Journal of the Formosan Medical Association
Volume 105, Issue 7 , Pages 594-598, 2006

Sphenoid Ridge Lymphoplasmacyte-rich Meningioma

  • Joon-Khim Loh

      Affiliations

    • Department of Surgery, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung, Taiwan
    • Department of Surgery, Faculty of Neurosurgery, College of Medicine, Kaohsiung, Taiwan
    • Corresponding Author InformationCorrespondence to: Dr Joon-Khim Loh, Department of Surgery, Kaohsiung Municipal Hsiao-Kang Hospital, 482, Shan-Ming Road, Hsaio-Kang District, Kaohsiung 812, Taiwan
    • ,
  • Shiuh-Lin Hwang

      Affiliations

    • Division of Neurosurgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • ,
  • Kun-Bow Tsai

      Affiliations

    • Department of Pathology, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
    • ,
  • Aij-Lie Kwan

      Affiliations

    • Division of Neurosurgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • ,
  • Shen-Long Howng

      Affiliations

    • Division of Neurosurgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan

Received 22 April 2005; received in revised form 3 June 2005; accepted 13 September 2005.

Article Outline

There are numerous histologic variants of meningioma. Among the more uncommon are intracranial masses composed of meningiomatous and plasma cell-lymphocytic elements. We report a 22-year-old woman with lymphoplasmacyte-rich meningioma who initially presented with dizziness and progressive headache. Neuroradiologic images revealed typical meningiomas of the sphenoid ridge with extensive perifocal edema. Complete macroscopic removal of the tumor was performed. Histologic examination revealed a meningioma with massive infiltrates of plasma cells and lymphocytes. Brain computed tomography on the 6th postoperative day revealed total removal of the tumor with marked reduction of brain edema. Complete resolution of symptoms occurred with no evidence of tumor recurrence during 2 years of follow-up.

Key Words:  brain tumor , meningioma

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References 

  1. Kleihues P , Burger PC , Scheithauer BW . In: Histological Typing of Tumours of the Central Nervous System . 2nd edition. Berlin: Springer Verlag; 1993;p. 33–37
  2. Cannella DM , Prezyna AP , Kapp JP . Primary intracranial plasma-cell granuloma. Case report . J Neurosurg . 1988;69:785–788
  3. Yamaki T , Ikeda T , Sakamoto Y , et al.   Lymphoplasmacyte-rich meningioma with clinical resemblance to inflammatory pseudotumor. Report of two cases . J Neurosurg . 1997;86:898–904
  4. Banerjee AK , Blackwood W . A subfrontal tumour with the features of plasmacytoma and meningioma . Acta Neuropathol (Berl) . 1971;18:84–88
  5. Russell DS , Rubinstein LJ . In: Pathology of Tumors of the Nervous System . 5th edition. London: Edward Arnold; 1998;p. 472
  6. Horten BC , Urich H , Stefoski D . Meningiomas with conspicuous plasma cell-lymphocytic components: a report of five cases . Cancer . 1979;43:258–264
  7. Loiseau H , Pedespan JM , Vital A , et al.   Lymphoplasmacyte-rich meningioma in a child. Case report . J Neurosurg . 1995;83:1075–1079
  8. Stam FC , van Alphen HS , Boorsma DM . Meningioma with conspicuous plasma cell components. A histopathological and immunohistochemical study . Acta Neuropathol (Berl) . 1980;49:241–243
  9. Kepes JJ , Chen WY , Connors MH , et al.   Chordoid meningeal tumors in young individuals with peritumoral lymphoplasmacellular infiltrates causing systemic manifestations of the castleman syndrome. A report of seven cases . Cancer . 1988;62:391–406
  10. Kaneko D , Irikura T , Taguchi Y , et al.   Intracranial plasma-cytoma arising from the dura mater . Surg Neurol. . 1982;17:295–300
  11. Arienta C , Caroli M , Ceretti L , et al.   Solitary plasmacytoma of the calvarium: two cases treated by operation alone . Neurosurgery . 1987;21:560–563
  12. Du Preez JH , Branca EP . Plasmocytoma of the skull: case reports . Neurosurgery . 1991;29:902–906
  13. Figarella-Branger D , Gambarelli D , Perez-Castillo M , et al.   Primary intracerebral plasma cell granuloma: a light, immunocytochemical, and ultrastructural study of one case . Neurosurgery . 1990;27:142–147
  14. Aizawa T , Sato T , Tanaka Y , et al.   Intramedullary plasma cell granuloma in the cervicothoracic spine: case report . J Neurosurg (Spine 2) . 2002;97:235–238
  15. Asai A , Matsutani M , Kohno T , et al.   Leptomeningeal and orbital benign lymphophagocytic histiocytosis. Case report . J Neurosurg . 1988;69:610–612
  16. Foucar E , Rosai J , Dorfman RF , et al.   The neurologic manifestations of sinus histiocytosis with massive lymph-adenopathy . Neurology . 1982;32:365–371
  17. Kerr RSC , Hughes JT , Blamires T , et al.   Lym-phomatoid granulomatosis apparently confined to one temporal lobe. Case report . J Neurosurg . 1987;67:612–615
  18. Schmidt BJ , Meagher-Villemure K , Del Carpio J . Lymphomatoid granulomatosis with isolated involvement of the brain . Ann Neurol. . 1984;15:478–481
  19. Gi H , Nagao S , Yoshizumi H , et al.   Meningioma with hypergammaglobulinemia. Case report . J Neurosurg . 1990;73:628–629

PII: S0929-6646(09)60156-X

doi:10.1016/S0929-6646(09)60156-X

Journal of the Formosan Medical Association
Volume 105, Issue 7 , Pages 594-598, 2006

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