Prostate carcinoma mimicking a sphenoid wing meningioma

International Journal of Surgery Case Reports
Lucas H BradleyDemitre Serletis

Abstract

We report here on a rare case of a large, lateral sphenoid wing tumor with radiographic and intraoperative findings highly suggestive of meningioma, yet pathology was in fact consistent with metastatic prostate adenocarcinoma. An 81 year-old male presented with expressive dysphasia, right-sided weakness and headaches. Imaging revealed a heterogeneously-enhancing lesion based on the left lateral sphenoid wing. The presumed diagnosis was strongly in favor of meningioma, and the patient underwent complete resection of the dural-based lesion. Final pathology confirmed the unexpected finding of a metastatic prostate adenocarcinoma. Although he tolerated surgery well, the patient was subsequently referred for palliative therapy given findings of widespread systemic disease. Intracranial metastases may involve the dura, at times presenting with rare radiographic features highly suggestive for meningioma, as in our case here. This makes differentiation, at least based on imaging, a challenge. Elderly patients presenting with neurological deficits secondary to a newly-diagnosed, dural-based lesion should thus be considered for metastasis, prompting additional imaging studies (including body CT, MRI or PET) to rule out a primary lesion e...Continue Reading

References

Feb 26, 2009·Cancer·Lakshmi NayakFabio M Iwamoto

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Citations

Jun 12, 2020·Diagnostics·Mauro MorassiGiordano Savelli
Mar 31, 2021·Ophthalmic Plastic and Reconstructive Surgery·Alan A McNabThomas G Hardy

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