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Case Reports
. 2020 Oct 19;15(12):2668-2671.
doi: 10.1016/j.radcr.2020.10.020. eCollection 2020 Dec.

Pleural metastasis of anaplastic meningioma

G D Marijn Veerman  1 , Martin J van den Bent  2 , Marthe S Paats  1   3
Affiliations
Case Reports

Pleural metastasis of anaplastic meningioma

G D Marijn Veerman et al. Radiol Case Rep. .

Abstract

A 52-year-old woman presented to the emergency department with several days of progressive dyspnoea and thoracic pain. Her medical history included a (recurrent) anaplastic meningioma, for which she was treated with surgery and radiotherapy. A chest X-ray showed occurrence of total opacification of the left lower lobe and a chest computed tomography demonstrated a pleural mass of 12 × 9 × 15 cm in the left lower lobe. Biopsy of the pleural mass revealed a metastasis of the patient's anaplastic meningioma. Extracranial metastases from meningioma are extremely uncommon (≤ 0.1%-0.2% of cases), but important for a patient's prognosis.

Keywords: Anaplastic meningioma; Pleural metastasis.

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Figures

Fig. 1 –
Fig. 1
Magnetic resonance image of the brain in April 2019; local recurrence predominantly in the right occipital lobe.
Fig. 2 –
Fig. 2
Magnetic resonance images of the brain in February 2020; axial, coronal, and sagittal image showing progression of disease of the anaplastic meningioma in both occipital lobes.
Fig. 3 –
Fig. 3
Chest X-ray at presentation; total opacification of the left lower lobe.
Fig. 4 –
Fig. 4
Chest computed tomography pulmonary angiography at presentation; central and right-sided subsegmental pulmonary embolisms (arrow 1), and a pleural tumour in the left lower lobe (arrow 2).
Fig. 5 –
Fig. 5
Chest computed tomography one month after presentation; growing pleural mass in the left lower lobe (arrow 1) and a new pericardial mass left (arrow 2).
See this image and copyright information in PMC

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