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 |
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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 |
format | Article |
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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</description><identifier>ISSN: 1043-3074</identifier><identifier>EISSN: 1097-0347</identifier><identifier>DOI: 10.1002/hed.21938</identifier><identifier>PMID: 22083757</identifier><identifier>CODEN: HEANEE</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>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</subject><ispartof>Head & neck, 2013-04, Vol.35 (4), p.E115-E118</ispartof><rights>Copyright © 2011 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3888-27a9a23b8c26e68ce0e482349e78b300130180a55b9577eea5138fbb4e9cb3c63</citedby><cites>FETCH-LOGICAL-c3888-27a9a23b8c26e68ce0e482349e78b300130180a55b9577eea5138fbb4e9cb3c63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fhed.21938$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fhed.21938$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22083757$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moubayed, Sami P.</creatorcontrib><creatorcontrib>Guertin, Louis</creatorcontrib><creatorcontrib>Lambert, Carole</creatorcontrib><creatorcontrib>Desrochers, Pascal</creatorcontrib><creatorcontrib>Nehmé, Jade</creatorcontrib><creatorcontrib>Coulombe, Geneviève</creatorcontrib><creatorcontrib>Andersen, Peter</creatorcontrib><title>Successful treatment of anaplastic meningioma metastatic to cervical lymph nodes</title><title>Head & neck</title><addtitle>Head Neck</addtitle><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</description><subject>Head and Neck Neoplasms - pathology</subject><subject>Head and Neck Neoplasms - radiotherapy</subject><subject>Head and Neck Neoplasms - surgery</subject><subject>Humans</subject><subject>lymph node</subject><subject>Lymph Nodes - pathology</subject><subject>Lymph Nodes - surgery</subject><subject>Lymphatic Metastasis</subject><subject>Male</subject><subject>Meningeal Neoplasms - pathology</subject><subject>Meningeal Neoplasms - radiotherapy</subject><subject>Meningeal Neoplasms - surgery</subject><subject>meningioma</subject><subject>Meningioma - radiotherapy</subject><subject>Meningioma - secondary</subject><subject>Meningioma - surgery</subject><subject>metastasis</subject><subject>Middle Aged</subject><subject>neck</subject><subject>Radiotherapy, Intensity-Modulated - methods</subject><subject>treatment</subject><subject>Treatment Outcome</subject><issn>1043-3074</issn><issn>1097-0347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1Lw0AQhhdRbK0e_AMS8KKHtLMfye4epVYrFBTUc9hsJzYlHzWbKP33bmx7ETzN8PLMy_AQcklhTAHYZIXLMaOaqyMypKBlCFzI434XPOQgxYCcObcGAB4LdkoGjIHiMpJD8vLaWYvOZV0RtA2atsSqDeosMJXZFMa1uQ18lFcfeV0av7Y-M33a1oHF5iu3pgiKbblZBVW9RHdOTjJTOLzYzxF5f5i9Tefh4vnxaXq3CC1XSoVMGm0YT5VlMcbKIqBQjAuNUqUcgHKgCkwUpTqSEtFElKssTQVqm3Ib8xG52fVumvqzQ9cmZe4sFoWpsO5cQrm_10Jo4dHrP-i67prKf9dTMgaho5663VG2qZ1rMEs2TV6aZptQSHrNidec_Gr27NW-sUtLnx7Ig1cPTHbAd17g9v-mZD6731X-ABechdA</recordid><startdate>201304</startdate><enddate>201304</enddate><creator>Moubayed, Sami P.</creator><creator>Guertin, Louis</creator><creator>Lambert, Carole</creator><creator>Desrochers, Pascal</creator><creator>Nehmé, Jade</creator><creator>Coulombe, Geneviève</creator><creator>Andersen, Peter</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201304</creationdate><title>Successful treatment of anaplastic meningioma metastatic to cervical lymph nodes</title><author>Moubayed, Sami P. ; Guertin, Louis ; Lambert, Carole ; Desrochers, Pascal ; Nehmé, Jade ; Coulombe, Geneviève ; Andersen, Peter</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3888-27a9a23b8c26e68ce0e482349e78b300130180a55b9577eea5138fbb4e9cb3c63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Head and Neck Neoplasms - pathology</topic><topic>Head and Neck Neoplasms - radiotherapy</topic><topic>Head and Neck Neoplasms - surgery</topic><topic>Humans</topic><topic>lymph node</topic><topic>Lymph Nodes - pathology</topic><topic>Lymph Nodes - surgery</topic><topic>Lymphatic Metastasis</topic><topic>Male</topic><topic>Meningeal Neoplasms - pathology</topic><topic>Meningeal Neoplasms - radiotherapy</topic><topic>Meningeal Neoplasms - surgery</topic><topic>meningioma</topic><topic>Meningioma - radiotherapy</topic><topic>Meningioma - secondary</topic><topic>Meningioma - surgery</topic><topic>metastasis</topic><topic>Middle Aged</topic><topic>neck</topic><topic>Radiotherapy, Intensity-Modulated - methods</topic><topic>treatment</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moubayed, Sami P.</creatorcontrib><creatorcontrib>Guertin, Louis</creatorcontrib><creatorcontrib>Lambert, Carole</creatorcontrib><creatorcontrib>Desrochers, Pascal</creatorcontrib><creatorcontrib>Nehmé, Jade</creatorcontrib><creatorcontrib>Coulombe, Geneviève</creatorcontrib><creatorcontrib>Andersen, Peter</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Head & neck</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moubayed, Sami P.</au><au>Guertin, Louis</au><au>Lambert, Carole</au><au>Desrochers, Pascal</au><au>Nehmé, Jade</au><au>Coulombe, Geneviève</au><au>Andersen, Peter</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Successful treatment of anaplastic meningioma metastatic to cervical lymph nodes</atitle><jtitle>Head & neck</jtitle><addtitle>Head Neck</addtitle><date>2013-04</date><risdate>2013</risdate><volume>35</volume><issue>4</issue><spage>E115</spage><epage>E118</epage><pages>E115-E118</pages><issn>1043-3074</issn><eissn>1097-0347</eissn><coden>HEANEE</coden><abstract>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</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>22083757</pmid><doi>10.1002/hed.21938</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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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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