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01.12.2012 | Case report | Ausgabe 1/2012 Open Access

World Journal of Surgical Oncology 1/2012

Primary meningeal melanocytoma of the anterior cranial fossa: a case report and review of the literature

Zeitschrift:
World Journal of Surgical Oncology > Ausgabe 1/2012
Autoren:
Bowen Lin, Hongfa Yang, Limei Qu, Ye Li, Jinlu Yu
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1477-7819-10-135) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

LBW wrote the initial draft. LBW and YHF contributed equally to this work. YJL is the surgeon. All authors read and approved the final manuscript.

Abstract

Background

Primary meningeal melanocytoma is a rare neurological disorder. Although it may occur at the base of the brain, it is extremely rare at the anterior cranial fossa.

Case presentation

A 27-year-old man presented with headache and diplopia at our department. Fundoscopy showed left optic nerve atrophy and right papilledema consistent with Foster-Kennedy syndrome. Neurological exams were otherwise normal. A left frontal irregular space-occupying lesion was seen on magnetic resonance imaging (MRI), and enhancement was shown on contrast-enhanced computed tomography (CT) scan. CT angiography (CTA) revealed vascular compression around the lesion. Prior to surgery, meningioma was diagnosed and gross tumor removal was performed. On postoperative pathohistological exam, the tumor proved to be a meningeal melanocytoma, WHO grade I. No skin melanoma was found. After surgery, the patient received radiation therapy. No tumor was seen on follow-up MR images six months after surgery. The patient was well after two and a half years, and there was no tumor recurrence on the follow-up CT.

Conclusions

This case of primary meningeal melanocytoma located at the anterior cranial fossa is very rare. Although primary meningeal melanocytoma is benign, it may behave aggressively. Complete surgical resection is curative for most cases. Radiation therapy is important to prevent relapse of the tumor, especially in cases of incomplete surgical resection.
Zusatzmaterial
Authors’ original file for figure 1
12957_2012_1025_MOESM1_ESM.pdf
Authors’ original file for figure 2
12957_2012_1025_MOESM2_ESM.pdf
Authors’ original file for figure 3
12957_2012_1025_MOESM3_ESM.pdf
Authors’ original file for figure 4
12957_2012_1025_MOESM4_ESM.pdf
Literatur
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