Metastatic meningioma in the sacrum

a case report.

Yan Yaw Lee, Robert Wen-Wei Hsu, Tsung Jen Huang, Swei Hsueh, Jeng Yi Wang

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

STUDY DESIGN: This report describes a 51-year-old woman with a sacral metastatic meningioma that originated from an intracranial meningioma. OBJECTIVES: To describe an unusual presentation of a metastatic meningioma in the sacrum. SUMMARY OF BACKGROUND DATA: Extracranial metastases of meningioma are very rare. The phenomenon of metastasis may have more to do with the ability to invade the wall of a blood vessel than with the mitotic activity of a tumor. Therefore, metastases of the meningioma can occur even with a benign histologic picture in the original intracranial meningioma. METHODS: A 51-year-old woman had experienced low back pain and sciatica of the left leg for several months. Plain radiographs of the lumbosacral spine showed an osteolytic lesion with an irregular margin that occupied the left side of the sacrum. Magnetic resonance imaging revealed a soft mass invading the left sacrum, ilium, and presacral space. RESULTS: Surgical removal of the sacral tumor via an anterior-posterior-anterior approach was done. Histopathologic examination revealed a metastatic meningioma with a meningotheliomatous histologic composition. Sixteen months after excision of the metastatic sacral lesion, the patient was ambulating freely and experiencing mild constipation and urine retention. CONCLUSIONS: In this case of metastatic meningioma in the sacrum, which is the first such report to the authors' best knowledge, total excision of the tumor was successful.

Original languageEnglish
JournalSpine
Volume27
Issue number4
Publication statusPublished - Feb 15 2002
Externally publishedYes

Fingerprint

Sacrum
Meningioma
Neoplasm Metastasis
Ilium
Sciatica
Neoplasms
Constipation
Low Back Pain
Blood Vessels
Leg
Spine
Magnetic Resonance Imaging
Urine

ASJC Scopus subject areas

  • Physiology
  • Clinical Neurology
  • Orthopedics and Sports Medicine

Cite this

Lee, Y. Y., Wen-Wei Hsu, R., Huang, T. J., Hsueh, S., & Wang, J. Y. (2002). Metastatic meningioma in the sacrum: a case report. Spine, 27(4).

Metastatic meningioma in the sacrum : a case report. / Lee, Yan Yaw; Wen-Wei Hsu, Robert; Huang, Tsung Jen; Hsueh, Swei; Wang, Jeng Yi.

In: Spine, Vol. 27, No. 4, 15.02.2002.

Research output: Contribution to journalArticle

Lee, YY, Wen-Wei Hsu, R, Huang, TJ, Hsueh, S & Wang, JY 2002, 'Metastatic meningioma in the sacrum: a case report.', Spine, vol. 27, no. 4.
Lee YY, Wen-Wei Hsu R, Huang TJ, Hsueh S, Wang JY. Metastatic meningioma in the sacrum: a case report. Spine. 2002 Feb 15;27(4).
Lee, Yan Yaw ; Wen-Wei Hsu, Robert ; Huang, Tsung Jen ; Hsueh, Swei ; Wang, Jeng Yi. / Metastatic meningioma in the sacrum : a case report. In: Spine. 2002 ; Vol. 27, No. 4.
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