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Metastasis of Meningioma: A Rare Differential Diagnosis in Subcutaneous Masses of the Scalp | OMICS International| Abstract
ISSN: 2161-119X

Otolaryngology: Open Access
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  • Case Report   
  • Otolaryngol (Sunnyvale) 2017, Vol 7(6): 333
  • DOI: 10.4172/2161-119X.1000333

Metastasis of Meningioma: A Rare Differential Diagnosis in Subcutaneous Masses of the Scalp

Alexander Lunger1*, Tarek Ismail1#, Adrian Dalbert2, Kirsten Mertz3, Thomas Weikert4, Dirk Johannes Schaefer1 and Ilario Fulco1
1Department of Plastic Reconstructive Aesthetic and Hand Surgery, University Hospital Basel, Basel, Switzerland
2Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Zurich, Zurich, Switzerland
3Department of Pathology, Kantonsspital Basel Land, , Liestal, Switzerland
4Department of Radiology, University Hospital Basel, Switzerland
#Contributed equally to this work
*Corresponding Author : Alexander Lunger, Department of Plastic Reconstructive Aesthetic and Hand Surgery, University Hospital Basel, Spitalstrasse 21, 4031 Basel, Switzerland, Tel: 061 328 7227, Email: [email protected]

Received Date: Nov 08, 2017 / Accepted Date: Nov 21, 2017 / Published Date: Nov 28, 2017

Abstract

Background: Subcutaneous masses of the scalp have a wide range of differential diagnosis. After removal of a meningioma in the patient’s history, scalp metastasis from the previously resected meningioma should be considered. Methods: A 86 year old patient presented with a local swelling on the left temporal forehead and no other clinical symptoms. Eleven years earlier an extra-axial meningioma was resected. The patient was receiving immunosuppressive therapy subsequent to kidney transplantation. After clinical examination and MRI, a lipoma was suspected. The mass was resected under local anesthesia. Results: Histopathology revealed a metastasis of the previously removed meningioma (WHO grade II). No further treatment was recommended. Clinical follow-up was without pathological findings so far. Conclusion: Scalp metastases of meningiomas are a rare finding. However, if patient history reveals removal of a meningioma, scalp metastasis must be a differential diagnosis for subcutaneous masses even years after the initial surgery.

Keywords: Meningioma metastasis; Skin lesion; Subcutaneous mass

Citation: Lunger A, Ismail T, Dalbert A, Mertz K, Weikert T, et al. (2017) Metastasis of Meningioma: A Rare Differential Diagnosis in Subcutaneous Masses of the Scalp. Otolaryngol (Sunnyvale) 7: 333. Doi: 10.4172/2161-119X.1000333

Copyright: © 2017 Lunger A, 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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