Adult chordoid meningioma: a case report
DOI:
https://doi.org/10.18203/2320-6012.ijrms20181318Keywords:
Aggressive tumor, MeningiomaAbstract
Chordoid meningioma is a rare tumour accounting for less than 0.5% of all meningiomas. It is a WHO grade II tumour with an aggressive behavior. It is a rare variant characterized by cords or trabeculae of eosinophilic or vacuolated cells set in an abundant mucoid matrix. It can be associated with systemic or hematologic manifestations like Castleman disease. The tumor has a propensity for aggressive behavior and increased likelihood of recurrence We report a case of an adult patient with chordoid meningioma who presented with headache and seizures and did not have any hematological/ systemic manifestations. She underwent total excision of the lesion and is doing well.
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References
Perry A, Louis DN, Budka H, von Deimling A, Sahm F, Mawrin C, et al. Meningioma variants in: WHO Classification of Tumours of the Central Nervous System revised 4th Edition, Lyon: IARC. 2016:237-241.
Kepes JJ, Chen WY, Connors MH, Vogel FS. Chordoid meningeal tumors in young individuals with peritumoral lympho plasma cellular infiltrates causing systemic manifestations of the castleman syndrome. A report of seven cases. Cancer 1988;62:391‑406. PMID- 3383139.
Couce ME, Aker FV, Scheithauer BW. Chordoid meningioma: A clinicopathologic study of 42 cases. Am J Surg Pathol. 2000;24:899‑905. PMID- 10895812.
Siraj F, Ansari MK, Sharma KC, Singh A. Chordoid meningioma. A diagnostic dilemma. J Can Res Ther. 2015;11:663. PMID- 26458690.
Dahmen HG. Studies on mucous substances in myxomatous meningiomas. Acta Neuropathol. 1979;48:235-7. PMID- 525263.
Sangoi AR, Dulai MS, Beck AH, Brat DJ, Vogel H. Distinguishing chordoid meningiomas from their histologic mimics: An immunohistochemical evaluation. Am J Surg Pathol. 2009;33:669‑81. PMID-19194275.
Murali R, Ng T. Chordoid meningioma masquerading as chordoma. Pathology. 2004;36:198-201. PMID- 15203760.
Cho HY, Lee M, Takei H, Dancer J, Ro JY, Zhai QJ. Immunohistochemical comparison of chordoma with chondrosarcoma, myxopapillary ependymoma, and chordoid meningioma. Appl Immunohistochem Mol Morphol. 2009;17:131‑8. PMID- 19521276.
Steilen-Gimbel H, Niedermayer I, Feiden W. Unbalanced translocation t (1;3) (p12–13;q11) in meningiomas as the unique feature of chordoid differentiation. Genes Chromosomes Cancer. 1999;26:270-2. PMID- 10502328.