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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
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.

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.

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

Details

Primary Language English
Subjects Health Care Sciences and Services
Journal Section Case Reports
Authors

Halil Can KÜÇÜKYILDIZ> (Primary Author)
SİVAS CUMHURİYET ÜNİVERSİTESİ, TIP FAKÜLTESİ
0000-0003-0922-1750
Türkiye


Giray GÜNEŞ>
SİVAS CUMHURİYET ÜNİVERSİTESİ, TIP FAKÜLTESİ
0000-0003-4610-414X
Türkiye


Fatih KOÇ This is me
SİVAS CUMHURİYET ÜNİVERSİTESİ, TIP FAKÜLTESİ
0000-0002-7363-777X
Türkiye


Ünal ÖZÜM>
SİVAS CUMHURİYET ÜNİVERSİTESİ, TIP FAKÜLTESİ
0000-0003-2065-2033
Türkiye

Publication Date October 1, 2022
Published in Issue Year 2022, Volume 44, Issue 3

Cite

APA Küçükyıldız, H. C. , Güneş, G. , Koç, F. & Özüm, Ü. (2022). Co-existing Tumors On Suprasellar Region : A Rare Case and Re-view of Literature . Cumhuriyet Medical Journal , 44 (3) , 310-312 . DOI: 10.7197/cmj.1072762