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Case Report
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Year 2022, Volume: 44 Issue: 3, 310 - 312, 01.10.2022

Halil Can Küçükyıldız , Giray Güneş , Fatih Koç Ünal Özüm

https://doi.org/10.7197/cmj.1072762

Abstract

References

  • 1. Guidetti B, Gagliardi FM. Epidermoid and dermoid cysts. Clinical evaluation and late surgical results. J Neurosurg. 1977 Jul;47(1):12-8. doi: 10.3171/jns.1977.47.1.0012. PMID: 864501.
  • 2. Cushing H, Eisenhardt L. Springfield, Illinois: Charles C. Thomas; 1938. Meningiomas: Their Classification, Regional Behavior, Life History and Surgical End Results; p. 785.
  • 3. Goyal A, Singh AK, Sinha S, Tatke M, Singh D, Gupta V. Simultaneous occurrence of meningioma and glioma in brain: report of two cases. J Clin Neurosci. 2003 Mar;10(2):252-4. doi: 10.1016/s0967-5868(02)00345-4. PMID: 12637065.
  • 4. Sirko, Andrii Romanukha, Dmytro Co-existence of meningioma and epidermoid cyst in the posterior cranial Fossa 2020 6 20 10.1016/j.inat.2020.100682
  • 5. Thomalske G, Galow W. Proceedings: Meningioma of the middle cranial fossa and epider-moid tumor of the clivus and cerebellopontine angle in the same patient. Acta Neurochir (Wien). 1975;31(3-4):282. PMID: 1081333.
  • 6. Frazer AK, Victoratos GC. Multiple disparate cranial neoplasms. Cancer. 1979 Dec;44(6):2312-5. doi: 10.1002/1097-0142(197912)44:6<2312::aid-cncr2820440646>3.0.co;2-l. PMID: 509399.
  • 7. Karekezi C, El Fatemi N, Egu K, Ibrahimi M, El Maaqili MR, El Abbadi N. Unusual coex-istence of an epidermoid cyst with an atypical meningioma: Case report and review of the literature. Surg Neurol Int. 2016 Mar 4;7:24. doi: 10.4103/2152-7806.178135. PMID: 27069741; PMCID: PMC4802990.
  • 8. Kumar S, Malik R, Gupta S, Puri V, Gupta M, Mehndiratta MM. Epidermoid cyst in asso-ciation with subcutaneous meningioma. Clin Neurol Neurosurg. 1992;94(1):45-7. doi: 10.1016/0303-8467(92)90118-m. PMID: 1321698.
  • 9. Yamakawa K, Shitara N, Genka S, Manaka S, Takakura K. Clinical course and surgical prognosis of 33 cases of intracranial epidermoid tumors. Neurosurgery. 1989 Apr;24(4):568-73. doi: 10.1227/00006123-198904000-00013. PMID: 2710302.
  • 10. Suzuki K, Momota H, Tonooka A, Noguchi H, Yamamoto K, Wanibuchi M, Minamida Y, Hasegawa T, Houkin K. Glioblastoma simultaneously present with adjacent meningioma: case report and review of the literature. J Neurooncol. 2010 Aug;99(1):147-53. doi: 10.1007/s11060-009-0109-9. Epub 2010 Jan 10. PMID: 20063176.
  • 11. Holden J, Dolman CL, Churg A. Immunohistochemistry of meningiomas including the angioblastic type. J Neuropathol Exp Neurol. 1987 Jan;46(1):50-6. doi: 10.1097/00005072-198701000-00005. PMID: 2432194.

Co-existing Tumors On Suprasellar Region : A Rare Case and Re-view of Literature

Year 2022, Volume: 44 Issue: 3, 310 - 312, 01.10.2022

Halil Can Küçükyıldız , Giray Güneş , Fatih Koç Ünal Özüm

https://doi.org/10.7197/cmj.1072762

Abstract

Introduction: The co-existence of primary intracranial tumors originating from different cell types is rare. While the association of meningioma and glioma is frequently reported in the literature, the number of cases with meningiomas and epidermoid cysts is relatively low. We report a unique case because the association of suprasellar meningioma and the epidermoid cyst has not been reported before in the literature.
Case Presentation: A 50-year-old female presented to the clinic with a headache and progressive vision loss. In cranial Magnetic Resonance (MR) images, a T1A hypointense, T2A iso-hyper intense heterogenous contrasting suprasellar mass lesion was observed. The patient was operated on with a diagnosis of suprasellar meningioma. At the suprasellar region, a mass that macroscopic view and consistency compatible with epidermoid cyst explored intraoperative incidentally. Two different pathological specimens were sent to pathology. The patient's pathology was reported as WHO 2021, Transitional type grade 1 Meningioma, and Epidermoid cyst content.
Conclusion: The number of cases with meningiomas and epidermoid cysts is very low in the literature. Despite advanced MR imaging techniques, cystic lesions can be overlooked in the diagnosis. The occurrence of two different histopathological types of tumors in the same localization can be explained by the local paracrine effects of the tumors.

Keywords

Suprasellar Meningioma Epidermoid Cyst Tumor co-existence

References

  • 1. Guidetti B, Gagliardi FM. Epidermoid and dermoid cysts. Clinical evaluation and late surgical results. J Neurosurg. 1977 Jul;47(1):12-8. doi: 10.3171/jns.1977.47.1.0012. PMID: 864501.
  • 2. Cushing H, Eisenhardt L. Springfield, Illinois: Charles C. Thomas; 1938. Meningiomas: Their Classification, Regional Behavior, Life History and Surgical End Results; p. 785.
  • 3. Goyal A, Singh AK, Sinha S, Tatke M, Singh D, Gupta V. Simultaneous occurrence of meningioma and glioma in brain: report of two cases. J Clin Neurosci. 2003 Mar;10(2):252-4. doi: 10.1016/s0967-5868(02)00345-4. PMID: 12637065.
  • 4. Sirko, Andrii Romanukha, Dmytro Co-existence of meningioma and epidermoid cyst in the posterior cranial Fossa 2020 6 20 10.1016/j.inat.2020.100682
  • 5. Thomalske G, Galow W. Proceedings: Meningioma of the middle cranial fossa and epider-moid tumor of the clivus and cerebellopontine angle in the same patient. Acta Neurochir (Wien). 1975;31(3-4):282. PMID: 1081333.
  • 6. Frazer AK, Victoratos GC. Multiple disparate cranial neoplasms. Cancer. 1979 Dec;44(6):2312-5. doi: 10.1002/1097-0142(197912)44:6<2312::aid-cncr2820440646>3.0.co;2-l. PMID: 509399.
  • 7. Karekezi C, El Fatemi N, Egu K, Ibrahimi M, El Maaqili MR, El Abbadi N. Unusual coex-istence of an epidermoid cyst with an atypical meningioma: Case report and review of the literature. Surg Neurol Int. 2016 Mar 4;7:24. doi: 10.4103/2152-7806.178135. PMID: 27069741; PMCID: PMC4802990.
  • 8. Kumar S, Malik R, Gupta S, Puri V, Gupta M, Mehndiratta MM. Epidermoid cyst in asso-ciation with subcutaneous meningioma. Clin Neurol Neurosurg. 1992;94(1):45-7. doi: 10.1016/0303-8467(92)90118-m. PMID: 1321698.
  • 9. Yamakawa K, Shitara N, Genka S, Manaka S, Takakura K. Clinical course and surgical prognosis of 33 cases of intracranial epidermoid tumors. Neurosurgery. 1989 Apr;24(4):568-73. doi: 10.1227/00006123-198904000-00013. PMID: 2710302.
  • 10. Suzuki K, Momota H, Tonooka A, Noguchi H, Yamamoto K, Wanibuchi M, Minamida Y, Hasegawa T, Houkin K. Glioblastoma simultaneously present with adjacent meningioma: case report and review of the literature. J Neurooncol. 2010 Aug;99(1):147-53. doi: 10.1007/s11060-009-0109-9. Epub 2010 Jan 10. PMID: 20063176.
  • 11. Holden J, Dolman CL, Churg A. Immunohistochemistry of meningiomas including the angioblastic type. J Neuropathol Exp Neurol. 1987 Jan;46(1):50-6. doi: 10.1097/00005072-198701000-00005. PMID: 2432194.
There are 11 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Reports
Authors

Halil Can Küçükyıldız 0000-0003-0922-1750

Giray Güneş 0000-0003-4610-414X

Fatih Koç 0000-0002-7363-777X

Ünal Özüm 0000-0003-2065-2033

Publication Date October 1, 2022
Acceptance Date September 28, 2022
Published in Issue Year 2022 Volume: 44 Issue: 3

Cite

AMA Küçükyıldız HC, Güneş G, Koç F, Özüm Ü. Co-existing Tumors On Suprasellar Region : A Rare Case and Re-view of Literature. CMJ. October 2022;44(3):310-312. doi:10.7197/cmj.1072762