A meningioma-mimicking tumor caused by Mycobacterium avium complex in an immunocompromised patient
Intracranial tuberculomas manifesting radiologically as typical dural-based "meningiomas" have been reported, most frequently in immunosuppressed patients. Their incidence is high in developing countries; they are only sporadically observed in Western Europe and North America, usually in p...
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| Veröffentlicht in: | The American journal of surgical pathology 2000, Vol.24 (1), p.136-139 |
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| creator | DI PATRE, P. L RADZISZEWSKI, W MARTIN, N. A BROOKS, A VINTERS, H. V |
| description | Intracranial tuberculomas manifesting radiologically as typical dural-based "meningiomas" have been reported, most frequently in immunosuppressed patients. Their incidence is high in developing countries; they are only sporadically observed in Western Europe and North America, usually in patients with acquired immunodeficiency syndrome (AIDS). According to published reports, intracranial tuberculomas are always due to infection by Mycobacterium tuberculosis. We report a case of a 50-year-old woman with systemic lupus erythematosus (SLE) who presented with a dural based, meningioma-like mass in the right frontal region, resulting from a localized infection by Mycobacterium avium complex. Histologically, the mass resembled a meningioma in being composed of spindly cells arranged in a fascicular pattern. Immunohistochemical stains showed this tumor to consist of a large aggregate of AFB-laden histiocytes without caseating necrosis or multinucleated giant cells. |
| doi_str_mv | 10.1097/00000478-200001000-00017 |
| format | Article |
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Histologically, the mass resembled a meningioma in being composed of spindly cells arranged in a fascicular pattern. 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We report a case of a 50-year-old woman with systemic lupus erythematosus (SLE) who presented with a dural based, meningioma-like mass in the right frontal region, resulting from a localized infection by Mycobacterium avium complex. Histologically, the mass resembled a meningioma in being composed of spindly cells arranged in a fascicular pattern. 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L</creatorcontrib><creatorcontrib>RADZISZEWSKI, W</creatorcontrib><creatorcontrib>MARTIN, N. A</creatorcontrib><creatorcontrib>BROOKS, A</creatorcontrib><creatorcontrib>VINTERS, H. V</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgical pathology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>DI PATRE, P. L</au><au>RADZISZEWSKI, W</au><au>MARTIN, N. A</au><au>BROOKS, A</au><au>VINTERS, H. V</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A meningioma-mimicking tumor caused by Mycobacterium avium complex in an immunocompromised patient</atitle><jtitle>The American journal of surgical pathology</jtitle><addtitle>Am J Surg Pathol</addtitle><date>2000</date><risdate>2000</risdate><volume>24</volume><issue>1</issue><spage>136</spage><epage>139</epage><pages>136-139</pages><issn>0147-5185</issn><eissn>1532-0979</eissn><coden>AJSPDX</coden><abstract>Intracranial tuberculomas manifesting radiologically as typical dural-based "meningiomas" have been reported, most frequently in immunosuppressed patients. Their incidence is high in developing countries; they are only sporadically observed in Western Europe and North America, usually in patients with acquired immunodeficiency syndrome (AIDS). According to published reports, intracranial tuberculomas are always due to infection by Mycobacterium tuberculosis. We report a case of a 50-year-old woman with systemic lupus erythematosus (SLE) who presented with a dural based, meningioma-like mass in the right frontal region, resulting from a localized infection by Mycobacterium avium complex. Histologically, the mass resembled a meningioma in being composed of spindly cells arranged in a fascicular pattern. Immunohistochemical stains showed this tumor to consist of a large aggregate of AFB-laden histiocytes without caseating necrosis or multinucleated giant cells.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>10632498</pmid><doi>10.1097/00000478-200001000-00017</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | AIDS/HIV Anti-Inflammatory Agents - therapeutic use Azathioprine - therapeutic use Bacterial diseases Biological and medical sciences Female Human bacterial diseases Humans Immunocompromised Host Immunohistochemistry Immunosuppressive Agents - therapeutic use Infectious diseases Lupus Erythematosus, Systemic - complications Lupus Erythematosus, Systemic - drug therapy Magnetic Resonance Imaging Medical sciences Meningeal Neoplasms - diagnosis Meningioma - diagnosis Middle Aged Mycobacterium avium-intracellulare Infection - diagnosis Mycobacterium avium-intracellulare Infection - diagnostic imaging Mycobacterium avium-intracellulare Infection - pathology Mycobacterium avium-intracellulare Infection - surgery Prednisone - therapeutic use Tomography, X-Ray Computed Tuberculoma, Intracranial - diagnosis Tuberculoma, Intracranial - diagnostic imaging Tuberculoma, Intracranial - pathology Tuberculoma, Intracranial - surgery Tuberculosis and atypical mycobacterial infections |
| title | A meningioma-mimicking tumor caused by Mycobacterium avium complex in an immunocompromised patient |
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