Turkish Neurosurgery
2008 , Vol 18 , Num 4
Extremely Delayed Renal Cell Carcinoma Metastasis Mimicking Convexity Meningioma
University of Kırıkkale Faculty of Medicine, Department of Neurosurgery, Kırıkkale, Turkey
Cerebral extra-axial metastases mimicking meningioma are extremely rare.
Imaging characterictics may not always differentiate between meningioma and
metastatic tumors. A 68-year-old-woman who had been operated for renal cell
carcinoma 20 years ago presented with new symptoms of an intracranial mass
lesion. A large extra-axial convexity mass destroying the calvarium and dura
was excised with Simpson Grade I removal. The pathology examination
revealed metastatic carcinoma. Such tumors that satisfy several criteria for a
diagnosis of meningioma, but prove instead to be metastatic carcinoma form the
focus of our discussion. A meticulous clinical evaluation and histopathological
diagnosis is essential in patients with an intracranial mass whether the lesion
looks like a primary or metastatic tumor on the first evaluation.
Keywords :
Meningioma, Convexity, Renal cell carcinoma, Metastasis