Key result
Surgical resection treats a rare angiosarcoma overlying a meningioma mimicking transosseous growth.
Case Report (n=1)
A preoperative biopsy of a skin tumor mimicking transosseous meningioma growth can lead to the correct diagnosis of angiosarcoma and allow for better surgical planning.
Angiosarcoma should enter the differential for apparent transosseous meningioma growth; this single case leaves open any causal link or diagnostic criteria.
Cutaneous angiosarcoma is a rare type of sarcoma with poor prognosis. Meningioma is the most frequent benign intracranial tumor. Despite the fact that meningiomas are mostly benign, bone and skin can be infiltrated. We report the rare case of an angiosarcoma on top of a meningioma with hyperostosis at exactly the same location mimicking a transosseous growth of a meningioma. An 84-year-old man presented with progressive swelling and ulcerous lesion of the forehead. The patient underwent surgery in an interdisciplinary setting together with a plastic surgeon, including resection of the intracranial tumor and infiltrated bone and skin. To the best of our knowledge, this is the only reported case of a meningioma and angiosarcoma in direct neighborhood. A preoperative biopsy of the skin tumor would have led initially to the correct diagnosis of an angiosarcoma and would have allowed a better planning of the operation and extent of resection.
No takes yet. Share an insight, caveat, or question.
Kohl et al. (2022) conducted a case report in Angiosarcoma on top of a meningioma (n=1). Surgical resection was evaluated. Surgical resection was performed for a rare case of an angiosarcoma located directly on top of a meningioma, mimicking transosseous meningioma growth.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: