Skip to main content

Advertisement

Log in

Recurrent rhabdoid meningioma with lymph node, pulmonary and bone metastases: a diagnostic and therapeutic challenge

  • Rapid Short Communication
  • Published:
Brain Tumor Pathology Aims and scope Submit manuscript

Abstract

Rhabdoid meningioma is a rare meningioma variant, classified as WHO grade III. Although this tumor is known for its aggressive behavior and poor prognosis, extracranial metastasis is rare. We report the rare case of a 31-year-old patient with rhabdoid meningioma which recurred several times despite gross total resection, radiation therapy, and gamma knife radiosurgery, and the last recurrence was associated with metastases to lungs, lymph node and bone. The patient showed no response to paclitaxel–carboplatin, or vincristine–cyclophosphamide–adriamycin chemotherapy, and succumbed to the disease. Metastases from rhabdoid meningioma prove to be a diagnostic challenge, and treatment for metastatic meningiomas is not optimized, thus necessitating documentation and interdisciplinary consensus on management protocols.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

References

  1. Kepes JJ, Moral LA, Wilkinson SB, Abdullah A, Llena JF (1998) Rhabdoid transformation of tumor cells in meningiomas: a histological indication of increased proliferative activity: report of four cases. Am J Surg Pathol 22:231–238

    Article  CAS  PubMed  Google Scholar 

  2. Perry A, Scheithauer BW, Stafford SL, Abell-Aleff PC, Meyer FB (1998) “Rhabdoid” meningioma: an aggressive variant. Am J Surg Pathol 22:1482–1490

    Article  CAS  PubMed  Google Scholar 

  3. Cabada T, Bermejo R, Bacaicoa C, Martínez-Peñuela A (2011) Metastatic meningioma: the role of whole–body diffusion-weighted imaging. Oncol Lett 2:931–933

    PubMed  PubMed Central  Google Scholar 

  4. Parameshwaran Nair R, Vinod SY, Nayal B, Kaur Dil S, Tripathi PK (2015) Metastatic rhabdoid meningioma of the parotid—Mimicking primary salivary gland neoplasm. Int J Surg Case Rep 6C:104–106

    Article  PubMed  Google Scholar 

  5. Wang Z, Kong M, Li J, Xiao W, Zheng S (2011) Intraspinal rhabdoid meningioma metastasis to the liver. J Clin Neurosci 18:714–716

    Article  PubMed  Google Scholar 

  6. Ammerlaan AC, Houben MP, Tijssen CC, Wesseling P, Hulsebos TJ (2008) Secondary meningioma in a long-term survivor of atypical teratoid/rhabdoid tumour with a germline INI1 mutation. Childs Nerv Syst 24:855–857

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Ikeda H, Yoshimoto T (2003) Immunohistochemical study of anaplastic meningioma with special reference to the phenotypic change of intermediate filament protein. Ann Diagn Pathol 7:214–222

    Article  PubMed  Google Scholar 

  8. Bleggi-Torres LF, Reis-Filho JS, Faoro LN, Noronha L, Montemor-Netto MR, Ramina R (2001) April 2001: a 70 year old woman with recurrent meningioma. Brain Pathol 11:481–487

    Article  CAS  PubMed  Google Scholar 

  9. Rittierodt M, Tschernig T, Samii M, Walter GF, Stan AC (2001) Evidence of recurrent atypical meningioma with rhabdoid transformation and expression of pyrogenic cytokines in a child presenting with a marked acute-phase response: case report and review of the literature. J Neuroimmunol 120:129–137

    Article  CAS  PubMed  Google Scholar 

  10. Nozza P, Raso A, Rossi A, Milanaccio C, Pezzolo A, Capra V, Gambini C, Pietsch T (2005) Rhabdoid meningioma of the tentorium with expression of desmin in a 12-year-old turner syndrome patient. Acta Neuropathol 110:205–206

    Article  PubMed  Google Scholar 

  11. Zhou Y, Xie Q, Gong Y et al (2013) Clinicopathological analysis of rhabdoid meningiomas: report of 12 cases and a systematic review of the literature. World Neurosurg 79:724–732

    Article  PubMed  Google Scholar 

  12. Omidvari S, Nasrolahi H, Daneshbod Y, Bagheri N, Negahban S et al (2010) Cervical lymph node metastases from meningioma: report of two cases and treatment outcome. Middle East J Cancer 1:45–49

    Google Scholar 

  13. Moubayed SP, Guertin L, Lambert C, Desrochers P, Nehmé J, Coulombe G (2013) Successful treatment of anaplastic meningioma metastatic to cervical lymph nodes. Head Neck 35:E115–E118

    Article  PubMed  Google Scholar 

  14. Travitzky M, Libson E, Nemirovsky I, Hadas I, Gabizon A (2003) Doxil-induced regression of pleuro-pulmonary metastases in a patient with malignant meningioma. Anticancer Drugs 14:247–250

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mehar Chand Sharma.

Ethics declarations

Conflict of interest

None.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kakkar, A., Baghmar, S., Garg, A. et al. Recurrent rhabdoid meningioma with lymph node, pulmonary and bone metastases: a diagnostic and therapeutic challenge. Brain Tumor Pathol 33, 228–233 (2016). https://doi.org/10.1007/s10014-016-0250-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10014-016-0250-z

Keywords

Navigation