Intracranial Meningioma with Metastasis to the Third Lumbar Vertebra: A Case Report

顱內腦膜瘤之脊椎轉移：一病例報告

蘇文科(Wen-Ko Su) ； 黃榮貴(Jon-Kway Huang) ； 鄭碩仁(Sho-Jen Cheng) ； 許清寅(Chin-Yin Sheu)

《中華放射線醫學雜誌》 25卷3期 (2000/06) Pp. 137-140

摘要

典型的腦膜瘤是良性的。雖然局部復發的機率不少，遠處轉移則罕見。我們報告的是一位六十歲的女性，在其上矢狀竇旁有一原發性的顱內腦膜瘤。此病人共進行了二次開顱手術，各為了切除其原發病灶及五年後於原病灶處的良性復發。於第一次開顱手術的十一年後，發生第三腰椎轉移併轉形為惡性。腫瘤細胞有可能是從上矢狀竇經脊椎靜脈系統轉移到第三腰椎的。腰椎的病灶隨後被完全切除。手術後的療程是順利的。目前病人是在門診接受定期追蹤。

關鍵字

腦膜 ； 腫瘤 ； 脊椎 ； 次發性腫瘤

並列摘要

Meningiomas are typically benign. Although the local recurrence rate is significant, distant metastasis is rare. We present a 60 year-old woman who had a primary benign intracranial meningioma located at the parasagittal area. Two craniotomies were performed, one for removal of the primary lesion and another, 5 years later, for a focal benign recurrence. Metastasis to the third lumbar vertebra with malignant change was detected eleven years after the first operation. It is possible that seeding from the superior sagittal sinus to the vertebra occurred by way of the vertebral venous system. Complete resection of the vertebral lesion was performed. The post-operative course was smooth, and the patient is currently being followed up regularly in the outpatient department.

並列關鍵字

Meninges ； neoplasms ； Spine ； secondary neoplasms