Successful treatment of anaplastic meningioma metastatic to cervical lymph nodes

Background Cervical lymph node metastases of meningioma represent an important diagnostic and treatment challenge. Not only has this entity been rarely described, but successful treatment has never been reported in the literature. Methods and Results This case report was conducted using reviews of t...

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Veröffentlicht in:Head & neck 2013-04, Vol.35 (4), p.E115-E118
Hauptverfasser: Moubayed, Sami P., Guertin, Louis, Lambert, Carole, Desrochers, Pascal, Nehmé, Jade, Coulombe, Geneviève, Andersen, Peter
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container_end_page E118
container_issue 4
container_start_page E115
container_title Head & neck
container_volume 35
creator Moubayed, Sami P.
Guertin, Louis
Lambert, Carole
Desrochers, Pascal
Nehmé, Jade
Coulombe, Geneviève
Andersen, Peter
description Background Cervical lymph node metastases of meningioma represent an important diagnostic and treatment challenge. Not only has this entity been rarely described, but successful treatment has never been reported in the literature. Methods and Results This case report was conducted using reviews of the literature. A 58‐year‐old man with a history of resected anaplastic meningioma was referred for a right neck mass. Excisional biopsy revealed metastatic meningioma, and a metastatic workup was negative. Modified radical neck dissection showed positivity in 5 lymph nodes. The patient received adjuvant intensity‐modulated radiation therapy (IMRT), for a mean target dose of 60 Gray (Gy). Two years after treatment, the patient was disease free. Eleven cases of cervical lymph node metastasis of meningioma were identified in our literature search, and none described successful treatment of this entity. Conclusion Cervical lymph node metastasis of anaplastic meningioma is potentially treatable with surgical resection and IMRT, although further studies with long‐term follow‐up are necessary. © 2011 Wiley Periodicals, Inc. Head Neck, 2013
doi_str_mv 10.1002/hed.21938
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Not only has this entity been rarely described, but successful treatment has never been reported in the literature. Methods and Results This case report was conducted using reviews of the literature. A 58‐year‐old man with a history of resected anaplastic meningioma was referred for a right neck mass. Excisional biopsy revealed metastatic meningioma, and a metastatic workup was negative. Modified radical neck dissection showed positivity in 5 lymph nodes. The patient received adjuvant intensity‐modulated radiation therapy (IMRT), for a mean target dose of 60 Gray (Gy). Two years after treatment, the patient was disease free. Eleven cases of cervical lymph node metastasis of meningioma were identified in our literature search, and none described successful treatment of this entity. Conclusion Cervical lymph node metastasis of anaplastic meningioma is potentially treatable with surgical resection and IMRT, although further studies with long‐term follow‐up are necessary. © 2011 Wiley Periodicals, Inc. 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Not only has this entity been rarely described, but successful treatment has never been reported in the literature. Methods and Results This case report was conducted using reviews of the literature. A 58‐year‐old man with a history of resected anaplastic meningioma was referred for a right neck mass. Excisional biopsy revealed metastatic meningioma, and a metastatic workup was negative. Modified radical neck dissection showed positivity in 5 lymph nodes. The patient received adjuvant intensity‐modulated radiation therapy (IMRT), for a mean target dose of 60 Gray (Gy). Two years after treatment, the patient was disease free. Eleven cases of cervical lymph node metastasis of meningioma were identified in our literature search, and none described successful treatment of this entity. Conclusion Cervical lymph node metastasis of anaplastic meningioma is potentially treatable with surgical resection and IMRT, although further studies with long‐term follow‐up are necessary. © 2011 Wiley Periodicals, Inc. 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subjects Head and Neck Neoplasms - pathology
Head and Neck Neoplasms - radiotherapy
Head and Neck Neoplasms - surgery
Humans
lymph node
Lymph Nodes - pathology
Lymph Nodes - surgery
Lymphatic Metastasis
Male
Meningeal Neoplasms - pathology
Meningeal Neoplasms - radiotherapy
Meningeal Neoplasms - surgery
meningioma
Meningioma - radiotherapy
Meningioma - secondary
Meningioma - surgery
metastasis
Middle Aged
neck
Radiotherapy, Intensity-Modulated - methods
treatment
Treatment Outcome
title Successful treatment of anaplastic meningioma metastatic to cervical lymph nodes
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