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01.12.2012 | Case report | Ausgabe 1/2012 Open Access

World Journal of Surgical Oncology 1/2012

Intraparenchymal papillary meningioma of brainstem: case report and literature review

Zeitschrift:
World Journal of Surgical Oncology > Ausgabe 1/2012
Autoren:
Xiao-Bing Jiang, Chao Ke, Zhi-An Han, Shao-Hua Lin, Yong-Gao Mou, Rong-Zhen Luo, Shao-Xiong Wu, Zhong-Ping Chen
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1477-7819-10-10) contains supplementary material, which is available to authorized users.
Xiao-Bing Jiang, Chao Ke contributed equally to this work.

Competing interests

The authors declare that they have no competing interests.

Authors' contributions

XJ and CK participated in the study design. All authors participated in the treatment applied and data collection. XJ and ZC participated in literature reviewing and manuscript writing. XJ, ZC and CK participated in editing and proof reading. All authors read and approved the final manuscript.

Abstract

Both intraparenchymal papillary meningioma and papillary meningioma with cyst formation of brainstem have never been reported. The authors present an extremely rare case of patient with intraparenchymal papillary meningioma of brainstem. A 23-year-old Chinese male presented with a 4-month history of progressive left upper limb and facial nerve palsy. Magnetic resonance imaging revealed a cystic-solid, heterogeneously enhancing mass in pons and right cerebral peduncle with no dural attachment. The tumor was totally removed via subtemporal approach. During surgery, the lesion was found to be completely intraparenchymal. Histological and immunohistochemical examinations were compatible with the diagnosis of papillary meningioma. The lesion recurred nine months after primary surgery, a second surgery followed by radiotherapy was performed. Till to now (nearly 2 years after the treatment), the patient is tumor free survival. Intraparenchymal meningioma of brainstem with cystic formation is very rare, however, it should be considered as a differential diagnosis of a brainstem neoplasm. The present case strongly recommended that postoperative radiotherapy was essential for the patients with papillary meningiomas.
Zusatzmaterial
Authors’ original file for figure 1
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Authors’ original file for figure 2
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Authors’ original file for figure 3
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Authors’ original file for figure 4
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Literatur
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