Intraparenchymal chordoid Meningioma After Radiotherapy for Hodgkin Lymphoma: A Case Report and Review of the Literatur

Authors

  • Mustafa Efendioglu Dr. Lutfi Kirdar Kartal Training and Research Hospital, Department of Neurosurgery, Istanbul, Turkey
  • Recep Basaran Dr. Lutfi Kirdar Kartal Training and Research Hospital, Department of Neurosurgery, Istanbul, Turkey
  • Dogan Gundogan Istanbul Medeniyet University Goztepe Education and Research Hospital, Department of Neurosurgery, Istanbul, Turkey
  • Fatih Han Bolukbasi Medipol University School of Medicine, Department of Neurosurgery, Istanbul, Turkey
  • Mustafa Kaksi Yalova Hospital, Department of Neurosurgery, Yalova, Turkey
  • Aydin Sav Acibadem University School of Medicine Department of Pathology, Istanbul, Turkey
  • Tuncay Kaner Istanbul Medeniyet University Goztepe Education and Research Hospital, Department of Neurosurgery, Istanbul, Turkey

DOI:

https://doi.org/10.6000/1929-2279.2014.03.01.4

Keywords:

Meningioma, Hodgkin lymphoma, radiation, secondary tumor, chordoid, intraparenchymal.

Abstract

Objective: Hodgkin lymphoma can be treated by radiotherapy or chemotherapy alone or combined. Meningiomas account for 1-4.2% of all primary intracranial tumors in children, and chordoid meningioma is a very rare subtype. In this study, we investigated a case of an intraparenchymal chordoid meningioma that developed during the early stage in a patient with Hodgkin lymphoma who had been treated with radiotherapy. Case: A 10-year-old male patient was diagnosed with Hodgkin lymphoma and was treated with a combination of radiotherapy and chemotherapy. He presented at our emergency service 6 years later. He had a fever and was suffering from discomfort and insignificant left hemiparesis (4/5). Contrast-enhanced cranial magnetic resonance imaging (MRI) showed a mass in the right temporoparietal region. The intracranial lesion was surgically excised. The tumor was identified as a WHO grade 2 chordoid meningioma by the pathological examination. The Ki-67 proliferation index was found to be 20-25%. Conclusion: Surgeons must remember that radiation-associated meningiomas may occur in the early stage of the treatment as well as in the late stage. Young patients with grade 2 chordoid meningiomas must be followed-up in case of recurrence, and tumors with high Ki-67 indexes are highly expected to relapse.

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2014-01-02

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Mustafa Efendioglu, Recep Basaran, Dogan Gundogan, Fatih Han Bolukbasi, Mustafa Kaksi, Aydin Sav, & Tuncay Kaner. (2014). Intraparenchymal chordoid Meningioma After Radiotherapy for Hodgkin Lymphoma: A Case Report and Review of the Literatur. Journal of Cancer Research Updates, 3(1),  30–41. https://doi.org/10.6000/1929-2279.2014.03.01.4

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