Recurrent Intracranial Meningioma with Pulmonary Metastasis

復發性腦膜瘤合併肺部轉移

邱仁治(Jen-Chih Chiou) ； 朱國安(Kuo-An Chu) ； 張慶宏(Chin-Hung Chang) ； 林秀玲(Shong-Ling Lin) ； 賴瑞生(Ruay-Sheng Lai)

《胸腔醫學》 22卷6期 (2007/12) Pp. 405-410

https://doi.org/10.29806/TM.200712.0005

摘要

腦膜瘤少有頭顱外的轉移，我們在此提出一個復發性腦膜瘤合併肺部轉移的病例報告。一位六十一歲男性，十四年前被診斷為過渡型腦膜瘤，並接受腫瘤全切除手術。病患因為一週以來右胸輕微疼痛求醫，經胸部X光片檢查，發現右下肺有一顆大腫瘤，行電腦斷層導引切片，病理檢查顯示為過渡型腦膜瘤，同時間腦部核磁共震影像發現腦部腫瘤復發。病患接受頭部腫瘤切除，對於胸部腫瘤則拒絕治療，切除下來的腦部腫瘤經病理檢查證實為過渡型腦膜瘤，病患術後兩個月內狀況良好。

關鍵字

肺 ； 腦膜瘤 ； 轉移

並列摘要

Meningiomas rarely metastasize outside the intracranial compartment. We report a case of recurrent intracranial meningioma with lung metastasis in a 61-year-old male. The patient, with a 1-week history of mild right chest pain, was found to have a large right lung mass by chest roentgenography 14 years after resection of an intracranial meningioma of the transitional type. A computed tomography (CT)-guided biopsy for the lung tumor was done. The pathology showed findings consistent with a transitional type meningioma. A recurrent intracranial tumor was disclosed by brain magnetic resonance imaging (MRI) at the same time. The patient underwent a gross total resection of the brain tumor, but the metastatic lung tumor was left untreated at his request. Local recurrence of transitional meningioma was confirmed by pathological examination. At 2 months after the operation, the patient remained clinically well.

並列關鍵字

lung ； meningioma ； metastasis