Intraosseous Meningioma Masquerading as Fibrous Dysplasia
Received Date: Oct 02, 2015 / Accepted Date: Jan 04, 2016 / Published Date: Jan 08, 2016
Background: Intraosseous meningiomas often display clinical and radiologic features that can be confused for fibrous dysplasia. Histopathology usually confirms the diagnosis. We present a case initially misdiagnosed as fibrous dysplasia by histopathology.
Methods: A 58-year-old male presented with worsening proptosis and vision loss. He was previously diagnosed with fibrous dysplasia at an outside institution, with histologic confirmation of the diagnosis during orbital decompression.
Results: On examination there was evidence of optic neuropathy and mild restriction of gaze. Imaging revealed a large ossified mass of the greater sphenoid wing. Craniotomy and surgical decompression resulted in improved vision and symptoms. Histopathology revealed meningioma with bony and dural components.
Conclusions: This case emphasizes the need for a high level of suspicion and representative biopsies to reach prompt diagnosis of meningiomas in cases of recurrent or atypical fibrous dysplasia
Keywords: Intraosseous meningiomas; Benign fibrous dysplasia; CT imaging
Citation: Shaftel SS, Alameddine RM, Oh SR, Korn BS, Lin JH, et al. (201) Intraosseous Meningioma Masquerading as Fibrous Dysplasia. Diagn Pathol open 1: 104. Doi: 10.4172/2476-2024.1000104
Copyright: ©2015 Shaftel SS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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