Plasma cell granuloma extending from the extracranial to the intracranial space associated with Epstein-Barr virus infection. Neurol Med Chir (Tokyo) 1998;38:292-6.

17. Hsiang JN, Ng HK, Poon WS. Atypical monoclonal plasma cell hyperplasia: its identity and treatment. Case report. J Neurosurg 1996;85:697-700.

18. Weidenheim KM, Campbell WG Jr. Atypical monoclonal plasma cell hyperplasia of the central nervous system: precursor of plasmacytoma with evolutionary considerations. Neurosurgery 1989;24:429-34.

19. Khouja N, Aouidj L. Solitary plasmacytoma of the cranial vault. Case report and review of the literature. Neurochirurgie 2000;46:43-46.

20. Okamoto K, Ito J. Solitary plasmacytomas of the occipital bone: a report of two cases. Eur Radiol 1997;7:503-6. 21. Udono H, Fukuyama K. Rosai-Dorfman disease presenting multiple intracranial lesions with unique findings on magnetic resonance imaging. Case report. J Neurosurg 1999;91:335-9.

21. Gallina P, Mascalchi M. Misleading imaging features of intracranial dural plasmacytoma: report of two cases. Br J Neurosurg 2004;18:643-6.

22. Provenzale JM, Schaefer P. Craniocerebral plasmacytoma: MR features. AJNR Am J Neuroradiol 1997;18:389-92.

23. Bruno MC, Ginguene C. Lymphoplasmacyte rich meningioma.A case report and review of the literature. J Neurosurg Sci 2004;48:117-24.

24. Gi H, Nagao S, Yoshizumi H. Meningioma with hypergammaglobulinemia.Case report. J Neurosurg 1990;73:628-9.

25. Kleihues P, Cavenee WK. Tumours of the nervous system,Pathology & genetics. World Health Organization classification of tumours. Lyon: IARC Press, 2000;pp:244-6.

26. Ohmori T, Tabei R. Uncommon type of meningiomas with conspicuous plasmo-lymphocytic infiltration. An immunohistochemical and histochemical study. Acta Pathol Jpn 1989;39:190-4.

27. Yamaki T, Ikeda T. Lymphoplasmacyte-rich meningioma with clinical resemblance to inflammatory pseudotumour. Report of two cases. J Neurosurg 1997;86:898-904.

28. Stam FC, van Alphen HA. Meningioma with conspicuous plasma cell components. A histopathological and immunohistochemical study. Acta Neuropathol (Berl) 1980;49:241-3.

29. Zannettino AC, Farrugia AN. An in vitro osteoclast-forming assay to measure myeloma cell-derived osteoclast-activating factors. Methods Mol Med 2005;113:245-56.