Scalp Metastases of Recurrent Meningiomas: Aggressive Behavior or Surgical Seeding?

World Neurosurgery
Josue M Avecillas-ChasinJuan A Barcia

Abstract

Scalp metastases of meningiomas seldom have been reported. Here, we report a series of 4 cases of this rare event and discuss the relevant potential risk factors. We performed a retrospective review of patients treated for scalp metastases of meningiomas at our institution. A literature review was performed for the terms "scalp meningioma," "cutaneous meningioma," "skin meningioma," "extracranial meningioma," and "subcutaneous meningioma." Four patients showed scalp metastases of recurrent meningiomas with the following associated clinical features: multiple reoperations (n = 4), immunosuppression (n = 2), radiation therapy (n = 3), surgical wound complications with cerebrospinal fluid fistula (n = 2), and histologic grade progression (n = 2). The timescale for development of scalp metastasis was between 5 months and 13 years after intracranial meningioma surgery. In all cases, the metastases were located close to the surgical scalp incision for the craniotomy. Previously, 11 cases of meningioma with scalp metastasis, with similar features to those described here, were reported in the literature. Spreading of meningioma cells during surgery is a possible mechanism for scalp metastases of recurrent meningiomas. Factors associate...Continue Reading

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Citations

Feb 9, 2017·The American Journal of Dermatopathology·Jonathan KonopinskiPhyu P Aung
Nov 22, 2016·Brain Tumor Research and Treatment·Lho Hyoung WooChung Dong Sup
Sep 3, 2020·Surgical Neurology International·Turki ElarjaniMaher Hassounah
Nov 3, 2021·British Journal of Neurosurgery·Pedro Valente AguiarPaulo Linhares

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