Dural based primary osteosarcoma in right fronto-temporal region:Case report with review of literature

Ghosal, Nandita; Dadlani, Ravi; Furtado, Sunil V.; Bagdi, Naman; Hegde, AS

doi:10.4103/0028-3886.60428

Cited by 7 publications

(5 citation statements)

References 2 publications

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“…The present study is unique in being from a single institute, describing large number of such cases. Some of the cases in the present series which had interesting clinical, radiological and pathological vignettes like dural tailing, proptosis, pediatric presentation, unusual histomorphology have been indexed as case reports [4][5][6]. Unlike meningiomas which are common in females, we encountered these lesions more in males (15) than in females (5).…”

Section: Discussionmentioning

confidence: 87%

A clinicopathological study of diagnostically challenging meningioma mimics

et al. 2011

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The occurrence of neoplastic and nonneoplastic dural based masses that mimic meningiomas is infrequent and may not be considered during radiological and intraoperative analysis. We describe single institute study of 20 such rare cases. This study included total of 20 cases of meningioma mimics. The clinical, radiological and histopathological findings were evaluated. Tissue fixed in 10% formalin was routinely processed and 5 μ thick sections were cut and stained with hematoxylin & eosin. Histochemistry and immunohistochemistry using avidin-biotin complex immunoperoxidase method was done wherever indicated. In the present study group, 15 were male and 5 female with a male: female ratio of 3:1. The age ranged from 14 to 78 years. Radiologically all these lesions were extra-axial in location, predominantly hypointense on T2W, isointense on T1W images and showed intense homogenous enhancement on contrast administration. Four cases were in pediatric age group with histopathological diagnosis of Rosai Dorfman disease, medulloblastoma, hemangiopericytoma and malignant melanoma. In the adult population, the histopathological diagnoses were hemangiopericytoma, undifferentiated sarcoma, extraskeletal osteosarcoma, Rosai Dorfman disease, medulloblastoma, and metastases from systemic malignancies. Of the total 6 cases of metastases 1 was nonseminomatous germ cell tumor from a primary in testis, 1 was adenocarcinoma from an unknown primary, and 4 were adenocarcinoma from lung. There was a single case of dural based frontal lobe malignant melanoma with congenital hairy nevi on anterior chest wall, scalp, anterior abdominal wall and inguinal region. As the management and biologic behaviour of many of the MM are different, it is essential to familiarize ourselves to them.

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Section: Discussionmentioning

confidence: 87%

A clinicopathological study of diagnostically challenging meningioma mimics

et al. 2011

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“…A number of subsequent case reports and small series have expanded the types of intracranial neoplasms that may exhibit a dural tail, eventually including a number of benign 15‐24 and malignant primary tumors, 25‐37 metastatic lesions, 38‐44 facial nerve schwannoma, 45 and VS 46‐49 . While many of these tumors occur at other intracranial locations, a number of malignant primary CPA tumors exhibiting a dural tail have been reported, including glioblastoma, 34,37 medulloblastoma, 31 and melanoma 30 .…”

Section: Discussionmentioning

confidence: 99%

“…However, a definitive conclusion was not drawn due to the small number of patients with radiologic-pathologic correlation. 9 A number of subsequent case reports and small series have expanded the types of intracranial neoplasms that may exhibit a dural tail, eventually including a number of benign [15][16][17][18][19][20][21][22][23][24] and malignant primary tumors, [25][26][27][28][29][30][31][32][33][34][35][36][37] metastatic lesions, [38][39][40][41][42][43][44] facial nerve schwannoma, 45 and VS. [46][47][48][49] While many of these tumors occur at other intracranial locations, a number of malignant primary CPA tumors exhibiting a dural tail have been reported, including glioblastoma, 34,37 medulloblastoma, 31 and melanoma. 30 In the case of CPA medulloblastoma, the authors commented on histopathologic evidence of dural tumor invasion.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Surgical Implications of Dural Enhancement at the Porus Acusticus in Vestibular Schwannomas

Patel

Abel

Link

et al. 2016

Otolaryngol.--head neck surg.

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Dural enhancement is present in approximately 10% of extracanalicular VS. Dural enhancement at the porus acusticus may represent hypervascularity, dural reaction, or infiltration, and portends increased tumor adherence and greater likelihood of subtotal resection to preserve facial nerve function. To our knowledge, this is the first series that reports the prevalence of this phenomenon in VS and the potential surgical implications. Recognition preoperatively may be valuable toward patient counseling.

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“…Osteocartilaginous tumors are exceedingly rare, are usually dural‐based, develop in the skull and only secondarily displace dura and brain . To our knowledge, extraosseous osteoma, chondroma, osteochondroma, mesenchymal chondrosarcoma, osteosarcoma and aneurysmal bone cyst have been seldom described in the CNS. A few cases of unusual dura‐based periosteal osteoblastoma have also been reported in cranial bones, such as temporal bone and frontal cranial bone .…”

Section: Discussionmentioning

confidence: 99%

“…These symptoms may be mild enough to last for months before the patient will see a clinician. Osteogenic neoplasms that originate from the meninges are exceedingly rare, although a few cases of dural‐based osteosarcoma and intracranial aneurysmal bone cyst have been described in the literature . However, to our best knowledge, so far there has been no report of intradural osteoblastoma without any evidence of bone involvement.…”

Section: Introductionmentioning

confidence: 99%

Intraspinal dural‐based primary osteoblastoma with aneurysmal bone cyst‐like change

Jiang

Luo

et al. 2014

Neuropathology

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Osteoblastoma is a benign bone-forming neoplasm that occurs commonly in the posterior elements of the spine and the sacrum. However, so far there has been no report of intradural osteoblastoma described in the literature. We present a unique case of intraspinal dural-based osteoblastoma with aneurysmal bone cyst-like change without evidence of vertebral involvement. An 11-year-old Chinese girl presented with a 3-month history of gradually progressive back pain and a weakness of both lower limbs. Thoracic MRI revealed a well-demarcated subdural mass at the T5 level with heterogeneous enhancement. Histologically, the tumor was found to be attached to the dura and composed of numerous osteoid spicules and trabecular bone with diffusely scattered osteoclast-type, multinucleated giant cells. Ectactic blood vessels and blood-filled cystic spaces were also observed. A diagnosis of primary intraspinal dural-based osteoblastoma with aneurysmal bone cyst-like change was made. To our best knowledge, this is possibly the first case of primary osteoblastoma arising from meninges. Meningeal osteocartilaginous tumors are rare, with obscure histogenesis. The differential diagnosis of osteoblastoma in unusual locations is difficult and the confirmation of diagnosis should be cautiously made. Awareness of dural-based osteoblastoma and its histological features is important to avoid a diagnostic pitfall caused by histological similarities to other intra-craniospinal lesions with osteoid differentiation or bone formation.

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Dural based primary osteosarcoma in right fronto-temporal region:Case report with review of literature

Cited by 7 publications

References 2 publications

A clinicopathological study of diagnostically challenging meningioma mimics

A clinicopathological study of diagnostically challenging meningioma mimics

Prevalence and Surgical Implications of Dural Enhancement at the Porus Acusticus in Vestibular Schwannomas

Intraspinal dural‐based primary osteoblastoma with aneurysmal bone cyst‐like change

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