Meningioma and Oligodendroglioma Adjacent in the Brain

Gass, Harvey; Wagenen, William P. Van

doi:10.3171/jns.1950.7.5.0440

Cited by 49 publications

(11 citation statements)

References 3 publications

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“…Meningioma, sarcoma, lymphoma, pilocytic astrocytoma, and pleomorphic xanthoastrocytoma in association with oligodendrogliomas have been reported in the literature (43)(44)(45)(46)(47)(48)(49). Several reports of oligodendroglioma with arteriovenous malformation, some presenting with subarachnoid hemorrhage, and with multiple sclerosis have also been added (50 -56).…”

Section: Epidemiologymentioning

confidence: 99%

Oligodendroglioma and Its Variants: Radiologic-Pathologic Correlation

Koeller¹,

Rushing²

2005

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Oligodendroglioma is the third most common glial neoplasm and most commonly arises in the frontal lobe. It occurs in males more frequently, and the peak manifestation is during the 5th and 6th decades. Children are affected much less commonly. The clinical presentation is often of several years duration with most patients presenting with seizures, reflecting the strong predilection of this tumor to involve the cortical gray matter. Current histopathologic classification schemes recognize two main types of tumors: well-differentiated oligodendroglioma and its anaplastic variant. Less commonly, neoplastic mixtures of both oligodendroglial and astrocytic components occur and are termed oligoastrocytomas, with both well-differentiated and anaplastic forms. Surgical resection is the mainstay of initial treatment, and many patients experience a long progression-free period. Recent genotyping has revealed chromosomal loss of 1p and 19q as a genetic signature in most oligodendrogliomas, and these tumors respond favorably to chemotherapy. Hence, radiation therapy is now generally reserved for partially resected tumors and cases that failed to benefit from chemotherapy. At cross-sectional imaging, the tumor characteristically involves the cortical gray matter and frequently contains calcification. Robust enhancement is not a common feature and suggests transformation to a higher histologic grade. Advanced magnetic resonance imaging techniques and metabolic imaging play increasingly important roles in both pre- and postoperative assessment of these complex neoplasms.

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Section: Epidemiologymentioning

confidence: 99%

Oligodendroglioma and Its Variants: Radiologic-Pathologic Correlation

Koeller¹,

Rushing²

2005

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“…There are few cases in the literature, the coexistence of a meningioma and a glioma being the most reported combination, followed by a meningioma with a vestibular schwannoma and a meningioma with a pituitary adenoma. [ 3 7 13 14 15 16 17 18 19 21 25 ] The recent advance in neuroimaging for the diagnosis of brain tumors has resulted in more additional reports of multiple primary brain tumors, with multiple other cases of coexistence of pituitary adenoma and temporal lobe glioma,[ 9 ] prolactinoma and craniopharyngioma,[ 5 ] epidermoid cyst tumor, and pituitary adenoma[ 11 ] described. Co-occurrence of meningioma and an epidermoid cyst has barely been reported previously.…”

Section: Discussionmentioning

confidence: 99%

“…In several other reported cases, one tumor was removed operatively and the second tumor was diagnosed at autopsy; in the case reported by Alexander,[ 2 ] a frontal meningioma was removed operatively and at autopsy, a tumor designated as a “spongioblastoma ependymale” was found in the roof of the left lateral ventricle. In 1950, Gass and van Wagenen[ 7 ] reported the first successful removal of adjacent tumors when a small meningioma and an underlying oligodendroglioma were removed in the same operation.…”

Section: Discussionmentioning

confidence: 99%

Unusual coexistence of an epidermoid cyst with an atypical meningioma: Case report and review of the literature

et al. 2016

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Background:Coexistence of multiple primary intracranial tumors of different cell types has rarely been documented; the association of a meningioma and a glioma has been reported as the most common combination. Hereby, we report an unusual case of a temporal epidermoid cyst coexisting with an atypical meningioma.Case Presentation:A 37-year-old male presented with progressive symptoms of raised intracranial progression with progressive loss of vision without any neurological deficit. On admission, magnetic resonance imaging (MRI) revealed a right frontal lesion appearing hypointense T1, hyperintense T2 slightly enhanced after gadolinium and a second right temporal, isointense T1, hyperintense T2 non-enhancing lesion. A right frontotemporal craniotomy was performed that revealed two distinct lesions: The whitish temporal lesion with the pearl appearance reminding of an epidermoid cyst, the second lesion was extraaxial fibrous lesion arising from the falx. Pathology confirmed an atypical meningioma WHO Grade II and an epidermoid cyst.Conclusion:The simultaneous occurrence of primary intracranial tumors of different cell types is rare. Epidermoid cysts are slow growing lesions believed to arise from inclusion of ectodermal elements during neural tube closure, while meningiomas arise from arachnoidal cells; their association has rarely been reported previously.

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“…Cerebral neoplasm is certainly a source of irritation and hence might also stimulate lesions in the leptomeninges. Gass and van Wagenen [4] described a case of oligodendroglioma in a 56-year-old woman that occurred in relation to an overlying small superficial meningioma. Tanaka et a1 [6j have published details of a case in which meningioma occurred 23 years after partial removal of an oligodendroglioma at the same site.…”

Section: Discussionmentioning

confidence: 99%

Lipomatous meningioma associated with cerebral vascular malformation

Kasantikul

Brown

1984

Journal of Surgical Oncology

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A unique epileptic patient with intracranial neoplasm is reported in which a meningioma with lipomatous and osseous components was found associated with cerebral arteriovenous malformation at the same location in the right frontal lobe. The development of the leptomeningeal neoplasm may have been influenced by the underlying vascular anomaly. The cerebral arteriovenous malformation and altered hemodynamics also could have induced the sudden onset of clinical seizures, hemiparesis, and unconsciousness.

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Meningioma and Oligodendroglioma Adjacent in the Brain

Cited by 49 publications

References 3 publications

Oligodendroglioma and Its Variants: Radiologic-Pathologic Correlation

Oligodendroglioma and Its Variants: Radiologic-Pathologic Correlation

Unusual coexistence of an epidermoid cyst with an atypical meningioma: Case report and review of the literature

Lipomatous meningioma associated with cerebral vascular malformation

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